Utilization Review Jobs in Maryland
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Search Results - Utilization Review Jobs in Maryland
Coast Medical Service-Silver Spring (MD)
Coast Medical Service is seeking a travel nurse RN Utilization Review for a travel nursing job in Silver Spring, Maryland.
Job Description & Requirements Specialty: Utilization Review
Discipline: RN
Start Date: ASAP
Duration: 4 weeks
40 hours...
Ascension-Towson
effective utilization review processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites.
• Collaborate with the director to develop and implement quality review programs and key...
4 similar jobs: Baltimore, Hanover, Laurel, Columbia
Coast Medical Service-Silver Spring (MD)
Coast Medical Service is seeking a travel nurse RN Utilization Review for a travel nursing job in Silver Spring, Maryland.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: ASAP
• Duration: 4 weeks
• 40...
University of Maryland Medical System-Bel Air
Job Description
JOB SUMMARY: Responsible for case managing patients accessing care through Upper Chesapeake’s Family Birthplace and Special Care Nursery. Performs utilization review and discharge planning for all patients. Works collaboratively...
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Medasource-Clinton (MD)
Ability to hit the ground running at a fast pace
• Experience utilizing standard PM tracking systems (Asana preferred)
Preferred Qualifications:
• Any coding, RCM, or utilization review experience
• Applicable certifications/training (PMP, Lean Six Sigma...
mindmatch.ai -
Avenues Recovery-Salisbury (MD)
documentation
Provide Utilization Review support to drive authorization and retention throughout treatment
What We're Looking For
Master's degree or higher in related field
3 years' experience working with chemical dependency or dual diagnosed clients
Current...
2 similar jobs: Denton, Easton
Medix™-Baltimore
during interdisciplinary rounds with providers, utilization review, case managers, and other social workers.
• Address social needs and advocate for patients in a hospital setting.
Minimum Education and Experience Qualification Requirements:
Required...
mindmatch.ai -
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...
resume-library.com -
Telligen-Columbia (MD)
of Medical Specialties or Advisory Board of Osteopathic Medicine.
3. 3 years of experience working with Medicaid-specific utilization review and quality improvement.
4. The Medical Director may not serve in any role in a hospital setting while employed...
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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Ascension-Baltimore
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.
• Communicate...
4 similar jobs: Columbia, Towson, Laurel, Hanover
iCallidus-Bethesda (MD)
iCallidus is seeking a LPN Utilization Management Nurse Reviewer (Referral Management Review). This individual will participate in direct, referral management review activities within the Integrated Referral Management and Appointing Center (IRMAC...
jobvertise.com -
Oak Crest Village by Erickson Senior Living-Parkville (MD)
to ensure all required training and competency reviews are completed according to federal, state, and local regulations.
• Participating in clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance...
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...
resume-library.com -
eTeam Inc.-Bethesda (MD)
A minimum of four years experience in workers' compensation, claims administration, utilization review, or related field. Minimum of four years supervisory experience, including performing the job functions listed above. Communication Skills Excellent...
resume-library.com -
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