Utilization Manager Jobs in Baltimore
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Search Results - Utilization Manager Jobs in Baltimore
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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CVS Health Corporation-Baltimore
policy and appeals to the territory Utilization Management staff
5. Participate in ongoing initiatives to improve appeals team efficiency and clinical consistency
Required Qualifications
1. Two (2) or more years of experience in a Health Care Delivery...
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ICONMA, LLC-Baltimore
Our Client, a Health Insurance company, is looking for a Utilization Management Coordinator for their Baltimore, MD/Hybrid location.
Responsibilities:
Supports the Utilization Management clinical teams by assisting with non-clinical administrative...
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Monte Nido & Affiliates, LLC-Arlington (VA), 36 mi from Baltimore
Include::
• Providing individual, group, and family therapy
• Serving as liaison with families and outpatient providers
• Interact with insurance companies for pre-certification and utilization management
• Participating in discharge and aftercare...
University of Maryland Medical System-Baltimore
Job Description
General Summary
Under the general supervision, provides care coordination, clinical utilization management and discharge planning for an assigned case load. This role is patient focused, outcome oriented and based on general...
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MEDSTAR HEALTH-Columbia (MD), 17 mi from Baltimore
Demonstrated ability to communicate and educate providers regarding principles of utilization management and quality assurance.
• Demonstrated ability to provide excellent customer service.
• Ability to toggle between specialty coding disciplines, including...
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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University of Maryland Medical System-Baltimore
Job Description
General Summary
Assumes 24 hour accountability for managing the functions of Care Coordination and Discharge Planning. Along with the Manager of Utilization Management, serves as the central resource to the Director of Care...
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University of Maryland Medical System-Baltimore
with the interdisciplinary team to identify patients most likely to benefit from care coordination services.
Assesses the patient’s risk factors and needs for care coordination, clinical utilization management services, discharge planning and identifies appropriate...
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NTT DATA-Annapolis, 16 mi from Baltimore
of prior utilization management, medical management and/or quality management, or any combination of education and experience, which would provide an equivalent background.
Active nursing license (BSN or RN), and professional certification in Utilization...
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