Jobs
>
Baltimore

    mc senior utilization management specialist i - Baltimore, United States - University of Maryland Medical System

    Default job background
    Description
    Job Description

    Job Description Company Description


    Renowned as the academic flagship of the University of Maryland Medical System, our Magnet-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care.


    Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing.

    Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won't find a more vibrant place to work
    Job Description

    Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care

    guidelines/criteria

    to assess the patient's need for outpatient or inpatient care as well as the appropriate level of care. The role requires interfacing with the case managers, medical team, other hospital staff, physician advisors and payers.
    Qualifications

    Education and Experience
    Licensure as a Registered Nurse or other equivalent health care license in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required
    A BSN or equivalent health care degree is required
    Minimum of 2 years experience in case management or utilization management required

    Additional Information

    All your information will be kept confidential according to EEO guidelines.

    #J-18808-Ljbffr

  • Baltimore County, MD

    Specialist Manager

    2 weeks ago


    Baltimore County, MD Towson, United States

    **Salary** · - $ $52.28 Hourly**Location** · - Towson, MD**Job Type** · - NON MERIT**Job Number** · - NM **Department** · - HHS/ANIMAL SERVICES, COMMUNICABLE DISEASE AND ENVIRONMENTAL HEALTH**Opening Date** · - 05/15/2024**Closing Date** · - Continuous**DESCRIPTION** · **BENEFITS ...


  • US Army National Guard Units Baltimore, United States

    **Duties**: · 1. Serves as an advisor to the Supervisory Logistics Management Specialist on all Combat Service Support (CSS) Automated Logistics Information Systems and Programs. Exercises knowledge and oversight for all matters pertaining to the fielding and operation of Automat ...


  • IQVIA Baltimore, United States

    At IQVIA, we are committed to building a diverse, inclusive workplace. Together with our clients, we work together to improve patients' lives. We know our employees are essential to the success of our mission. IQVIA has been recognized as a great place to work by providing employ ...


  • Global Refuge Baltimore, United States

    **If you are passionate about transforming communities with a mission-driven organization, then we have the opportunity for you** · Reporting to the Program Officer for HSPRS, the Program Specialist for Referral Management will engage collaboratively with the Children and Family ...


  • US Army National Guard Units Baltimore, United States

    **Duties**: · 1. Supports the DMC with the planning and execution of unit movements, and management of military convoys for all services moving within or passing through the state. Provides technical assistance to the DMC with coordination of peacetime and mobilization movements ...


  • RHP Properties Baltimore, United States

    Who is RHP Properties? · As we continue to grow we are in search of a traveling Community Management Specialist to manage the daily administration, operation, and personnel of various manufactured home communities in an efficient, professional, and profitable manner. · As a succe ...


  • Global Refuge Baltimore, United States

    **If you are passionate about transforming communities **with** a mission-driven organization, then we have the opportunity for you** · Reporting to the Client Services Supervisor, the **Case Manager and Employment Specialist** will provide case management, employment, and suppor ...


  • NovaWorks Solutions North Baltimore, United States

    About Ba-Be-D Daimer GmbH: · Our family-owned company, located in Kirchseeon near Munich, has been providing solutions for rail and track for railway builders, operators, and rail profile processors. Through our long-standing, close, and trusting relationships with our customers, ...


  • University of Maryland Medical System Baltimore, United States

    **Company Description** · Renowned as the academic flagship of the University of Maryland Medical System, our Magnet-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere ...


  • FusionWorks Baltimore, United States

    What to expect? · You will ensure efficient and structured data management and identify available data sources within the company, including their potential uses · You will analyze customer, product, contract, and market data and identify growth and revenue potential · You will u ...


  • University of Baltimore Baltimore, United States Full time

    The Emergency Management Specialist position is a critical position within the Howard County Office of Emergency Management. It is a full-time position focused on supporting County preparation for all-hazards events and disasters through planning, outreach, training, and exercise ...


  • Berkley Towson, United States

    Company Details: · Berkley Financial Specialists, a member of W.R. Berkley Corporation, is dedicated to providing customized, comprehensive insurance solutions and outstanding customized personalized service to financial institutions. We offer financial institution bond and manag ...


  • Baltimore County, MD Baltimore County, MD, United States

    **Salary** · - $ $52.28 Hourly**Location** · - Various locations throughout Baltimore County, MD**Job Type** · - NON MERIT**Job Number** · - NM **Department** · - PROPERTY MANAGEMENT**Opening Date** · - 04/16/2024**Closing Date** · - Continuous**DESCRIPTION** · **BENEFITS** · **Q ...


  • SilverLinx Chinquapin, United States

    Chinquapin High School Graduate Program for Retail Management (m/w/d) · Our stores are the heart of Takko Fashion - with more than 1,900 stores in 17 countries in Europe, Takko Fashion is always close by. Do you have a passion for fashion? And do you want to make families happy ...


  • Metrea Management LLC Annapolis Junction, United States

    **Company Overview** · ***Metrea is a defense company dedicated to translating commercial innovation into solutions for the hardest problems in national security. With deep mission expertise, Metrea focuses on delivering effects as-a-service across a spectrum of domains including ...


  • University of Maryland College Park, United States

    **Posting Details**: · - Posting Details**Position Number**: · **Title**: · - Program Management Specialist**Functional Title**: · - Program Management Specialist**Category Status**: · - 20-Nonexempt,Regular**Applicant Search Category**: · - Staff**University Authorized FTE**: · ...


  • U.S. Army Acquisition Support Center Aberdeen Proving Ground, United States

    **Duties**: · - Serves as a Logistics Management Specialist concerned with directing, developing, and performing logistics management operations that involve planning, coordinating, and evaluating the execution of Integrated Logistics Support (ILS). · - Responsible for cradle to ...


  • U.S. Army Communications Electronics Command Aberdeen Proving Ground, United States

    **Duties**: · - Compiles, interprets, and analyzes data provided by maintenance and supply Logistic Assistance Representatives, Materiel Status Reports, Logistic Assistance Program reports and other source data. · - Prepares selected inputs for monthly readiness briefings on logi ...


  • U.S. Army Communications Electronics Command Aberdeen Proving Ground, United States

    **Duties**: · - Serves as Logistics Management Specialists in the Security Assistance Management Directorate (SAMD) for Foreign Military Sales (FMS) cases involving one or more countries. · - Serves as a weapon system manager, independently providing logistics program Total Packa ...


  • U.S. Army Communications Electronics Command Aberdeen Proving Ground, United States

    **Duties**: · - Assist other journeyman or senior Order Fulfillment Specialist with processing orders. · - Serve as a point of contact to assist supported units that contact the organization for support. · - Consults with others to accomplish completion of projects. · - Recommend ...