Search Results: 16,719 vacancies
...UTILIZATION REVIEW NURSE (RN)
~Randallstown, MD
~NORTHWEST HOSPITAL
~NW CARE MANAGEMENT
~Full-time - Day shift - 8:00am-4:30pm
~RN Other
~81988
~Posted:
March 21, 2024
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Suggested
Full time
Day shift
...UTILIZATION REVIEW NURSE - PRN
~Baltimore, MD
~SINAI HOSPITAL
~UTILIZATION REVIEW
~PRN - Weekends - Day shift - 8:00am-4:30pm... ...assess clinical, financial, and resource consumption.
Denial Management Monitors and identifies patterns or trends in utilization...
Suggested
Relief
Weekend work
Day shift
Job Details
Utilization Nurse (UN) RN to monitor the appropriateness of care received by plan... ...experience and at least 2 years Utilization review experience 2. InterQual and/or Milliman proficiency
Preferred Qualifications
Managed care experience in utilization review for...
Suggested
Temporary work
Second job
...UTILIZATION REVIEW NURSE (RN) - PRN
Baltimore, MD
SINAI HOSPITAL
UTILIZATION REVIEW
PRN - As Needed - 8:00am-4:30pm
RN Other
82413
Posted:
March 21, 2024
Summary
Position Summary: Conducts concurrent and retrospective chart review for clinical, financial...
Suggested
Permanent employment
Relief
...benefits.
Health and wellness programs and MORE!
Who you are:
As an Outpatient Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make...
Suggested
Holiday work
Full time
Local area
Remote job
Monday to Friday
...Interim RN Director Case Management and Utilization Management
Details
* Department: Ascension Interim Leadership Travel Program
* Schedule... ...for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients to implement...
Suggested
Contract work
Temporary work
Work experience placement
Interim role
Relief
Local area
Monday to Friday
ALTA IT Services is staffing a contract to hire opportunity for a Utilization Management Coordinator to support a leading health insurance customer. The individual will supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks...
Suggested
Contract work
...Sr. Project Manager - Utilities
Position Summary
Underground utility contractor in the Baltimore area is looking to add a Sr. Project... ...to Finance by the end of the month
ttend monthly job review meetings and lead the meeting regarding the financial aspect...
Suggested
Contract work
For contractors
For subcontractor
Immediate start
...Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of... ...the descriptive or medical information utilizing the CPT and HCPCS manuals. Keeps up-to-date... ...clinical experience, previous case management, discharge planning or utilization review...
Suggested
Permanent employment
Immediate start
...Summary:
The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration... ...care plan through assuring daily plan is executed, and management of transitions and post-hospital care.
Effective Discharge...
...General Summary
Assume 24-hour accountability for managing the functions of Utilization
Management. With the Manager of Case Management and the... ...Utilization Management Lead (s) and frontline Utilization Review staff.
~ Completes annual and interim performance...
Suggested
Interim role
Immediate start
...UTILIZATION & CASE MANAGEMENT EDUCATOR (RN)
Baltimore, MD
SINAI HOSPITAL
CARE MANAGEMENT
Full-time - Day shift - 8:00am-4:30pm
RN Other
82791
Posted:
April 29, 2024
Summary
Position Summary: Under the direction and assistance of the AVP of Utilization...
Suggested
Permanent employment
Full time
Day shift
**Utility Program Manager / Sales Coordinator**
Baltimore, MD | Operations | Posted: Mar 28, 2021 **Summary**
The primary purpose of the Field Service Project Management Specialist is to understand the customers remediation and service needs as they relate to materials...
Suggested
Immediate start
Work alone
...Summary:
The Loan Reviewer is responsible for reviewing, auditing and completing the data entry on loans submitted to Freedom Mortgage for whole loan purchase.
Essential Job Functions may include:
Review documents per the Freedom Checklist Requirements.
Audit...
Suggested
Local area
...direction of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy,... ...the Medical Review and Appeals units and manages multiple strategic clinical projects that... ...**
+ Knowledge of NCQA requirements of utilization review, Case Management standards and...
Suggested
Work experience placement
Local area
Immediate start
...IT Services is staffing a contract to hire opportunity for a Utilization Management Coordinator to support a leading health insurance customer.... ...tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
Pay: $24/HR
10...
...Job Req ID: 113083
Grounds/Utility Worker
The Bloomberg School of Public Health Facilities Management Department is seeking a Grounds/Utility Worker. This position... ...accordance with applicable law, the university will review, on an individual basis, the date of a...
Hourly pay
Work experience placement
Casual work
Monday to Friday
...Provisioning, etc.
Should have good knowledge of JAVA /J2EE, JavaScript and other scripting languages and XML
Strong knowledge of Access Reviews and certifications in SailPoint.
Excellent oral & written communication skills and ability to work with global counterparts...
...energy procurement and energy use and data management solutions to many of the world's largest... ...with primary responsibility for tenant utility billing calculations. Other... ...consistency and accuracy of reporting.
Reviews utility specific lease language, to ensure...
Work experience placement
...Job Description On behalf of our client, we are looking for a Review Assistant to join our team of professionals. If the... ...client is one of the country's most respected population health management organizations. They work with state and federal government programs...
Remote job
Shift work
Monday to Friday
