Utilization Review Jobs in Baltimore
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Search Results - Utilization Review 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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Ascension-Baltimore
certification, utilization review and denial management, Care
Coordination, Collaborative treatment planning and core measures, Discharge Planning, tracking of the post-acute period and provision of disease management, and contracting internally and externally...
ICONMA, LLC-Baltimore
tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
35% Performs member or provider related administrative support which may include benefit verification, authorization creation and management...
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Everstand. Caminos-Baltimore
to promote optimal outcomes for Everstand’s youth and families.
• Provide oversight to service delivery of medical care and clinical services including cost management, utilization review and medical protocol development.
• Act as Everstand’s medical expert...
appcast.io -
Baltimore
leadership, stepping in to support complex cases, staffing concerns, and quality improvement initiatives. They play an integral role in staff scheduling, training, performance evaluations, utilization review, and policy development while assisting with crisis...
icims.com -
Managed Care Advisors-Baltimore
Qualifications
Bachelors degree A minimum of 2 years experience in workers compensation, lost time claim handling, claims adjuster/administration, case management, claims life cycle, and/or utilization review An additional 4 years experience may be substituted...
tiptopjob.com -
MEDSTAR HEALTH-Olney (MD), 28 mi from Baltimore
transition in accordance with utilization review guidelines and admission criteria, through the appropriate services. Communicates and consults with clinical and utilization review staff, regarding patient progress and movement through system.
Updates patient...
UMMS Providers/Physicians-Towson, 14 mi from Baltimore
a triad model where social workers and nurse care managers work together to ensure timely utilization review and integrated assessments and coordination of discharge planning needs.
Applicants must be a board-certified physician with 3-5 years...
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LocumJobsOnline-Essex (MD), 8 mi from Baltimore
advancement in administrative, utilization review, quality or educational roles
• Email CV to services are free for you
• We help negotiate your salary and contract
• We coordinate interviews and help with licenses
• Specialized recruiters match your career...
Discovery Mood & Anxiety Program-Crownsville, 13 mi from Baltimore
program, and/or family weekend. Required to sit at a meal and/or snack a minimum of once per week.
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing stay...
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