Expired Utilization Management Nurse jobs in Baltimore, MD
YesCare Corp
Baltimore, MD
$23,763-$202,009/year (est.)
Experience & Requirements High School Diploma or GED A minimum of one (1) year experience as an administrative secretary; medical secretarial experience preferred. Required to exert up to 20 pounds of force to lift, carry, push, pull, or otherwise move objects. Required to kneel, stoop, crouch...
Baltimore, MD
$23,802-$202,009/year (est.)
Job Summary Works collaboratively with the manager to assist with implementation, integration and operational direction of the Case Management Department within MedStar Family Choice (MFC). Facilitates the continuum of care, works collaboratively with interdisciplinary staff, both internal and...
Baltimore, MD
$23,763-$202,009/year (est.)
What You Will Do: General Summary 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...
Baltimore, MD
$61K-$75K / yr. (est.)
Requisition #:628177 Location:Johns Hopkins All Children's Hospital, St. Petersburg, FL 33701 Category:Nursing Schedule:Day Shift POSITION SUMMARY: The purpose of the RN-Utilization Management position is to collaborate with various internal and external stakeholders to advocate for the patient and...
Baltimore, MD
$23,802-$202,009/year (est.)
Description SHIFT: Day Job SCHEDULE: Full-time Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we...
Baltimore, MD
$23,763-$202,009/year (est.)
Job Summary Three years of prior UR RN experience required.Concurrent review and discharge planning experience strongly preferred. Responsible for UM reviews for inpatient hospital stays, pre-certification reviews, ER reviews, and pharmacy reviews. Carries a complex case management case load,...
Baltimore, MD
$23,763-$202,009/year (est.)
Utilization Review Nurse (RN) - Hospital Baltimore, MD *** Full-Time, Benefits Available, CONTRACT position, expected to last several months, or longer! *** Utilization Review Nurse Job Summary: The Utilization Review Nurse is responsible for utilization management or prior-authorized treatments,...
Baltimore, MD
$23,802-$202,009/year (est.)
Req ID: 48420BR POSITION SUMMARY This position is with American Health Holding, an Aetna company. The UM Nurse utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. The hours for this position are 11:30-8PM ET. This is a...
Baltimore, MD
$60,670-$101,117/year (est.)
Resp & Qualifications PURPOSE: Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness of care determination and benefit coverage. Leveraging clinical expertise and...
Baltimore, MD
$23,802-$202,009/year (est.)
Job Summary Collaborates with the physician, nurse case manager, social worker, and other members of the health care team to meet individualized patient outcomes. Performs pre-admission, concurrent, and retrospective medical record reviews based on approved screening criteria, knowledge of...
Baltimore, MD
$23,802-$202,009/year (est.)
Job Summary Works collaboratively with the manager to assist with implementation, integration and operational direction of the Case Management Department within MedStar Family Choice (MFC). Facilitates the continuum of care, works collaboratively with interdisciplinary staff, both internal and...
Baltimore, MD
$23,763-$202,009/year (est.)
We Are Hiring We Are Hiring! St. Agnes Hospital in Baltimore, MD, is hiring for a Full-Time, RN-Care Management- Utilization Review, to work at our onsite location. Work Schedule: Day shift. Can either be 5x8hrs or 4x10hrs with a weekend/holiday requirement. Maximum weekend requirement is 1 weekend...
Baltimore, MD
$69K-$84K / yr. (est.)
N2S Healthcare is America's fastest-growing and one of the most respected health care staffing and workforce solutions organizations, we are recognized as a leader in nursing, physician, and allied staffing. We provide best-in-class career opportunities with our clients' who are evolving, have a...
Baltimore, MD
$23,763-$202,009/year (est.)
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care...
Baltimore, MD
$23,763-$202,009/year (est.)
We Are Hiring We Are Hiring! St. Agnes Hospital in Baltimore, MD, is hiring for a Full-Time, RN-Care Management- Utilization Review, to work at our onsite location. Work Schedule: Day shift. Can either be 5x8hrs or 4x10hrs with a weekend/holiday requirement. Maximum weekend requirement is 1 weekend...
Baltimore, MD
$23,763-$202,009/year (est.)
About Corizon Health Correctional healthcare is not just a job. It’s a calling. By choosing a career with Corizon Health, you are choosing the opportunity to truly make a difference in the health, well-being, and future of the patients you serve. We take pride in being a pioneer provider of...
Baltimore, MD
$23,802-$202,009/year (est.)
Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by staff assigned to this classification. They are not to be construed as an exhaustive list of all duties. Demonstrates comprehensive understanding and expertise in all...