Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.
The RN Utilization Manager’s (RN-UM) purpose is to collaborate with various internal and external stakeholders to advocate for the patient, ensuring high quality cost-effective care while balancing the responsibility of organizational stewardship and judicial management of hospital resources of the acute care patient population. Using clinical findings, Interqual evidence based criteria and JHACH policies/practices to perform utilization reviews for admissions, continued stays, and adverse determinations following escalation process defined in the JHACH UM Plan. The RN-UM counsels providers and other healthcare team members around avoidable delays/days, identification of organizational development opportunities, utilization and denial management, and throughput and practices within the scope and standards of practice as defined by the Florida State Board of Nursing and the American Case Management Association.
Current Florida RN Licensure.
Minimum of 2 years of current, hospital based Case Management and/or Utilization Management experience.
Writing and computer skills to include accurate typing skills, proficiency in Windows, Microsoft Word, Outlook, and Excel, electronic medical record, and other clinical platforms.
It’s because of the profound passion and dedication of our employees that the Johns Hopkins Health System has remained at the forefront of health care. Our people are committed to excellence in everything we do. They come to Johns Hopkins to be part of one of the most professional, diverse and reputable teams in medicine, and for the benefits and unlimited opportunities for personal and professional growth. Together, we’re constantly seeking solutions to the health problems of today and medical innovations of tomorrow through research, education and patient care. Discover what’s possible when you bring your passion to the Johns Hopkins Health System.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.