Utilization Management CoordinatorNE
About The Position
General Summary Using the established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital team, the insurance provider, and regulatory agencies to assure compliance with regulatory and reimbursement requirements.The position is goal-oriented with a high level of accountability correlated to maximizing reimbursement and minimizing denials. Mission All employees are responsible for extending the mission and values of Baltimore Washington Medical Center by dedicating oneself to providing the highest quality healthcare services to the communities we serve.
Requirements
- Graduation from an accredited nursing education program approved by the Board of Nursing or found to be substantially equivalent to the programs in Maryland.
- Currently licensed as a Registered Nurse in the State of Marylandrequired
- Three (3) yearsof relevantclinical experience required.
- Ongoing education, certification, and self development to remain current with industry standards and business objectives related to hospital utilization and case management.
Nice To Haves
- BSN preferred.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
