Utilization Manager Jobs in Maryland
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Search Results - Utilization Manager Jobs in Maryland
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-Columbia (MD)
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...
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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CVS Health Corporation-Annapolis
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...
appcast.io -
1 similar job: Baltimore
NTT DATA-Annapolis
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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Bethesda (MD)
counseling as appropriate.
• Works collaboratively with physicians and other health care team members to achieve desired outcomes in accordance with physicians’ plans of care. Collaborates as needed with the Utilization Management Committee.
• Identifies...
icims.com -
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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Frederick (MD)
Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified...
enlyte.com -
Lifelancer-Gaithersburg
Summary
The Associate Medical Director will oversee medical activities like peer review, utilization review, case management, and other clinical consultations related to the applicable contract.
Responsibilities
Responsible for the day-to-day oversight...
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College Park (MD)
Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified...
enlyte.com -
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-Towson
Job Description
I. General Summary
• A Case Management Technician is responsible for supporting the core functions of discharge planning and utilization management, and carrying out associated routine tasks. These tasks include assisting...
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Ivyhill Technologies LLC-Bethesda (MD)
experience. Referral Management (RM) and Utilization Management (UM) experience is preferred. Full-time employment in a nursing field within the last 24 months is mandatory.
Additionally, the qualified candidate must:
Be a U.S. Citizen.
Have knowledgeable...
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Ivyhill Technologies LLC-Bethesda (MD)
a State Board of Nursing and graduated from an accredited nursing program.
Must have three (3) years of clinical nursing experience. Referral Management (RM) and Utilization Management (UM) experience is preferred. Full-time employment in a nursing field...
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