Registered Nurse (RN) – Utilization Review/Case Management

Facility

Johns Hopkins HealthCare


Location

Glen Burnie, MD


Contract Terms

Registered Nurse (RN) – Utilization Review/Case Management
Johns Hopkins HealthCare

Currently seeking an Appeals Case Management RN to work a 13 week contract (with possible extension) in Glen Burnie, MD.  The ideal candidate will have at least 2 years of clinical experience 1 years in desired specialty.

Requirements: RN Licensure; BSN preferred

Description of Duties: Ability to review provider and member appeals of denials of medical care and make appropriate determinations based on documentation presented by appealing agent with references to federal, state, and local regulations as well as JHHC policy and procedures based on line of business in a timely manner.

Excellent interpersonal skills and attitude  to effectively project a positive image of managed care programs by being courteous, helpful, friendly, and professional in relationships with enrollees, families and co-workers.

Ability to be self-motivated and able to work independently to assess situations and respond appropriately ,make independent decisions and the ability to initiate and implement policy and procedure as written.

Ability to respond effectively with appealing agent by modifying template letters.

Shift – Mon-Fri Days 8a-4:30p
Starting ASAP
Long-term full time (13 weeks to start with possible extension)
For immediate consideration, please send your resume via email to contracts@cms24-7.com


Shift Time

Days


Weekend/Holiday

No weekends/No holidays


Float

N/A


Pay Rate

$35 / Hour


Skill Set Requirements

Must have at least 2 years of Clinical Experience and 2 years in desired specialty.
Registered Nurse (RN) – Utilization Review/Case Management


Profile Requirements

Require an updated resume, skills checklist, and two recent manager or supervisory references. Please note these are the standard requirements but they can vary by facility. Need active MD or compact license.


Rate Details

Please note: Quoted pay rate is for local candidates. Travelers will be paid the equivalent of the local rate minus housing. Housing stipends available. Please note orientation is paid at full rate and parking is reimbursed. Travelers please request a sample pay stub to know to see your take home wage.


If you are interested in this position, please complete an electronic application here. We will contact you as soon as possible to discuss this position, as well as all other contract and per diem positions of interest, available with Chesapeake Medical Staffing.

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