Utilization Review Jobs in Baltimore
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Search Results - Utilization Review Jobs in Baltimore
University of Maryland Medical System-Baltimore
with and understanding of UMMS’ audit policy, process, practice and standards.
4. Provides concurrent review of charge capture prior to claim submission in order to maximize reimbursement and reduce revenue loss through audit process.
5. Works with the Director...
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NCH Healthcare System-Baltimore
Actively collaborates with utilization review team to facilitate and meet organizational and department goals. · Recognizes situations that require referral to quality or risk management and makes a timely referral. EDUCATION, EXPERIENCE AND QUALIFICATIONS...
University of Maryland Medical System-Baltimore
and Midtown campuses, as well as to our adult psychiatric day hospital programs at UMMC Midtown.
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care...
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Ascension-Baltimore
associates who work with a range of functions, including but not limited to: Access Authorization and pre-certification, utilization review and denial management, Care
Coordination, Collaborative treatment planning and core measures, Discharge Planning...
Ageatia Global Solutions-Baltimore
PURPOSE:
Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
ESSENTIAL FUNCTIONS:
35. ..
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Franciscan Missionaries of Our Lady Health System Inc-Baltimore
requirements, space requirements, utilization review, quality assurance, marketing, etc.
5. Demonstrates competency and accuracy in all work tasks, including those directly and indirectly related to patient care.
6. Inspires confidence from patients, visitors...
appcast.io -
University of Maryland Medical System-Baltimore
for coverage; reviews hospital charges for accuracy, makes adjustments for duplicated or incorrect billing, as appropriate; calculates and determines level of patient benefit and enters appropriate proration into PMAS; forwards bill to third party payers...
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Baltimore
case management, discharge planning and/or utilization review.
2. Requires licensure as a Registered Nurse. AHA BLS is required.
3. If required to function as a delegating nurse, obtain and maintain delegating nurse status according to the Maryland...
icims.com -
Talteam-Baltimore
or utilization review experience
Preferred Qualifications
Bachelor's degree in Nursing
Knowledge, Skills and Abilities (KSAs)
Ability to effectively communicate and provide positive customer service to every internal and external customer, Proficient
Strong...
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ICONMA, LLC-Baltimore
management, discharge planning or utilization review experience
Bachelor's degree in Nursing
Ability to effectively communicate and provide positive customer service to every internal and external customer, Proficient
Strong interpersonal skills. Ability...
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