Clinical Review Nurse

Are you a compassionate and detail-oriented individual looking for a meaningful career in healthcare? Johns Hopkins Medicine is seeking a Clinical Review Nurse to join our team and make a difference in the lives of our patients. In this role, you will be responsible for conducting comprehensive reviews of patient medical records and collaborating with interdisciplinary teams to ensure the highest quality of care. If you have a strong clinical background, exceptional organizational skills, and a passion for improving patient outcomes, we encourage you to apply for this exciting opportunity at one of the nation's leading healthcare institutions.

1. Conduct comprehensive reviews of patient medical records to ensure accuracy and completeness.
2. Collaborate with interdisciplinary teams including physicians, nurses, and other healthcare professionals to develop individualized care plans for patients.
3. Utilize clinical knowledge and expertise to identify potential issues and areas for improvement in patient care.
4. Communicate with healthcare providers and insurance companies to gather necessary information for medical review.
5. Adhere to all relevant policies and procedures, as well as state and federal regulations, in conducting reviews.
6. Maintain accurate and detailed records of medical reviews and related communications.
7. Participate in continuous education and training to stay up-to-date on best practices and new developments in healthcare.
8. Provide guidance and support to other healthcare professionals regarding medical reviews and documentation.
9. Follow up on any identified issues or concerns and provide recommendations for improvement.
10. Serve as a patient advocate by ensuring the highest quality of care and promoting patient safety.
11. Maintain confidentiality and respect patient privacy at all times.
12. Identify and report any potential areas of fraud or abuse in accordance with company policies.
13. Attend meetings and conferences as required to stay informed about changes in healthcare regulations and policies.
14. Collaborate with leadership to develop and implement quality improvement initiatives.
15. Provide excellent customer service to patients and their families, addressing any concerns or questions they may have.

According to JobzMall, the average salary range for a Clinical Review Nurse in Baltimore, MD, USA is between $63,000 and $80,000 per year. This can vary depending on factors such as experience, education, and specific job responsibilities.

The mission of Johns Hopkins Medicine is to improve the health of the community and the world by setting the standard of excellence in medical education, research and clinical care. Diverse and inclusive, Johns Hopkins Medicine educates medical students, scientists, health care professionals and the public; conducts biomedical research; and provides patient-centered medicine to prevent, diagnose and treat human illness.