Utilization Review Jobs in Maryland
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Search Results - Utilization Review Jobs in Maryland
GQR Healthcare-Baltimore
GQR Healthcare 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: ASAP
• Duration: 13 weeks...
GQR Healthcare-Baltimore
Job Description
GQR Healthcare 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: ASAP...
GQR Healthcare-Annapolis
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Blatimore, Maryland.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 01/05/2026
• Duration: 13...
University of Maryland Medical System-Largo (MD)
departmental administrative duties.
10. Attends management team meetings when scheduled.
11. Completes information for monitoring quarterly and annual utilization review and other reports.
12. Does related work as assigned
Customer Service
1. Greets...
resume-library.com -
Rehabilitation Hospital of Bowie-Bowie (MD)
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...
Mitchell Martin-Bethesda (MD)
individual, family, and group therapy.
• Manage cases and crises effectively.
• Perform utilization reviews and clinical presentations.
• Conduct community outreach.
• Collaborate with a multidisciplinary treatment team.
• Ensure documentation meets...
resume-library.com -
Molina Healthcare-Annapolis
the integrity of the appeals process, both internally and externally.
• Investigate adverse incidents and quality of care concerns.
• Participate in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission...
appcast.io -
University of Maryland Faculty Physicians-Towson
of medical care and clinical services such as cost management, utilization review, quality assurance, and medical protocol development.
4. Participates in the recruitment and selection process of medical providers and provides regular performance reviews...
Molina Healthcare-Baltimore
the integrity of the appeals process, both internally and externally.
• Investigate adverse incidents and quality of care concerns.
• Participate in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission...
appcast.io -
University of Maryland Medical System-Largo (MD)
management team meetings when scheduled.
• Completes information for monitoring quarterly and annual utilization review and other reports.
• Does related work as assigned
Customer Service
• Greets customers in courteous, friendly, respectful...
Olney (MD)
restraints, medication, and disposition recommendations. Provides utilization review for AMHC services. Coordinates with community agencies and other professionals involved in patient care. Contact payors to provide clinical information for treatment...
medstarhealth.org -
Columbia (MD)
assistance up to $5,000
Qualifications
• BSN from an accredited School of Nursing required.
• 1-2 years Case Management and utilization review experience required, 1-2 years Training experience required, and 3-4 years diverse clinical experience required...
medstarhealth.org -
Columbia (MD)
strategic program development
• Review critical cases referred by utilization review and case management teams
• Guide your physician advisor team with best practices and case assignments
• Collaborate with physician leaders, hospital executives, and key...
medstarhealth.org -
Baltimore
utilization review and other operations of the health plan. You will also conduct a daily review of current inpatients, precertification requests, pharmacy requests, review of emergency department visits, review of appeals, and consultations with nurse case...
medstarhealth.org -
Baltimore
and family responses to plan of care identification of problems discharge planning and payer concerns such as LOS. Collaborates with utilization review team members on medical necessity determinations. Refers cases that need intervention.
• Communicates...
medstarhealth.org -
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