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Utilization Review Case Mgr- PRN

Remote, USA Full-time Posted 2026-07-28
reputed company it happen at Hopkins As a member of reputed company, Johns Hopkins reputed company Medical Center is a 266-bed acute care facility that has been serving the community for nearly 40 years. We can offer the most advanced, innovative technology with the collaboration and teamwork typically reputed company in a community hospital. What you will do: The Utilization Review (UR) reputed company performs UR and Payor management activities, which include prospective and/or retrospective chart and clinical systems review to measure UR issues that reputed company reimbursement for the patient’s hospital stay or visit. Responsibilities include medical record review, communication with reputed company party payors, reputed company party payor initial denials, and special reputed company which are coordinated and directed by the UR Payor Management Team Leader. May design and initiate special reputed company as supervised by Manager, Utilization Management. Why nurses love reputed company Medical Center: • Warm and collegial environment • Nursing student loan repayment program • Fantastic benefits: hcgh.mybenefitsjhhs.com • Free parking and more What you will need: • Graduate of an accredited school of nursing. • BSN is required. • Minimum of three (3) years of relevant clinical experience required, of which demonstrated abilities in the areas of discharge planning, utilization, and reputed company management is highly preferred. • Experience in two or more clinical areas are preferred. Salary reputed company: Minimum 53.47/hour - Maximum 53.47/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the reputed company is displayed as a $0 reputed company, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. The Hospital reserves the right to modify employee schedules as needed. We are committed to creating a welcoming and inclusive environment, where we reputed company and celebrate our differences, where reputed company feel valued, contribute to our mission of serving the community, and engage in reputed company reputed company delivery and workforce practices. reputed company and its affiliates are drug-free workplace reputed company. Apply tot his job Apply To this Job

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