Utilization Review Coordinator
Summit BHC
Summit BHC supports Highland Hospital in Annapolis, Maryland by providing a Utilization Assistant to assist with utilization review activities. You will help obtain coverage for patients by handling pre-certifications and benefit verification with managed care organizations. Responsibilities include reviewing records for appropriate level of care, communicating with admissions and the business office, and ensuring timely documentation and UR data entry. #J-18808-Ljbffr
$17 - $24.75 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team focuses on appropriate...SuggestedLive inRemote work- 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...SuggestedCasual work
- As a Senior Review Coordinator, you will be responsible for conducting utilization review/medical management including prospective, concurrent and retrospective review for all services. You will be responsible for training/mentoring other team members and performing preliminary...SuggestedContract workCasual workWork at office
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes... ..., and the ability to handle confidential PHI while coordinating with medical directors and other teams. Remote work...SuggestedRemote job
$1,558 - $1,653 per week
...Registered Nurse (RN) | Utilization Review Location: Baltimore, MD Agency: GQR Healthcare Pay: $1,558 to $1,653 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working...SuggestedHourly payWeekly payFull timeContract workImmediate startShift work$1,558 - $1,653 per week
...Registered Nurse (RN) | Utilization Review Location: Baltimore, MD Agency: GQR Healthcare Pay: $1,558 to $1,653 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...Hourly payWeekly payFull timeContract workImmediate startShift work$81.97k - $122.95k
...Luminis Health Title: Utilization Review/Case Manager-Partial Hospitalization Program Department: Lanham Partial Hospitalization Reports To: Director- Clinical Director Behavioral Health Lanham Cost Center/Job Code: 41000-42002-001148 FLSA Status: Exempt...Full timePart time$40.12 - $62.19 per hour
...Utilization Review Nurse RN ~Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~Full-time w/Weekend Commitment - Day shift... ...physician advisor as needed Denial Management, including coordination with Case Management Monitor utilization of hospital resources...Full timeShift workWeekend workDay shift$40.12 - $62.19 per hour
...is an EVERY Saturday and Sunday role Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart... ...utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Interfaces...Weekend work$84.09k - $120.12k
...Ascension Saint Agnes Hospital **Department:** Utilization Management **Schedule:** Day-Shift |... ...** + Advocate for appropriate care by reviewing admissions and service requests to... ...its resources on direct patient care. + Coordinate seamless transitions by collaborating with...Full timeLocal areaRemote workMonday to FridayWeekend workDay shift$51 per hour
...Job Title: Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote – offsite) Type: Contract To Hire Compensation... ...benefit application and case decision-making. Coordinate as needed with internal partners and providers related to benefit...Contract workTemporary workWork at officeLocal areaRemote workWork from home$51.43 - $79.84 per hour
Description Utilization Review RN @ Swedish Medical Center Part time 0.7 FTE Evening Shift Fantastic benefits and compensation package offered... ...documentation based on established department standards. Coordinates education and training for staff and other health care...Part timeWork at officeLocal areaShift workAfternoon shift- ...Johns Hopkins Medicine is seeking a Utilization Review Registered Nurse based in Hanover, MD. This full-time role allows you to leverage your clinical expertise to enhance member care through effective monitoring and communication. Your insights on managed care will be...Full timeRemote work
$60k - $90k
...Join us. Job Description AECOM is seeking an Invoice Review Coordinator for our Baltimore, MD office to support the Amtrak B&P... ...supporting transportation, civil construction, infrastructure, utility, engineering, or public works projects. Experience in project...Full timeContract workFor contractorsFor subcontractorWork at officeLocal areaWorldwideRelocationFlexible hours- University of Maryland Medical System (UMMS) is seeking an Utilization Management Coordinator to support care management. The role collaborates with hospital teams, insurers, and regulators to ensure regulatory compliance and maximize reimbursement while minimizing denials...
- ...future growth. About this position: Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization...Local areaRemote workMonday to Friday
- Providence Health and Services is seeking a part-time Utilization Review RN at Swedish Medical Center in Seattle. The role focuses on determining admission status and medical necessity, performing UR reviews, and supporting multidisciplinary teams. The UR nurse will collaborate...Part timeAfternoon shift
$68.28k - $110.27k
...concerning patient status determinations and utilization of hospital resources facilitating... ...determinations through the utilization review process supporting quality, cost-... ...contractual and clinical criteria guidelines. Coordinates services with managed care companies...Full timeLocal area$89.07k - $162.8k
MedStar Health is hiring a Utilization Review RN in Clinton, MD. The role involves supervising utilization review activities and collaborating with care teams to meet patient needs. Candidates should hold a Bachelor’s in Nursing with requisite clinical experience. The...- Johns Hopkins Health Plans is seeking a Utilization Review Registered Nurse to apply clinical, managed care and utilization review expertise to improve member outcomes. This remote role supports the organization with standard hours; you will monitor care relevance, evaluate...Remote job
$89.07k - $162.8k
...Utilization Review Supervisor Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region... ...and mentor for UM Team. Oversees the orientation of new UR Coordinators by establishing the plan and monitoring progress in...Live in- The State of Maryland is seeking a Registered Nurse for Utilization Review within the Maryland Healthcare System at Catonsville. The role conducts reviews of admissions, continued stays, and readmissions, addresses medical necessity, and manages denials and appeals in...Remote work
$39.35 - $54.05 per hour
...governance. Independently provides and coordinates care provided to patients within a clinical... ...in collaboration with physician. Utilizes and integrates evidence into practice... ...plans and concurrently and retrospectively reviews patients for medical appropriateness and...Full timeWork experience placementShift work$60k - $70k
...Position Responsibilities Our Funding Coordinators are accountable for supporting all... ...transactions to the system, including critical review of fraud checks. You'll be responsible... ...loans, advances and equipment financing utilizing customized technology and business...Base plus commissionContract workWork at officeFlexible hours- ...Branch Coordinator At Owens & Minor, we are a critical part of the healthcare process.... ...creating, and working with new orders, reviewing multiple systems simultaneously to assist... ...setting or call center Experience utilizing multi-line phone-system Physical Demands...Work experience placementWork at officeLocal areaImmediate start
$70k - $80k
...Travel Coordinator Overview: Aether Aerospace is seeking an experienced Travel Coordinator... ...timely and accurate processing. Review and audit travel requests and expense reports... ...and applicable Federal requirements. Utilize SAP Concur to process and audit travel...Daily paidWork at officeRemote work$19.5 - $26 per hour
...American company Price Rite - CGO/Scanning Coordinator (PRRC) Salary Range $19.50 - $26.00/hr... ...communication with all departments. Utilize available technology and best practices... ...functions to include but not limited to: Review Order Lists Review LINK and Email (Daily...Temporary workSummer workLocal areaImmediate start$20.57 - $36.27 per hour
...Behavioral Health Coordinator MedStar Health is looking for a Behavioral Health Coordinator... ...as to insurance companies for clinical review for authorization. Join one of the... ..., admissions, discharges, and service utilization while ensuring compliance with...Work experience placement$17.5 - $26 per hour
*Insurance Verification Coordinator* *Location:* Remote (Must reside in Maryland, Pennsylvania, Washington D.C., West Virginia,... ...Partner with providers, scheduling teams, case management, utilization review, and clinical departments to secure required approvals. *...Contract workTemporary workWork at officeRemote workMonday to Friday- ...capabilities. Conducts annual performance reviews of staff. Participates in section... ...offered athletic programs. Makes and/or coordinates repairs of athletic equipment. Serves as... ...first 30 days of employment is required. We utilize E-Verify to confirm selectee's eligibility...Civilian ContractorFull timePart timeImmediate start
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