Responsible for the overall strategic and operational management of the department of care management. This includes the functions of case management, utilization management, denials and appeals, Medicare RAC and MAC audits. Works with VP Care Management Services on strategic planning, budget management, recruitment, utilization management.
BSN in nursing required. Masters degree in nursing, pubic health, or health administration required.
5 - 7 years of hospital-based care management experience required and at least 3 years leading a CM team a must.
A variety of healthcare setting experience is a plus.
Maryland licensure as RN is a must
Location: Baltimore campus
Works in normal office environment where there is little discomfort to due to the extremes of heat, dust, noise, temperature and the like
Johns Hopkins Health System and its affiliates are drug-free workplace employers.