Jobs
>
Baltimore

    Clinical Review Nurse - Baltimore, United States - Johns Hopkins Medicine

    Johns Hopkins Medicine
    Johns Hopkins Medicine Baltimore, United States

    2 weeks ago

    Default job background
    Description

    Job Description

    Job Description

    Johns Hopkins Care at Home (JHCH) is a leading provider of home care services, committed to delivering high-quality, patient-centered care.

    We are currently seeking a dedicated and experienced Clinical Review Nurse (CRN) to join our team.

    Collaborate with clinical staff and other team members to foster a culture of continuous improvement in documentation practices.

    Act as a resource for the team, providing education and training on documentation best practices.

    Elevate your possibilities here at Johns Hopkins Care at Home.

    Schedule: 20 hours/week

    The CRN will play a crucial role in ensuring the accuracy and compliance of our home care service documentation, supporting revenue cycle compliance, and maintaining survey readiness.

    Education:

    • BSN or higher nursing degree preferred

    Required Licensure:

    • Current RN licensure in Maryland
    • ICD-10 certification required
    • OASIS COS-C certification preferred.

    Experience:

    • Minimum of 2 years experience in home health, with previous experience with chart review, and performance improvement activities.

    JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins

    Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

    Johns Hopkins Health System and its affiliates are drug-free workplace employers.

  • Johns Hopkins Medicine

    Clinical Review Nurse

    2 weeks ago

    Johns Hopkins Medicine Baltimore, United States

    · Remote · Work from Home · Share This Page Job Details · Requisition #: · Location: Johns Hopkins Care at Home, · Baltimore, · MD 21201 · Category: Nursing · Schedule: Day Shift · Johns Hopkins Care at Home (JHCH) is a leading provider of home care services, committed to d ...

  • Johns Hopkins Medicine

    Clinical Review Nurse

    3 weeks ago

    Johns Hopkins Medicine Baltimore, United States

    · Share This Page Job Details · Requisition #: · Location: Johns Hopkins Care at Home, · Baltimore, · MD 21201 · Category: Nursing · Schedule: Day Shift · Johns Hopkins Care at Home (JHCH) is a leading provider of home care services, committed to delivering high-quality, pa ...

  • Johns Hopkins Health System

    clinical review nurse

    2 weeks ago

    Johns Hopkins Health System Baltimore, MD, USA, United States

    Johns Hopkins Care at Home (JHCH) is a leading provider of home care services, committed to delivering high-quality, patient-centered care. · We are currently seeking a dedicated and experienced Clinical Review Nurse (CRN) to join our team. · Collaborate with clinical staff and ...

  • LifeBridge Health

    utilization review nurse

    3 hours ago

    LifeBridge Health Baltimore, United States

    UTILIZATION REVIEW NURSE - PRN · Baltimore, MD · SINAI HOSPITAL · UTILIZATION REVIEW · PRN - Weekends - Day shift - 8:00am-4:30pm · RN Other · 83284 · Posted: · May 20, 2024 · Apply Now · Save Job · Saved · Summary · Position Summary: Conducts concurrent and retrospective chart ...

  • LifeBridge Health

    utilization review nurse

    3 hours ago

    LifeBridge Health Baltimore, United States Full time

    UTILIZATION REVIEW NURSE · Sign On Bonus Potential: $15,000 · Baltimore, MD · SINAI HOSPITAL · UTILIZATION REVIEW · Full-time - Weekends - Day shift-Weekends - 8:00am-6:30pm · RN Other · 83231 · Posted: · May 20, 2024 · Apply Now · Save Job · Saved · Summary · Position Summary: ...

  • LifeBridge Health

    utilization review nurse

    3 hours ago

    LifeBridge Health Baltimore, United States

    UTILIZATION REVIEW NURSE (RN) - PRN · Baltimore, MD · SINAI HOSPITAL · UTILIZATION REVIEW · PRN - As Needed - 8:00am-4:30pm · RN Other · 82413 · Posted: · March 21, 2024 · Apply Now · Save Job · Saved · Summary · Position Summary: Conducts concurrent and retrospective chart rev ...

  • LifeBridge Health

    utilization review nurse

    3 hours ago

    LifeBridge Health Baltimore, United States

    UTILIZATION REVIEW NURSE - PRN · Baltimore, MD · SINAI HOSPITAL · UTILIZATION REVIEW · PRN - Day shift - 8:00am-4:30pm · RN Other · 83285 · Posted: · May 20, 2024 · Apply Now · Save Job · Saved · Summary · Position Summary: Conducts concurrent and retrospective chart review for ...

  • Facility SINAI HOSPITAL

    utilization review nurse

    1 week ago

    Facility SINAI HOSPITAL Baltimore, United States

    Summary · Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. · Requirements : · Basic professional knowledg ...

  • Johns Hopkins Medicine

    Clinical Review Nurse

    2 weeks ago

    Johns Hopkins Medicine Baltimore, United States Part time

    Johns Hopkins Care at Home (JHCH) is a leading provider of home care services, committed to delivering high-quality, patient-centered care. · We are currently seeking a dedicated and experienced Clinical Review Nurse (CRN) to join our team. · Collaborate with clinical staff and ...

  • High Wings Consultant

    Utilization Review Nurse

    5 days ago

    High Wings Consultant Olney, United States

    **Title: Utilization Review RN** · Location: Olney, MD · Shift: Days, Monday-Friday · Contract: 13 weeks · **Pay Package hours for a Local (Based on 40 hrs per week)** · Pay Rate: $38.50/hour · Gross pay: $1540/weekly · **Pay Package for a Traveler (Based on 40 hrs per week)** · ...

  • Ageatia Global Solutions

    clinical medical review nurse

    2 weeks ago

    Ageatia Global Solutions Baltimore, MD, USA, United States

    Job Description: · PURPOSE: · The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudica ...

  • Ageatia Global Solutions

    Clinical Medical Review Nurse

    2 weeks ago

    Ageatia Global Solutions Baltimore, United States

    Job Description: · PURPOSE: · The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudic ...

  • Greater Baltimore Medical Center

    Utilization Review Nurse

    2 weeks ago

    Greater Baltimore Medical Center Towson, MD, United States

    Under general supervision, provides consultative support to the admitting teams concerning patient status determinations and utilization of resources for patients requiring hospital services. Works collaboratively with interdisciplinary teams facilitating appropriate status deter ...

  • Johns Hopkins Health System

    utilization review nurse

    3 weeks ago

    Johns Hopkins Health System Hanover, MD, United States

    Who you are: · As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members' lives. Your in-depth knowledge of ...

  • LifeBridge Health

    utilization review nurse

    3 hours ago

    LifeBridge Health Randallstown, United States Full time

    UTILIZATION REVIEW NURSE (RN) · Randallstown, MD · NORTHWEST HOSPITAL · NW CARE MANAGEMENT · Full-time - Day shift - 8:00am-4:30pm · RN Other · 81988 · Posted: · March 21, 2024 · Apply Now · Save Job · Saved · Summary · Position Summary: Conducts concurrent and retrospective ch ...

  • MEDSTAR HEALTH

    Rn Utilization Review- Appeals Coordinator

    2 weeks ago

    MEDSTAR HEALTH Baltimore, United States

    Reviews and evaluates external denials for medical necessity. Coordinates and monitors the preventive denial and appeals process. Collaborates with the physician, nurse manager, and other members of the health care team to meet individualized patient outcomes. Performs pre-admiss ...

  • Catholic Charities of Baltimore

    Registered Nurse

    3 weeks ago

    Catholic Charities of Baltimore Baltimore, United States

    **Payrate is Starting $42.50/hour** · St. Elizabeth Rehabilitation and Nursing Center is currently seeking a** Registered Nurse-Full Time **who will be responsible and accountable for the effective overall management of clinical services and for providing quality nursing care to ...

  • Johns Hopkins University

    Research Assistant

    2 weeks ago

    Johns Hopkins University Baltimore, United States

    We are seeking a **_Research Assistant_** who will be responsible for managing research projects for the Principal Investigator of the HRSA-BHWET program at the School of Nursing. They will collaborate with faculty, staff, and students on research projects. These projects may inc ...

  • University of Maryland Medical System

    Manager, Utilization Management

    1 week ago

    University of Maryland Medical System Baltimore, United States

    **Company Description**: · - Renowned as the academic flagship of the University of Maryland Medical System, our Magnet-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosph ...

  • Johns Hopkins University

    Co Nurse Practioner Manager

    2 weeks ago

    Johns Hopkins University Baltimore, United States

    We are seeking a **_CO_**_ Nurse Practitioner Manager_** in the Johns Hopkins Pediatric Intensive Care Unit who will work collaboratively within a multidisciplinary healthcare team and is responsible for providing comprehensive care to critically ill children. The role of the Nur ...