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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 goaloriented 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.
Reporting Relationships
Reports to the Director of Care Management.
Qualifications :
Education: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 BSN preferred.
Experience: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.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Compensation
Remote Work :
No
Employment Type :
Parttime
Part-time