Medical Necessity Coordinator - Baltimore - beBeeAppeals

We are looking for Utilization Management Specialist for our client in Baltimore, · MD. · The specialist determines medical necessity and appropriateness of services using nationally recognized clinical guidelines, · regulatory requirements, benefit information, and medical polic ...

The Utilization Management Specialist determines medical necessity and appropriateness of services using nationally recognized clinical guidelines, regulatory requirements, benefit information, and medical policies. · ...

This position is 100% remote. Candidates must reside in MD, DC, or VA.Support the Commercial clinical team by managing the administrative lifecycle of patient authorizations. · Process incoming faxes and accurately enter data into the care management platform. · ...

+Job summary · Provides direct integrated behavioral health services in support of integrated primary care and behavioral health services.Provides assessments Behavioral Health encompasses prevention, intervention, and recovery from mental health and substance use conditions with ...

Baltimore Crisis Response Inc BCRI is seeking a skilled and compassionate Detox Nurse LPN RN to support intake coordination nursing evaluations and ongoing clinical care within our Residential Medical Detoxification Program This role is vital in ensuring that individuals entering ...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Baltimore, Maryland. · ...

This position operates one or more types of construction equipment such as asphalt pavers, screed, asphalt rollers and skid steers as they apply to milling and paving operations. · ...

We are seeking a Clinical Nurse who will coordinate and provide the various clinical activities and nursing case management services to patients across sub-specialties within the Johns Hopkins Division of RheumatologyCounsel, support, educate, and coordinate resources needed by p ...

This position operates one or more types of construction equipment as they apply to milling and paving operations. · Safe operation of equipment. · Maintenance and upkeep of equipment. · ...

This position operates one or more types of construction equipment as they apply to milling and paving operations. Operators are responsible for safe operation, non-mechanical maintenance and up-keep of equipment. · ...

This role focuses on processing faxes and electronic records to ensure medical necessity reviews move forward without delay. · 3+ years of healthcare administrative experience. · 2+ years of experience with CPT and ICD-10 coding. · ...

This position supports Mercy's philosophy of patient centered care by the timely and accurate coding of hospital or professional services using ICD-10-CM/PCS and CPT/HCPCS classification systems for the purpose of reimbursement , research , statistics in compliance with federal r ...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Baltimore, Maryland. · ...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Baltimore, Maryland. · Job Description & Requirements · Specialty: · Case Management · Discipline: · RN · Duration: · 13 weeks · 40 hours per week · Shift: · 8 hours, days · Employment Type: · Trav ...

Provides direct integrated behavioral health services in support of integrated primary care and behavioral health services. · ...

Explore opportunities with HomeCall of Baltimore. · Provide high-quality clinical services within scope of practice and infection control standards · ...

Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. · Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on ...

We are hiring for a full-time Home Health Registered Nurse. · At VNA of Maryland, we embrace a culture of caring, · belonging, and trust. · ...

Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. · Medical necessity review of patient stays and referral to the physician advisor as needed · ...

The RN Case Manager provides clinically based case management to support the delivery of effective and efficient patient care in the inpatient setting. · Provides clinically-based case management to support the delivery of effective and efficient patient care in the in-patient se ...

The Treatment Coordinator role is a key position to ensure that evaluation treatment planning support services collaboration discharge processes comply with OMHC standards including evaluative services treatment planning documentation support services discharge continuity-of-care ...