Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.

What awaits you:

• Work-life balance - This is a remote role!
• Medical, Dental, and Vision Insurance.
• 403B Savings Plan w/employer contribution.
• Paid Time off & Paid holidays.
• Employee and Dependent Tuition assistance benefits.
• Health and wellness programs and MORE!

Who you are:

You are a RN with expertise in Maternity who is passionate about making sure our patients have the resources they need to heal. You love putting the many pieces of the care management puzzle together, because in the end you know it affects our members' lives. You have initiative, both to seek information and in your outreach to our members. You understand the importance and value of meeting documentation requirements and you know how to close the gaps in care.

What you'll do:

• Provide support and guidance to our members
  • Quality care coordination to make sure members have access to services, while being mindful of under/over utilization
  • As you are working for a payer, you'll meet the documentation requirements with a focus on HEDIS measure
  • Connect members with community support
  • Be a resource for our members
    • You clarify benefits (you don't administer)
    
    
    What you bring:
    
    • 5+ years' clinical experience as a RN in Maternity (Labor & Delivery, Post-partum, antepartum, and/or OB clinic setting)
      • 3+ years' experience in Case Management preferred
      • Personal accountability and initiative
      • Excellent phone skills and experience engaging members telephonically
      • Flexibility, highly adaptable to a dynamic and changing environment
      • Current MD licensure as an RN (or Compact licensure with the ability to practice in Maryland)
      • Knowledge of Maryland managed care organizations
      
      Who we are:
      
      Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.
      
      Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.
      
      Johns Hopkins Health System and its affiliates are drug-free workplace employers.
      
      Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.