Johns Hopkins Health Plans (JHHP) is seeking a Utilization Review Registered Nurse to assess care appropriateness, authorize services, and coordinate discharge planning for plan members. This remote role prioritizes candidates in MD, DC, VA, PA, DE, and FL with strong clinical and utilization review skills.
You will evaluate benefits, apply criteria like InterQual, and communicate decisions to all stakeholders, supporting our mission to improve health outcomes for our members.
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