- Review medical necessity guidelines for radiation oncology cases and discuss determinations with requesting physicians or ordering providers when available.
- Aid Initial Clinical Reviewers in their decision-making processes by providing guidance on clinical review guidelines and parameters.
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JoinourTeamas a Utility Manager · Are you ready to play a critical role in large, exciting projects critical to improving infrastructure in our nation's capital? We are seeking a dedicated and skilled Utility Manager to work on challenging and rewarding projects. This is a full- ...
Washington Full time2 weeks ago
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We are seeking a dedicated and skilled Utility Manager to work on challenging and rewarding projects. · This is a full-time position that will support as key personnel or lead large infrastructure projects in the District of Columbia. · The role combines technical review, practic ...
Washington2 weeks ago
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We are seeking a dedicated and skilled Utility Manager to work on challenging and rewarding projects. · This role combines technical review, practical field perspective, coordination, and process tracking across design and construction phases of large infrastructure projects. · R ...
Washington, DC region2 weeks ago
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· Join our Team as a Utility Manager · Are you ready to play a critical role in large, exciting projects critical to improving infrastructure in our nation's capital? FOXXSTEM is working on 2 of the most high-profile projects in the region We are seeking a dedicated and skilled ...
Washington, DC region, DC21 hours ago
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About The Job · General Summary of Position · Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria the managem ...
Washington $89,065 - $162,801 (USD)1 week ago
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We are seeking a detail-oriented healthcare professional to support our Utilization Management Team by coordinating authorizations, · managing denials and appeals, · serving as a liaison between clinical UR staff,This role is essential in ensuring accurate data tracking, · t time ...
Washington $23.65 - $42.03 (USD)2 weeks ago
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Nuestro Utilization Management Reviewer evalúa la necesidad médica para servicios hospitalarios e internados. · Conducir revisiones de utilización evaluando la necesidad médica. · ...
Washington $84,400 - $113,600 (USD)1 month ago
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CARIAN is seeking an experienced Utility Project Manager with strong electric distribution experience to support major utility capital programs in the Mid-Atlantic region. · ...
Washington $120,000 - $155,000 (USD)2 weeks ago
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MedStar Family Choice is seeking a detail-oriented and customer-focused Utilization Management Coordinator to provide essential administrative and operational support to our Utilization Management (UM) and Clinical Operations team. · ...
Washington $18.70 - $32.72 (USD)2 weeks ago
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CARIAN is seeking an experienced Utility Project Manager with strong electric distribution experience to support major utility capital programs in the Mid-Atlantic region. · Lead end-to-end delivery of electric distribution projects within utility capital programs · ...
Washington, DC2 weeks ago
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This position will manage activities and staff of the Utilization Review department. · Supervise and evaluate the daily work of these teams in accordance with departmental and organizational policies. Provide education within the departments and the organization at large on clini ...
Washington $97,843 - $163,072 (USD)1 week ago
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Join our team and play a key role in supporting Utilization Management and payor operations. · ...
Washington, DC $65,000 - $115,000 (USD) per year2 weeks ago
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This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Utility Market Manager - REMOTE. · In this pivotal role, you will influence the future of a reliable and sustainable energy grid. · Develop and execute go-to-market strategies, dri ...
Washington1 month ago
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This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Utility Market Manager - REMOTE. In this pivotal role, you will influence the future of a reliable and sustainable energy grid. · Build and execute market strategies across utility ...
Washington1 month ago
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MedStar Family Choice is seeking a detail-oriented and customer-focused Clinical Operations Administrative Coordinator to provide essential administrative and operational support to our Utilization Management (UM) and Clinical Operations team. · ...
Washington $18.70 - $32.72 (USD)3 weeks ago
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This position requires managing a team of physical health practitioners in developing, implementing, and coordinating comprehensive integrated Medical Management programs. · Develops and implements integrated medical management programs. · Ensures compliance with specific medical ...
Washington $115,092 - $172,638 (USD)1 month ago
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Manager of Utilization Management II responsible for managing a team of physical health practitioners in the development implementation coordination comprehensive integrated Medical Management program designed manage health outcomes highly complex member populations varying degre ...
Washington, DC1 month ago
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GeBBS Consulting is a healthcare technology professional services and consulting firm based in Towson, Maryland servicing clients throughout the US. We are celebrating our 28th year in business. We have two divisions: 1) Hospital / Provider Practice 2) Managed Care / Payer Practi ...
Washington DC-Baltimore Area $70,000 - $130,000 (USD) per year1 week ago
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+Job summary · Build a career with purpose at Cambia. As a member of the Clinical Services team our Utilization and Care Management Nurses provide utilization and care management (such as prospective concurrent retrospective review post-discharge care coordination) to best meet t ...
Washington $38 - $41.50 (USD)1 month ago
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This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Utilization Management Coordinator - REMOTE. In this role, you will support the clinical team by handling administrative and non-clinical tasks essential for processing Utilization ...
Washington3 hours ago
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We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · RN with active and unrestricted state licensure · 3+ years of acute hospital clinical experience as an RN with preference for medical-surgical an ...
Washington $26.01 - $56.14 (USD) Full time2 weeks ago
healthcare utilization manager - Columbia - beBeeRadiationOncologist
Job title: Field Medical Director, Radiation Oncologist
Description
Serving Patients through Clinical Expertise
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Utility Manager
Full time Only for registered members Washington
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Utility Manager
Only for registered members Washington
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Utility Manager
Only for registered members Washington, DC region
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Utility Manager
Only for registered members Washington, DC region, DC
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RN Utilization Management
Only for registered members Washington
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Utilization Management Specialist
Only for registered members Washington
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Utilization Management Reviewer
Only for registered members Washington
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Utility Project Manager
Only for registered members Washington
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Utilization Management Coordinator
Only for registered members Washington
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Utility Project Manager
Only for registered members Washington, DC
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Manager Utilization Review
Only for registered members Washington
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Utilization Management Specialist
Only for registered members Washington, DC
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Utility Market Manager
Only for registered members Washington
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Utility Market Manager
Only for registered members Washington
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Utilization Management Coordinator
Only for registered members Washington
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Manager of Utilization Management II
Only for registered members Washington
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Manager of Utilization Management II
Only for registered members Washington, DC
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Utilization Management Coordinator
Only for registered members Washington DC-Baltimore Area
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Utilization and Care Management Nurse
Only for registered members Washington
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Remote Coordinator for Utilization Management
Only for registered members Washington
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Utilization Management Nurse Consultant
Full time Only for registered members Washington