Utilization Review Jobs in Maryland
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Search Results - Utilization Review Jobs in Maryland
IDR Healthcare-Baltimore
IDR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: ASAPDuration: 13 weeks40 hours per weekShift: 8 hours...
Kaiser Permanente-Hyattsville
Job Summary:
The Patient Care Coordinator - Behavioral Health Case Management is responsible for utilization review, discharge planning, case management, and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings...
MEDSTAR HEALTH-Olney (MD)
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
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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Ascension-Towson
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...
4 similar jobs: Baltimore, Columbia, Laurel, Hanover
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...
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Encompass Health-Pocomoke City
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
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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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 -
Discovery Mood & Anxiety Program-Crownsville
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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Encompass Health-Urbana (MD)
documentation to post discharge providers/physician
• Ensure accuracy of discharge and payor-related information in the patient record
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case...
Discovery Mood & Anxiety Program-Crownsville
and/or snack a minimum of once per week.
Facilitates multi-family groups, family program, and/or family weekend.
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing...
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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 -
1 similar job: Annapolis
Middle River (MD)
the maintenance facility and anticipate potential problems that may impact the schedule.
• Track all labor performed by maintenance technicians and report the maintenance technician utilization.
• Review shop orders and work orders for accuracy by analyzing...
icims.com -
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