Job Location: Baltimore, Maryland Job Type: Full time Department:
Care Management Facility:
Johns Hopkins Bayview Medical Center Shift:
Day Shift Hours:
8 hour shifts
Job Details:
Bachelors Degree in Nursing required
Maryland RN license and CPR certification required
Job Duties:
Reduces adjusted denial rate through recovery and prevention for the Medical Center by reviewing payors' decisions to deny reimbursement to the Medical Center and identifying denials appropriate for appeal. Performs analysis of denials to determine and address trends. Educates staff on denials prevention. Experience: 5 years Utilization Management experience. Physical Requirements: Computer work, prolonged sitting.
