Utilization Manager Jobs in Baltimore
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Ageatia Global Solutions-Baltimore
JOB Title: Utilization Management Specialist- Hiring Now!!! 3+ Roles to be filled IMMEDIATELY!!!
Job Description
Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent...
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MEDSTAR HEALTH-Baltimore
Experience
• 5-7 years Diverse clinical experience required and
• 3-4 years For utilization management (UM), 3 years UM concurrent review experience; for case management (cm), 3 years CM experience required and
• Leadership experience preferred
Licenses...
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University of Maryland Medical System-Baltimore
/interview process for new care coordinators, social work, and utilization management applicants....
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MEDSTAR HEALTH-Baltimore
Experience
• 5-7 years Diverse clinical experience required and
• 3-4 years For utilization management (UM), 3 years UM concurrent review experience; for case management (cm), 3 years CM experience required and
• Leadership experience preferred
Licenses...
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Ageatia Global Solutions-Baltimore
medical-surgical or similar clinical experience OR 3 years experience in mental health, psychiatric setting.
Preferred Qualifications
2 years experience in Medical Review, Utilization Management or Case Management at Client , or similar Managed Care...
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MEDSTAR HEALTH-Baltimore
Improvement staff meetings. Assists the Quality Improvement Manager in maintaining accurate and thorough meeting minutes. Attends the Quality Improvement and Utilization Management Committee (QI/UM) meetings and other meetings as directed.
• Contributes...
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University of Maryland Medical System-Baltimore
development and service delivery. Assumes responsibility for the design and implementation of patient care delivery systems that promote collaboration with other healthcare disciplines, facilitate the cost-effective utilization of available resources...
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Association of Clinicians for the Underserved-Baltimore
with training and mentoring.
• Excellent interpersonal communication skills.
• Strong problem solving, project management and organization skills.
• Independent self-starter and critical thinker interested in population health, healthcare utilization management...
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University of Maryland Medical System-Baltimore
budgets and productivity and utilization management systems.
Collaborates effectively with medical staff leadership in projecting program development needs, and in identifying immediate and future requirements for clinical services. Demonstrates...
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Highmark Health-Baltimore
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity...
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