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Utilization Manager Jobs in Baltimore

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Search Results - Utilization Manager Jobs in Baltimore
American Traveler-Baltimore
American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Baltimore, Maryland. Job Description & Requirements  •  Specialty: Utilization Review  •  Discipline: RN  •  Start Date: 07/20/2026  •  Duration: 8...
Baltimore
requests, and arranging for coverage when staff are absent. Coordinates with the manager utilization management as needed.   1.  Ensures that policies and procedures are kept current and staff is educated and monitored to be in compliance.   1.  May coordinate...
icims.com -
LifeBridge Health-Baltimore
communication with external reviewers/internal financial counselors/patient access personnel and performs certification activities as required by payor. Monitors and identifies patterns or trends in utilization management. Monitors potential and actual denials...
Baltimore
modeling and reporting to guide decision-making Cost Management & Optimization  •  Implement cost containment strategies including wellness initiatives, network optimization, and utilization management  •  Monitor program performance and recommend adjustments...
aleragroup.com -
Baltimore
Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management...
enlyte.com -
Care Career-Hanover (MD), 9 mi from Baltimore
Utilization Management RN  •  Concurrent Review RN  •  Managed Care RN  •  Health Plan RN  •  Case Management RN with strong UR experience Interested? Apply today! Job ID: #37253770 About Care Career Care Career brings together a portfolio of leading healthcare...
LifeBridge Health-Randallstown, 17 mi from Baltimore
reviewers/internal financial counselors/patient access personnel and performs certification activities as required by payor. Monitors and identifies patterns or trends in utilization management. Monitors potential and actual denials and coordinates...
Luke Staffing-Bethesda (MD), 33 mi from Baltimore
programs. Must comply with regulatory, MTF, and Joint Commission quality inspection/peer review/utilization management requirements. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within...
LifeBridge Health-Randallstown, 17 mi from Baltimore
into the software program. Maintains close communication with external reviewers/internal financial counselors/patient access personnel and performs certification activities as required by payor. Monitors and identifies patterns or trends in utilization management...
LifeBridge Health-Randallstown, 17 mi from Baltimore
certification activities as required by payor. /n/n Monitors and identifies patterns or trends in utilization management. Monitors potential and actual denials and coordinates with nurse Care Manager and/or Social Worker for any follow up necessary. Documents...

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