Senior RN Utilization Review Specialist
Telligen
Telligen is seeking a Senior Review Coordinator to conduct utilization reviews and medical management for various services. The role involves mentoring teammates, conducting reviews based on specific criteria, and ensuring compliance with quality standards. Ideal candidates must hold an active RN license in Maryland, possess a relevant four-year degree, and have strong data entry skills. The position requires maintaining regular attendance and offers the potential for occasional weekend work. #J-18808-Ljbffr Telligen
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Senior RN Utilization Review Specialist in Annapolis, MD vacancy
- As a Senior Review Coordinator, you will be responsible for conducting utilization review/medical management including prospective, concurrent and retrospective review for... ...and timely Required Skills and Experience Active RN license that is recognized in the state of...SeniorContract workCasual workWork at office
- City National Bank in Annapolis, MD seeks a Senior Commercial Real Estate Review Appraiser to oversee the valuation process for real estate secured loans, engaging third-party vendors and reviewing appraisal reports. You will ensure compliance with FIRREA, USPAP and internal...Senior
- Luminis Health in Annapolis, MD is hiring a Registered Nurse for utilization review and care coordination roles. The position focuses on chart review, denial management, and collaborating with care teams to improve patient outcomes and reduce length of stay. Responsibilities...Suggested
- ...technical or subject-matter information. An employee in this class utilizes knowledge of program management support and program subject... ...accordance with policies and program practices. The supervisor reviews methods and approaches used in carrying out the program for conformance...SuggestedContract workFor contractorsWork experience placementWork at officeLocal areaRemote work
- Johns Hopkins Health Plans is seeking a Utilization Review Registered Nurse to apply clinical, managed care and utilization review expertise to... ...authorizations or denials, and initiate discharge planning. Maryland RN license (or compact) and 3+ years acute care experience plus 1...SuggestedRemote job
$130k - $170k
...Senior Commissioning Specialist CMTA, a Legence company, is hiring a Senior Commissioning Specialist who will be responsible for the execution... ...business development, developing value-added opportunities Review equipment submittals and shop drawings for overall...SeniorFor contractorsWork at officeBlack Bear Energy Inc.
Annapolis, MD5 days ago- State of Maryland, MDH, Maryland Healthcare System in Catonsville, MD, seeks a nurse reviewer to conduct admissions, continuation of care reviews, and readmissions, while managing the denial process. This role addresses the MDH waitlist by identifying patients who no longer...
$88k
...The Senior Strength and Conditioning Specialist serves as the lead representative for all matters related to strength and conditioning and injury mitigation... ...and facilities are properly cleaned, organized, utilized, and maintained in safe working condition. Enhance...SeniorCivilian ContractorFull timeContract workTemporary workLocal areaHome officeMAXIMUS
Annapolis, MD2 hours ago- ...portfolio. Lead technical engagements with antenna manufacturers, technology providers, and development partners. Conduct design reviews; support qualification and validation testing. Contribute to the definition of future antenna architectures and performance requirements...Senior
$105k - $120k
Senior Specialist, Quality Systems About Site Our FDA-licensed, state-of-the-art CGMP manufacturing facility for Gene Therapies is located on... ...verification, and regulatory compliance. Author, review, and maintain quality records including deviations, investigations...SeniorLocal areaMonday to FridayShift work- ...Main Purpose of Job This position is responsible for conducting reviews on admissions, continued stays, and readmissions, as well as... ...not meet medical necessity criteria. Cases are presented to the Utilization Review to recommend the committee to determine if a second...
- ...A regional electric cooperative is seeking a Senior Attorney to protect its legal rights and ensure compliance with regulatory requirements... ...of legal experience, and preferably experience in the electric utility sector. Attractive benefits include a 401(k) match. #J-18808-...Senior
Southern Maryland Electric Cooperative Inc
Annapolis, MD5 days ago - Maryland Public Service Commission seeks a Senior Public Utility Law Judge to preside over quasi-judicial hearings and formal cases, issuing clear rulings and orders on behalf of the PSC. The role involves supervising work groups, providing guidance to junior judges, and...Senior
- Luminis Health is seeking an experienced RN to conduct concurrent and retrospective chart reviews, focusing on clinical, financial, and resource utilization. You will coordinate with care teams to reduce delays and denied days, and support discharge planning. Requirements...
- Maximus seeks a Senior Medical Records Administrator to join our CA Independent Medical Review (CA IMR) team. You will help ensure medical documentation is reviewed, organized, and maintained throughout the case review process to support timely, accurate independent medical...Senior
$34.33 - $51.44 per hour
Textron is looking for an experienced Engineering Drawing Checker in Maryland. You will ensure that all technical documentation meets national standards and assists in mentoring team members on engineering drawing skills. The ideal candidate should possess strong interpersonal...SeniorHourly pay- Peraton is seeking a senior HUMINT Targeting Specialist to support USCYBERCOM J2X at Fort Meade, MD. The role requires deep targeting experience and adherence to IC analytic standards, working in a sensitive, mission-critical environment. You will conduct HUMINT targeting...Senior
- A local behavioral health center in Annapolis is seeking a Rehabilitation Specialist to support individuals on their recovery journeys from mental and physical illness. Responsibilities include assisting with daily living activities, money management, and providing transportation...SeniorPart timeLocal areaShift workWeekend work
- A non-profit organization in Annapolis seeks a Rehabilitation Specialist to support individuals in their recovery from mental health and substance use challenges. The role includes assisting with daily living activities, providing transportation, and offering compassionate...SeniorShift workWeekend work
$99k - $225k
Booz Allen Hamilton is seeking a Technical Signals Analyst in Maryland to analyze analog and digital signals and contribute to national operational missions. The role requires 5+ years of experience in SIGINT or digital network intelligence, strong collaboration skills,...SeniorFlexible hours- NV Energy is seeking an LNG Plant Control System Technician for its Cove Point facility in Lusby, MD. In this role, you will ensure the reliability of the facility's control systems, maintain compliance with safety regulations, and work in a team environment. The ideal ...Senior
- Arlosolutionsllc is seeking a Cybersecurity Management Specialist Level III to provide expertise and leadership to the U.S. Army Test and Evaluation Command. The role involves maintaining compliance with DoD regulatory processes and managing risk assessments. The ideal...SeniorRemote work
- Acclaim Technical Services seeks an Intelligence Management Specialist (Ops Mission Team Support) Senior with an active TS/SCI clearance w/ Poly for an upcoming contract around October 2026. You will support International Affairs Officers with multiple intelligence disciplines...SeniorContract work
- ...Grade 24 Location of position Public Service Commission 6 Saint Paul Street Baltimore, MD 21202 Position Duties A Public Utility Law Judge Senior Public Service Commission (PSC) is the advanced performance level of work conducting quasi-judicial hearings and formal cases...Senior
- Semper Valens Solutions is seeking a Sr Field Service Representative / Maintainer to support radar fielding, training and field operations at Aberdeen Proving Ground, MD. A Secret clearance is required for this on‑site role, contingent on contract award. Responsibilities...SeniorContract work
- KCI Technologies, Inc. in the United States is seeking a Sr. Project Assistant to support the Mission Critical Data Center and Energy team. You will help set up projects, budgets, and task codes, and maintain accurate project information from start to finish. You will coordinate...Senior
- General Dynamics Information Technology is seeking an experienced Enterprise Monitoring Systems Administrator to support mission-critical operations across global networks. You will administer, optimize, and secure monitoring platforms while coordinating with engineering...Senior
- Avalore.ai is seeking an experienced Database Administrator to ensure the integrity, security and availability of multiple databases. Responsibilities include disaster recovery planning, performance tuning, index maintenance and monitoring of data in Oracle, SQL Server ...Senior
$80k - $90k
SOLVERE is seeking a Senior Program Management Specialist to oversee planning, execution, monitoring, and reporting for federal programs. The role ensures alignment with agency mission objectives, contract requirements, and regulatory frameworks such as FAR , DFARS , and...SeniorContract workTemporary workFor contractorsWork at office- BAYADA Home Health Care is seeking an experienced Registered Nurse (RN) for a full-time opportunity serving Anne Arundel County,... ...will provide rehabilitative and skilled nursing care to homebound seniors in designated communities, following a patient-centered care plan...SeniorFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior RN Utilization Review Specialist. Be the first to apply!
