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Utilization Review Jobs in Baltimore

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Search Results - Utilization Review Jobs in Baltimore
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...
resume-library.com -
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 -
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...
resume-library.com -
Patient First-Hanover (MD), 9 mi from Baltimore
Clinical experience with Patient First a plus;  •  Utilization review and call center experience a plus;  •  Computer skills and experience with Microsoft Word and Excel (required);  •  Ability to work in a team-oriented environment that requires strong oral...
Ampcus Incorporated-Baltimore
s): Baltimore, MD Job Description: 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...
resume-library.com -
JobGet Staffing-Columbia (MD), 17 mi from Baltimore
requiring utilization review approval were reviewed and processed in accordance with utilization review decisions, - Deductibles, coinsurance and other appropriate cost-sharing features of the benefit plan were considered and correctly applied, - The claim...
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...
resume-library.com -
CenterWell Home Health-Annapolis, 16 mi from Baltimore
documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed.  •  Analyzes situations, identifies problems, identifies and evaluates alternative...
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...
resume-library.com -
Charlestown by Erickson Senior Living-Catonsville, 10 mi from Baltimore
clinical quality areas including wound care, infection control, falls risk reduction, pain management, weight loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management/Safety...
mindmatch.ai -

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