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$18 per hour
...inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You’ll Be Doing: The Coordinator, UM Intake at Evolent provides support to the Utilization Management Team. The coordinator will support administrative operations by...SuggestedFull timeImmediate startRemote workWork from homeEvolent
Washington DC3 days ago$67k - $72k
...Healthcare Take the next step in your career with Morrison Healthcare as a Clinical Dietitian in Largo, MD! Location Morrison Healthcare at UM Capital Region Health Medical Center in Largo, MD Setting 225 bed acute care facility and teaching hospital with a level II trauma...SuggestedLocal areaRelocation packageMonday to FridayFlexible hours- ...The Director will be responsible for driving operational excellence, improving team performance, and enhancing the effectiveness of UM programs while supporting members, providers, and organizational stakeholders. Key Responsibilities Oversee Appeals & Grievances processes...Suggested
$120.7k - $238.22k
General Summary of Position The Director of Utilization Management (UM) provides strategic and operational leadership for the health plan’s centralized utilization management function across both plans. This role ensures appropriate evidence-based utilization of services...SuggestedFor contractorsWork experience placementLocal area$89.07k - $162.8k
...designated member population to include support for self-direction nursing home transition transition of care and Utilization Management (UM) activities. Completes field-based member assessments and identifies activities and interventions based on the member needs of this...SuggestedContract workLocal area- ...clinical practice guidelines, algorithms, CM software, and databases for community resources. Integrate CM and utilization management (UM) and integrate nursing case management with social work case management. Maintain liaison with appropriate community agencies and...SuggestedLocal area
- ...environments and is passionate about improving culture, patient flow, staff engagement, and operational performance. \n \n Why UM Capital Region? \n As a Level II Trauma Center within the University of Maryland Medical System , Capital Region Medical Center...Suggested
Korn Ferry
Washington DC7 days ago - ...UM Review Assistant Location: CA (remote) Duration: 6 months Provide primary non-clinical program support by encompassing provider training, customer service, call triaging, authorization preparation, data entry, and the development and tracking of functions for...SuggestedContract workWork experience placementWork at officeRemote workFlexible hours
- Acentra Health is seeking a Medicare Regulatory and Coding Expert Associate to join our team in a regulatory coding capacity. You will manage an internal ACD database, monitor CMS transmittals, and collaborate with clients and claims administrators to ensure compliance ...Suggested
- ...Blue Cypress Consulting is building its Pacific Northwest (PNW) practice, and we are looking for a Senior Utility Management Services (UMS) Consultant to help lead that growth from the ground floor. Reporting directly to the PNW Regional Director, you will be a key...SuggestedFull timeFor contractorsWork at officeLocal areaRemote workWork from homeWork visa1 day per week
Blue Cypress Consulting, LLC
Washington DC1 hour ago $89.07k - $162.8k
...Nursing required and Bachelor's degree preferred Experience ~1-2 years Case management experience required and ~1-2 years UM or related experience required and ~3-4 years Diverse clinical experience required Licenses and Certifications RN -...SuggestedContract workWork at officeMedStar Health
Washington DC3 days ago- ...services and serves as a tertiary care center for critically ill patients. In partnership with the University of Maryland Medical System, UM Capital Region Medical Center was built from the ground up in 2021 to meet the changing needs of our community. Proud to provide a...Suggested
Adfinitas Health
Washington DC2 days ago - ...Organization with strong experience in MedicaidSpecific Experience working with Grievances and Appeals (minimum of 3 years)3-4 years in UM and 5-7 years of clinical experience in a hospital or medical setting2 years xhyhwjd of nursing leadership as a supervisor or...SuggestedWork from homeRelocationRelocation package
Midland-Marvel Recruiters, LLC
Washington DC3 days ago - ...director regarding identified variances within the case against criteria utilized for medical review. Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and primary care physician for support, problem resolution and notification of...SuggestedFull timeTemporary workPart timeWork at officeLocal areaTrial periodAll shiftsFlexible hours
Community Health Plan of Washington
Washington DC9 days ago $143.7k - $194.4k
Application deadline: Sep 23, 2026Bespoke Solutions is seeking a Software Development Engineer to design, build, and operate a mission-critical, multi-tenant platform for managing large-scale fleets of embedded devices across highly secure and enterprise network environments...SuggestedFull timeInternshipWork at officeFlexible hoursAmazon
Arlington, VA3 days ago$67k - $70k
...Take the next step in your career with Morrison Healthcare as aRegistered Dietitian in Largo, MD! Location : Morrison Healthcare at UM Capital Region Health Medical Center Setting : 225 bed acute care facility and teaching hospital with a level II trauma center. Schedule...Local areaRelocation packageMonday to FridayFlexible hours$18.37 - $29.9 per hour
Job Requirements Located in Largo in the heart of Prince George’s County, our new state‑of‑the‑art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically...Temporary workWork experience placementWork at officeImmediate startShift workNight shiftWeekend workAfternoon shift$60k - $67k
Job Overview Location: Morrison Healthcare at UM Capital Region Health Medical Center, Largo, MD. Setting: 225‑bed acute care facility and teaching hospital with a Level II trauma center. Schedule: Monday‑Friday, rotating weekends. Requirement: Registered Dietitian Nutritionist...Relocation packageMonday to FridayFlexible hours- ...den berblick ber Waren, Ablufe und Kennzahlen und stellst sicher, dass unsere Kundinnen und Kunden genau das finden, was sie brauchen, um ihren Gsten ein Lcheln ins Gesicht zu zaubern. Qualifikationen Quereinsteigende, Karrierestartende und Profis willkommen!...
$61.39 - $77.69 per hour
...part of something greater by applying your experience, input, and leadership-as a clinician and healthcare expert. Company Description UM, Capital Region Medical Group, a member of the University of Maryland Medical System is seeking a Certified Nurse Midwife to join its...Work at office- ...the floor during the week and on occasion cover a weekend day. Date: 06/01/26 Shift: 1 Start: 8:00 AM End: 4:30 PM Class: RN UM Area: Mountain Ridge Ctr Contract Weeks: 9 Guarantee Hours: 40 Responsibilities Oversee nursing operations, ensuring high-...Contract workShift work
- ...Care Point and MHS Genesis software, and databases for community resources. Integrate coordination of care and utilization management (UM) and integrating nursing case management with social work case management. Maintain liaison with appropriate community agencies and...Long term contractPermanent employmentTemporary workLocal areaMonday to Friday
- ...into the system accurately for electronically generated authorization and tracking. Provides services authorizations to providers per UM Departmental Policy and Procedures and specific contracted Client's process on a timely manner. Requests submission of appropriate...Work at office
$40.52 - $59.63 per hour
...that guide us in fulfilling our mission and vision as we provide Marylanders a better state of care. This year marks five years since UM Capital Region Medical Center opened its doors in 2021 and began delivering on our promise to Prince George's County and Southern...Temporary workWork experience placement- ...and care quality at scale. Essential Job Duties Responsibilities Provide strategic direction and support to clinical directors and UM directors at individual facilities. Support UM directors at individual locations to ensure appropriate use of services. Evaluate and...Local area
$42.03 - $53.3 per hour
Job Requirements At UM Capital Region Health, we’re about to ChangeUP everything! Located in Largo in the heart of Prince George’s County, our new state‑of‑the‑art regional medical center will provide improved access to primary and ambulatory care services, and serve as...Work experience placementRelocation package$40 - $50 per hour
...and unrestricted license to practice as a Registered Nurse Experience: Experience in Referral Management/Utilization Management (RM/UM). Two to five years of current clinical subspecialty experience in Behavioral Health. Knowledge of sources for patient care data,...Hourly payOverseasMonday to Friday$43.3 - $54.9 per hour
Day Shift Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically...Full timeRelocation packageShift workNight shiftWeekend workDay shiftAfternoon shift$29.25 - $36.56 per hour
...Degree Program. 2+ years of clinical experience working independently after graduating from college. 1+ year of Utilization Management (UM) and/or Prior Authorization or related experience. Experience with Part B Medicare. Advanced level skill with Microsoft Excel...Contract workWork at officeLocal areaFlexible hours$89.07k - $162.8k
...region General Summary Of Position Supervises the daily activities of the Utilization Review Team. Manages daily assignment ensuring all UM tasks are completed each day. Collaborates with the physician nurse case manager social worker and other members of the health care...Live in
