Johns Hopkins Medicine

Utilization Management / UM Specialist

Johns Hopkins Medicine

Baltimore, MD, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

At Johns Hopkins Medicine, we are seeking an experienced and exceptional Utilization Management (UM) Specialist to join our team. The UM Specialist is a key member of our team and plays an integral role in ensuring that our patients receive the most effective and efficient care. In this role, you will be responsible for overseeing the utilization management processes and procedures, as well as working collaboratively with members of other departments to ensure the highest quality of care for our patients.The ideal candidate for this position will have knowledge of healthcare industry regulations and standards, as well as a strong commitment to providing excellent customer service. This position requires excellent communication and organizational skills, as well as the ability to multitask and prioritize tasks. Additionally, the successful candidate must have a minimum of two years of experience in utilization management, as well as a working knowledge of CPT and ICD-10 coding.If you have the qualifications and drive to join our team of healthcare professionals, we invite you to apply today.

Responsibilities:

  1. Oversee utilization management processes and procedures.
  2. Collaborate with members of other departments to ensure high quality of care for patients.
  3. Ensure compliance with healthcare industry regulations and standards.
  4. Provide excellent customer service.
  5. Maintain excellent communication and organizational skills.
  6. Ability to multitask and prioritize tasks.
  7. Possess a minimum of two years of experience in utilization management.
  8. Possess working knowledge of CPT and ICD-10 coding.
Where is this job?
This job is located at Baltimore, MD, USA
Job Qualifications
  • Strong Communication And Interpersonal Skills

  • Knowledge Of Healthcare Data And Analytics

  • Highly Organized And Detail Oriented

  • Ability To Multitask And Prioritize Work

  • Demonstrated Knowledge Of Healthcare Regulations

  • Understanding Of Healthcare Reimbursement

  • Proficiency In Ms Office Applications

  • Experience With Utilization Management/Review Processes

Required Skills
  • Documentation

  • Insurance

  • Data Analysis

  • Communication

  • Quality

  • Coding

  • network management

  • Authorization

  • Regulatory compliance

  • Claims

  • Coordination

  • Problem-Solving

  • Care planning

  • Medical Necessity

  • Utilization

Soft Skills
  • Communication

  • Interpersonal

  • Leadership

  • Time management

  • creativity

  • Critical thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

  • Organizational

Compensation

According to JobzMall, the average salary range for a Utilization Management / UM Specialist in Baltimore, MD, USA is $53,000 - $81,000 per year. This estimate is based on salaries from various job postings in the area.

Additional Information
Johns Hopkins Medicine is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedNovember 14th, 2023
Apply BeforeJuly 20th, 2025
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About Johns Hopkins Medicine

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.

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