Utilization Manager Jobs in Maryland
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Search Results - Utilization Manager Jobs in Maryland
ICONMA, LLC-Baltimore
Our Client, a Health Insurance Company, is looking for Utilization Management Specialist for their Baltimore, MD/Hybrid location
Responsibilities:
Utilizing key principles of utilization management, the Utilization Review Specialist will perform...
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Inova Health System-Oxon Hill
healthcare members. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely regulatory compliance and facilitation...
Ampcus Incorporated-Baltimore
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.
Job Title: Utilization Management Support Coordinators
Location...
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Baltimore
Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM...
enlyte.com -
1 similar job: Castle Rock
Lumen Solutions Group, Inc.-Baltimore
management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness of care determination and benefit coverage. Leveraging clinical expertise and critical thinking skills...
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Ivyhill Technologies LLC-Bethesda (MD)
with an unencumbered active RN license from 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...
workable.com -
Ampcus Incorporated-Owings Mills
Utilization Management, Appeals and Grievance,
3. Understanding of Integrations interfaces with GC platform.
4. Expertise on setting up Configurations across modules, Rules Engines etc.
5. Worked with Senior Leadership in the Health Services
6. Ability...
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Ivyhill Technologies LLC-Bethesda (MD)
of clinical nursing 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:
1. Be a U.S. Citizen...
workable.com -
University of Maryland Medical System-Baltimore
Job Description
Assesses the needs of individual patients within an assigned case load for care coordination, discharge planning, and utilization management services Facilitates early referral to high risk case management, physical therapy...
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Ivyhill Technologies LLC-Bethesda (MD)
new IRMAC staff in the referral processes and timelines.
16. Other duties as assigned.
Requirements
Qualified candidates must have a minimum of an Associate’s Degree and a minimum of 2 years of experience in Utilization Management, Referral...
workable.com -
University of Maryland Medical System-Baltimore
/interview process for new care coordinators, social work, and utilization management applicants....
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UMMS Providers/Physicians-Easton (MD)
for UM SRMC clinical and digital care management strategy
Provide strategic guidance of utilization management and medical policy programs/areas as necessary to support the clinical organization
Monitor performance of launched clinical programs...
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University of Maryland Medical System-Linthicum
Compliance Officers, Patient Financial Services, Reimbursement and Revenue Advisory Services, Health Information Management, Information Services and Technology, Case/Utilization Management, Quality, Pharmacy, Radiology, etc.
Provides input to CCBEG...
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University of Maryland Medical System-Largo (MD)
Job Description
Utilization Reviewer - Case Management
Full-time / Day-shift (Primarily Mon-Fri; 9a-5:30p or 10a-6:30p; Occasional weekends/holidays may be necessary. This is a fully onsite position.)
UM Capital Region Health - Largo, MD...
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Ivyhill Technologies LLC-Bethesda (MD)
Other duties as assigned.
Requirements
Qualified candidates must have a minimum of an Associate’s Degree and a minimum of 2 years of experience in Utilization Management, Referral Management, Authorization/Denials, or Medical Claims Processing...
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