Physician Advisor, Case Management & Utilization Review

University of Maryland Medical System

University of Maryland St. Joseph Medical Center (UM SJMC) in Towson, Maryland, is seeking a full-time Physician Advisor to join its strategic care management team. The ideal candidate is board-certified, with 3–5 years of acute care experience, and will collaborate with executive leadership, case management, and health information management to optimize utilization review and discharge planning. This on-site role requires Maryland licensure. #J-18808-Ljbffr University of Maryland Medical System

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Physician Advisor, Case Management & Utilization Review in Towson, MD vacancy

Physician Advisor: Denials & Utilization Specialist
...West, LLC in Towson, Maryland, is seeking self-motivated FT/PT Physician Advisors to join our team. The Physician Advisor will serve as a clinical resource, addressing utilization issues, peer to peer reviews, and hospital reimbursement matters. Ideal candidates must...
Suggested
Washington & West, LLC
Towson, MD
5 days ago
Physician - Internal Medicine
...accountable for the clinical management of patients. Education:... ...Certifications: Licensed as a physician in the State of Maryland.... ...flow sheet. * Plans and reviews home care instructions with... ...Assumes responsibility for utilizing opportunities for educational...
Suggested
Contract work
Local area
Immediate start
Greater Baltimore Medical Center Healthcare
Towson, MD
3 days ago
Maternal Fetal Medicine Physician
...accountable for the clinical management of patients. Education:... ...Certifications: Licensed as a physician in the State of Maryland.... ...flow sheet. * Plans and reviews home care instructions with... ...Assumes responsibility for utilizing opportunities for educational...
Suggested
Contract work
Local area
Immediate start
Greater Baltimore Medical Center (GBMC)
Towson, MD
1 day ago
Physician - Infectious Disease
...accountable for the clinical management of patients. Education:... ...Certifications: Licensed as a physician in the State of Maryland.... ...flow sheet. * Plans and reviews home care instructions with... ...Assumes responsibility for utilizing opportunities for educational...
Suggested
Contract work
Local area
Immediate start
Greater Baltimore Medical Center Healthcare
Towson, MD
5 days ago
Manager of Business Development - Prince George's County
$74.97k - $127.44k
...relationships with referral partners, including physicians, hospitals and residential care... ..., physician, hospitalist, care manager, RN. Conducts regular visits to targeted... ...Director of Business Development. Conducts Utilization Review meetings for all “key” accounts as...
Suggested
Work at office
Local area
Boston Medical Center
Cockeysville, MD
3 days ago
Director of Business Development and Hospital Programs
$102.88k - $185.18k
...strategic relationship manager for hospitals programs.... ...interact effectively with physicians, payers, regulatory... ...to hospice services.* Review and follow up on all hospital... ...Unable to Serve cases.* Monitor and complete... ...with hospital partners* Utilize referrals, admission, market...
Local area
Boston Medical Center
Towson, MD
1 day ago
Physician Advisor
...a Full-time, experienced Physician Advisor to join its team in Towson... ...part of an integrated Care Management team collaborating with executive... ...departments. The Case Management department supports... ...together to ensure timely utilization review and integrated assessments...
Full time
University of Maryland Medical System
Towson, MD
3 days ago
Physician (MD/DO) - Dermatology in Towson, MD
...and adjust treatment plans as needed. Review and update patient medical histories and... ...skin care. Collaborate with other physicians and specialists to ensure continuity and... ...plus . Strong organizational and time-management skills. Ability to work effectively in...
Weekly pay
Full time
Work at office
Immediate start
Lancesoft Inc
Towson, MD
2 days ago
Physician Advisor
...service denial and appeals management company that actively... ...self‑motivated FT/PT Physician Advisors to join our team. The... ...and resolution of utilization issues. The Physician... ...issues: peer to peer reviews, compliance, level of... ...ability to perform case reviews across...
For contractors
Washington & West, LLC
Towson, MD
5 days ago
Physician - Foot & Ankle Specialist
...Licensures/Certifications: Licensed as a physician in the State of Maryland. Complete... ...and/or established flow sheet. Plans and reviews home care instructions with patient and... ...ancillary services. Assumes responsibility for utilizing opportunities for educational...
Contract work
Immediate start
Greater Baltimore Medical Center (GBMC)
Towson, MD
1 day ago
Senior Business Process Consultant
...Requirement Lifecycle and Requirement Management to include the following:... ...Preparing business cases Solution assessment and validation... ..., which covers the receipt/review of initial project requests,... ...context diagrams) Develop and utilize modeling tools and techniques...
Full time
Contract work
For contractors
Quantum Strides LLC
Baltimore, MD
4 days ago
Internal Medicine Physician
...Internal Medicine Physician Location: Towson, MD Job Type: Full-Time Position Summary... ...comprehensive primary care services, manage acute and chronic conditions, and contribute... ...screenings. Order, interpret, and review laboratory tests, imaging studies, and diagnostic...
Full time
Relocation package
Monday to Friday
LanceSoft, Inc.
Towson, MD
3 days ago
Primary Care Physician
$240k
...UMMS), is seeking a BE/BC Internal Medicine or Family Medicine Physician to join our well-established Primary Care practice in Towson,... ...Pay Range: $240,000 with additional quality and performance metrics opportunities Review the 2024-2025 UMMS Benefits Guide
University of Maryland Medical System
Towson, MD
1 day ago
Internal Medicine Physician (JHPC)
...Lutherville, MD Category: Physicians Schedule: Day Shift... ...prevention, chronic disease management, and patient goals. Offer... ...with a dedicated care team. Utilize telehealth and other digital... ...scope and responsibility. In cases where the range is displayed...
Full time
Local area
Day shift
Johns Hopkins Medicine
Lutherville Timonium, MD
1 day ago
Physician - Neurology
$200k
...Services program office after review of the EDRP application.... ...comprehensive total rewards package. VHA Physician Total Rewards. EDRP... ...atrophy. Evaluate, diagnose, and manage general neurology patients... ...REAL ID compliant cannot be utilized as an acceptable form of identification...
Full time
Contract work
Traineeship
Freelance
Internship
Seasonal work
Work at office
Local area
Monday to Friday
Veterans Affairs, Veterans Health Administration
Baltimore, MD
2 days ago
Business Development Manager - Environmental Services (Multiple Locations)
...Sales Team Business Development Manager role is the visionary in... ...possible, establish a trusted advisor role) at the highest possible corporate level.Critically review clients on a regular basis in... ...and deep understanding of the utility and/or renewables market preferred...
Burns & McDonnell
Baltimore, MD
17 hours ago
Business Development Manager - Infrastructure (Northeast)
$120k - $140k
...traditional ways of joining pipe. As a territory manager, you’ll also need to understand... ...and educate them about the overall value utilizing Victaulic can bring to their project. At... ...assistance and retiree benefits. Ask to review our Benefits-at-a-Glance for a complete...
Permanent employment
Full time
Contract work
Temporary work
For contractors
Live in
Local area
Remote work
Trial period
Night shift
Weekend work
Afternoon shift
Early shift
Victaulic
Baltimore, MD
2 days ago
Business Development Coordinator
...Participate in team and process development sessions – keeping positive relationships with teammates, sales teams and dealership management Utilize CRM tracking system daily Qualifications At least one previous role based in customer service experience...
Temporary work
Local area
Anderson Auto
Cockeysville, MD
2 days ago
Business Development Representative
...designated PSA Producer Use Salesforce to identify and manage outreach to prospects and to record prospecting activity Train... ...be recorded in Salesforce.com and dashboard will be regularly reviewed. Relates well to diverse people at all levels, inside and outside...
PSA Insurance & Financial Services
Cockeysville, MD
5 days ago
Senior Business Development Associate
$49.01 - $78.43 per hour
...to lead business development and project management activities by coordinating with... ...detailed reports and presentations for review by all levels of the organization (especially... ...on the development, standardization, and utilization of integrated financial analytics in collaboration...
Temporary work
Work at office
Local area
Johns Hopkins HealthCare
Baltimore, MD
3 days ago
Family Nurse Practitioner
...medical judgment, confidence evaluating and managing patients, and a genuine interest in... ...and general health concerns \n • Order, review, and interpret laboratory testing, imaging... ...other advanced treatment services \n • Utilize or develop skills in musculoskeletal ultrasound...
Full time
Part time
Flexible hours
Kalkstein Chiropractic
Towson, MD
3 days ago
Housing Development Project Manager - Non-Merit
$57.58 - $70.58 per hour
...Responsibility The Housing Development Project Manager performs strategic coordination and... ...'s). Ensure the financial feasibility reviews of RFA responses are completed in a... ...and mortgage data (HMDA Data). Experience utilizing data analysis to drive strategic...
Hourly pay
Permanent employment
Contract work
Part time
For contractors
Work experience placement
Work at office
Local area
Flexible hours
Night shift
Baltimore County
Towson, MD
4 days ago
Physician Advisor
$176.13k
...Position Purpose: The Physician Advisor optimizes efficient management of resources, ensuring... ...determination of medical necessity in case evaluation and utilization management. The... ...governmental regulations. Performs UM review functions including pre-...
Full time
For contractors
Work at office
Local area
Remote work
Monday to Friday
BlueCross BlueShield of South Carolina
Baltimore, MD
3 days ago
Account Management Analyst
$57.8k - $96.3k
Account Management Analyst Job Locations US-PA-Lancaster | US-MD-Hunt Valley | US-VA-Richmond... ...incumbent in this role provides credit review, analysis, and credit risk management... ...approaching the end of the draw period, utilizing established End of Draw (EOD) criteria,...
Full time
Temporary work
Work experience placement
Local area
Remote work
Work visa
Flexible hours
Fulton Bank, N.A.
Cockeysville, MD
1 day ago
PHYSICIAN
...Critical Care Job Type: Full-Time, Physician (Medical Director track)... ...available, if desired Manage a growing patient population... ...leadership forums Promote appropriate utilization of diagnostic testing,... ...in quality improvement, peer review, and clinical governance Stay...
Full time
Temporary work
Work at office
Flexible hours
LifeBridge Health
Baltimore, MD
5 days ago
Physician II- Communicable Disease
...submitted with each application. The Physician provides clinical leadership, medical oversight... ...Disease (CD), HIV Prevention and Case Management, Hepatitis C programming, and Partner... ...standing orders, and treatment algorithms. Review and approve clinical policies,...
Work experience placement
Private practice
Work at office
Local area
Baltimore County, MD
Towson, MD
2 days ago
Physician (Primary Care)
$200k
...(AECCC) is the senior physician executive responsible... ...program office after review of the EDRP application... ...Monitors quality, safety, utilization, timeliness, patient... ...Partners with Quality Management, Patient Safety,... ...practice evaluation, case reviews, and medical staff...
Full time
Contract work
Freelance
Work at office
Local area
Remote work
Veterans Health Administration
Baltimore, MD
2 days ago
Physician (MD/DO) - Ophthalmology - $300,000 to $800,000 per year in Lutherville Timonium, MD
$300k
...specialist who is seeking a high volume of clinical and surgical cases. The practice includes sub-specialties in Glaucoma, Retina,... ...diagnostic equipment, four room ophthalmic ASC and professional management team. We offer an outstanding compensation plan commensurate with...
Full time
Work at office
Immediate start
Relocation
Curative
Lutherville Timonium, MD
1 day ago
Business Development Specialist
..., and continuing education (CE) classes Utilize marketing software to document daily marketing... ...lead activity and opportunities Provide management with revenue updates and reports around... ...to SERVPRO Franchises should be reviewed and approved by the Franchise’s attorney...
Local area
IICRC
Baltimore, MD
1 day ago
Nurse Practitioner (NP) or Physician Assistant (PA) - General Surgery
...evaluation, diagnosis, treatment, and management of patients undergoing... ...practice agreements. Physician Assistants in this role may provide... ...physical examinations, and reviewing diagnostic studies. #... ...Coordinates care with nursing staff, case management, therapy services,...
University of Maryland Medical Center
Towson, MD
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Physician Advisor, Case Management & Utilization Review. Be the first to apply!