- 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
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FusionWorks Baltimore, United StatesWhat 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 ...
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KPMG-UnitedStates Baltimore, United StatesBusiness Title:Manager / Senior Manager, Compliance & Reporting SpecialistRequisition Number: Function:Tax Services · Area of Interest:State:CA · City:San Diego · Description: · At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy ...
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Utilization Management Specialist
8 hours ago
MedStar Health Baltimore, United StatesGeneral Summary of Position · Job Summary: · MedStar Health is looking for a Utilization Management Specialist to join our team We are looking for someone with knowledge of databases and business software applications, as well as critical thinking and problem-solving skills. · ...
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Knowledge Management Specialist
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OSI Vision Baltimore, United StatesOsi Vision is seeking a Senior Knowledge Management Specialist (KMS) ensures the flow of information across the Cybersecurity and Infrastructure Security Agency (CISA), Infrastructure Security Division (ISD), Office for Bombing Prevention (OBP). This work is in the National Capit ...
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LOGISTICS MANAGEMENT SPECIALIST
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Army National Guard Units Baltimore, United StatesSummary THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a LOGISTICS MANAGEMENT SPECIALIST (Direct Hire), Position Description Number T5120P01 and is part of the MD JFHQ G4, National Guard. Responsibilities 1. Serves as an advisor to ...
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Records Management Specialist
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TIME Systems Baltimore, United StatesAdministrative Support Specialist (Full-Time): TS/SCI REQUIRED TO APPLYLocation: Ft. Meade, MDClearance: TS/SCICertifications: N/AAt TIME Systems, we do things a bit differently. We are on a mission to deliver innovative, value-driven Technology, Innovation, Management, and Engin ...
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TIME Systems Baltimore, United StatesAdministrative Support Specialist (Full-Time): TS/SCI REQUIRED TO APPLY · Location: Ft. Meade, MD · Clearance: TS/SCI · Certifications: N/A · At TIME Systems, we do things a bit differently. · We are on a mission to deliver innovative, value-driven Technology, Innovation, Ma ...
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Records Management Specialist
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BlackFish Federal LLC Baltimore, United States Full timePosition Description:This position is responsible for responding to inquiries and processing applications and documents in support of a federal government agency. The primary function of this position includes but is not limited to the following (processing paper and electronic a ...
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Knowledge Management Specialist
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Parsons Oman Baltimore, United StatesIn a world of possibilities, pursue one with endless opportunities. Imagine NextWhen it comes to what you want in your career, if you can imagine it, you can do it at Parsons. Imagine a career working with intelligent, diverse people sharing a common quest. Imagine a workplace wh ...
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Case Management Specialist
2 weeks ago
University of Maryland Medical System Baltimore, United StatesJob Description · Job DescriptionCompany 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 UMM ...
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1 week ago
University of Maryland Baltimore County Baltimore, United States Temporary (Hourly)Department: Department of Biological Sciences · Biology Website · Responsibilities: Coordinate schedule & facilitate all URISE events. · Regular collection throughout the year of key student data; maintaining U-RISE database. · Process federal appointments, grant progress repo ...
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Knowledge Management Specialist II
8 hours ago
Exigentservicesllc Baltimore, United StatesJoin Exigent Services as Knowledge Management Specialist II and be part of a dynamic team that supports the U.S. Cyber Command (USCYBERCOM) Directorates in Fort Meade, MD with subject matter expertise in the areas of joint cyberspace operations planning, policy, strategy, and doc ...
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Event Management Specialist II
3 days ago
ManTech International Corporation Baltimore, United StatesEvent Management Specialist II page is loaded Event Management Specialist II Apply locations USA-MD-GLEN BURNIE time type Full time posted on Posted Yesterday job requisition id R46380 Secure our Nation, Ignite your FutureBecome an integral part of a diverse team while working at ...
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Lead Talent Management Specialist
2 weeks ago
Maryland Department of Transportation Baltimore, United StatesMaryland Department of Transportation · Lead Talent Management Specialist (Administrator IV) · Anne Arundel County , · Maryland · Apply Now · Lead Talent Management Specialist (Administrator IV) · $69, $116,011.00 Annually · Location · Job Type · Full Time · Job Number · 258 ...
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Lead Talent Management Specialist
2 days ago
Maryland Department of Transportation Baltimore, United StatesOPEN RECRUITMENT · Job Specific Recruitment · If you have ever taken a flight from BWI Thurgood Marshall Airport; renewed your Maryland driver's license; traveled to an Orioles game on the Light Rail; embarked on a cruise from the Port of Baltimore; received roadside assistance ...
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Case Manager and Employment Specialist
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Global Refuge Baltimore, United StatesJob Description · Job DescriptionIf 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, e ...
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Unit Facility Management Specialist
3 days ago
IKEA Baltimore, United StatesWhy we will love you · You take great pride in keeping people safe, healthy, and happy in their workplace. · You believe, like we do, that a better life at work equals a better life. · What you'll be doing day to day · As a part of the Facility Management team, you'll optimiz ...
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Unit Facility Management Specialist
3 days ago
Ingka External Baltimore, United StatesJob ID: 241488 · Date posted: 30/05/2024 · Why we will love you · You take great pride in keeping people safe, healthy, and happy in their workplace. You believe, like we do, that a better life at work equals a better life. · What you'll be doing day to day · As a part of the ...
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Utilization Management Specialist II
1 week ago
University of Maryland Medical System Baltimore, United StatesJob Description · Job DescriptionCompany 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 UMM ...
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Contracts Manager, Grant Service Specialist IV
2 weeks ago
Baltimore Police Department Baltimore, United States Full timeTHIS IS A NON-CIVIL SERVICE POSITION · POSTING DATE: 03/28/2024 · CLOSING DATE: 05/28/2024 AT 12:00AM MIDNIGHT · SALARY: $84, $145,164.00 Annually · CLASS DESCRIPTION · The Baltimore City Health Department is seeking a Contracts Manager that is a quick learner, self-motivate ...
mc senior utilization management specialist i - Baltimore, United States - University of Maryland Medical System
Description
Job Description
Job DescriptionCompany DescriptionRenowned 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 DescriptionUnder 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.
QualificationsEducation and Experience
All your information will be kept confidential according to EEO guidelines.