Utilization Manager Jobs in Maryland
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Search Results - Utilization Manager Jobs in Maryland
LifeBridge Health, Inc.Randallstown
in utilization management. Monitors potential and actual denials and coordinates with nurse Care Manager and/or Social Worker for any follow up necessary. Documents in software program the actions taken to coordinate care and avoid denials.
Assists nurse Care...
Camp Springs (MD)icims.com
Job Description:
Spectrum Healthcare Resources has an opportunity for a Registered Nurse Utilization Management (UMRN) working at Joint Base Andrews in Washington, D.C.
Requirements:
• Associates Degree of Nursing
• Current, full, active...
MedStar HealthBaltimore
About this Job:
General Summary of Position
Plans organizes coordinates and directs the Utilization Case Management and Discharge Planning Programs. Monitors discharge planning services and counseling to patients and their families and consultation...
Bethesda (MD)icims.com
authorization, and resource utilization across multiple customers
• Lead release planning, risk/issue management, and stakeholder coordination
• Coordinate TRB/CAB, ARB governance, and EPLC artifact production
• Support ATO/security patching, configuration...
LifeBridge HealthBaltimore
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. Monitors...
McKessonIrving
pharmacy for Commercial lines of business, pharmacy adjudication processes, formulary design, utilization management edits, pharmacy networks, clinical compendia for decision support, FDA approval process, medical and pharmacy rebates, pharmaceutical market...
4 similar jobs: Alpharetta, Atlanta, Leawood, Columbus
LifeBridge HealthFoxridge
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 with nurse Care Manager...
Columbia (MD)medstarhealth.org
About this Job: General Summary of Position
The Director of Pharmacy provides strategic leadership and operational oversight for pharmacy benefit management formulary strategy medication utilization and pharmacy quality initiatives across...
Baltimoreicims.com
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...
Baltimoremedstarhealth.org
About this Job:
General Summary of Position
Plans organizes coordinates and directs the Utilization Case Management and Discharge Planning Programs. Monitors discharge planning services and counseling to patients and their families and consultation...
Baltimoreenlyte.com
Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse...
Annapolismedstarhealth.org
in close collaboration with case management and hospital stakeholders
• Provide education to physicians and other clinicians related to regulatory requirements, appropriate utilization of hospital services, community resources, and alternative level of care...
1 similar job: Baltimore
Baltimoreicims.com
as needed with the Utilization Management Committee.
• Identifies potential or current patient situations which require referral to other members of the health care team such as financial counseling or risk management. Assures discharge plan is implemented...
Columbia (MD)medstarhealth.org
with specific focus on Person Centered Enrollee Care and the Enrollee Continuum of Care models. This role designs standardizes implements and optimizes care management programs to improve quality outcomes enhance enrollee experiences reduce avoidable utilization...
Clinton (MD)medstarhealth.org
the orientation of new UR Coordinators by establishing the plan and monitoring progress in conjunction with other staff as necessary Serves as a resource to all staff in areas of utilization review/management. Educates members of health care team through...
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