Product Development Nurse Coordinator

Are you a registered nurse (RN) with managed care or insurance experience? Would you like a hybrid or remote work setting?
About the position:
This position can be partially hybrid or fully remote!
What You Will Do:
The Product Development Nurse Coordinator has responsibility for the routine management of patients billed under a bundled rate contract which consists of: clinical and financial monitoring, reporting and analysis. Focus will consist of managing regional and direct to employer referrals billed under the bundled rate contracts from an operational and educational perspective.
Acts as a primary interface with patient, insurance companies, clinical staff and billing personnel both internally and externally. Must display excellent customer service, problem solving and communication skills. Responsible for analyzing industry trends, competitor position; identify and evaluate potential payor/employer partner(s).
Responsibilities include:

• Provides initial clinical screening of new referrals and submits to HUSA to collect records.
• Triages records and imaging for chart completion and forwards to surgeon or clinical lead for formal review.
• Notifies patient of acceptance or denial for consultation or procedure.
• Serves are remote patient navigator, or when needed, in person navigator, to assist patient with travel aspects of upcoming consult or surgery.
• Product development, implementation and evaluation

Minimum Qualifications:

• Degree in nursing required. Bachelor's Degree in Nursing is preferred.
• A minimum of three years' experience in Product Development, product management, managed care, or clinical administration in health care or insurance industry.
• Current registered nurse licensure in the state of Maryland.

What We Offer
In addition to working with some of the best and brightest in the medical field, we offer our employees generous benefits, incentives and numerous career options. You can enjoy an environment that is continually recognized as one of the best workplaces in the world.
Click on the link below to explore our amazing benefits!
https://jhhs.mybenefitsjhhs.com/
Important Notice: Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Important Notices:
***Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your new employee pre-boarding. Exceptions to the COVID-19 vaccination requirement may be granted for medical reasons and religious beliefs. Requests for medical exceptions must be submitted at your occupational health screening. In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities.
Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.