Utilization Management Specialist II
3 weeks ago
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
Minimum of 12 months experience in case management or utilization management required
Additional Information
All your information will be kept confidential according to EEO guidelines.
#J-18808-Ljbffr
-
Knowledge Management Specialist II
3 weeks ago
Baltimore, United States Exigentservicesllc Full timeJoin 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 doctrine development, wargames and exercises, operations research, international...
-
Helpdesk Specialist II
1 week ago
Baltimore, United States Baltimore City Community College Full timeDescription/Job Summary A Helpdesk Specialist II is responsible for: Exhibit exceptional customer services skills Respond to clients requests for service in a timely manner, research issues and resolve each interaction with customer satisfaction. Escalate incidents to third level support (Systems/Network Administrators) when appropriate and follow-up in...
-
Release of Information Specialist I or Ii
11 hours ago
Baltimore, United States Johns Hopkins Health System Full time**YOU BELONG HERE** **What Awaits You?** - Career growth and development - Employee and Dependent Tuition Assistance - Diverse and collaborative working environment - Affordable and comprehensive benefits package The Release of Information (ROI) Specialist I or II, under the leadership of the ROI Supervisor, is responsible for performing ROI functions...
-
Project Manager Ii
1 month ago
Baltimore, United States Booth Management Consulting Full timeBooth Management Consulting, LLC (BMC) is a diverse CPA firm providing accounting, auditing, and management consulting services to public and private clients nationwide. With an employee-friendly company environment that emphasizes quality of life, initiative, creativity, strong work ethics, and loyalty, we are seeking qualified, motivated, and progressive...
-
Release of Information Specialist I or II
4 days ago
Baltimore, Maryland, United States Johns Hopkins Medicine Full timeYOU BELONG HEREWhat Awaits You?Career growth and developmentEmployee and Dependent Tuition AssistanceDiverse and collaborative working environmentAffordable and comprehensive benefits packageThe Release of Information (ROI) Specialist I or II, under the leadership of the ROI Supervisor, is responsible for performing ROI functions across all hospitals in the...
-
Release of Information Specialist I or II
3 days ago
Baltimore, United States Johns Hopkins Medicine Full timeYOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package The Release of Information (ROI) Specialist I or II, under the leadership of the ROI Supervisor, is responsible for performing ROI functions across all...
-
Helpdesk Specialist II
1 month ago
Baltimore, Maryland, United States Baltimore City Community College Full timeDescription/Job Summary A Helpdesk Specialist II is responsible for:Exhibit exceptional customer services skills Respond to clients requests for service in a timely manner, research issues and resolve each interaction with customer satisfaction. Escalate incidents to third level support (Systems/Network Administrators) when appropriate and follow-up in a...
-
Forestry Program Specialist
5 days ago
Baltimore, United States Anne Arundel County Full timeAnne Arundel County Government is seeking a full-time, permanent, Safety Sensitive Forestry Program Specialist (Program Specialist II) within the Inspection Division of the Department of Inspections & Permits. The goal of the Forestry program is to manage and assist with the implementation of forestation, reforestation, afforestation, preservation, and other...
-
Clinical Dietitian Specialist II
2 weeks ago
Baltimore, United States Johns Hopkins Medicine Full timePosition Summary: The Johns Hopkins Hospital is seeking an inpatient Clinical Dietitian, Clinical Dietitian Specialist I, Clinical Dietitian Specialist II or Clinical Dietitian Specialist III to join our innovative Clinical Nutrition Team. This individual would work collaboratively with a cutting edge multi-disciplinary health care team to promote wellness,...
-
Clinical Dietitian Specialist II
1 week ago
Baltimore, United States Johns Hopkins Medicine Full timeJob DescriptionJob DescriptionPosition Summary:The Johns Hopkins Hospital is seeking an inpatient Clinical Dietitian, Clinical Dietitian Specialist I, Clinical Dietitian Specialist II or Clinical Dietitian Specialist III to join our innovative Clinical Nutrition Team. This individual would work collaboratively with a cutting edge multi-disciplinary health...
-
Environmental Compliance Specialist Ii
4 weeks ago
Baltimore, United States State of Maryland Full time**Introduction**: The Maryland Department of the Environment is charged with protecting and preserving the State's air, water, and land resources and safeguarding the environmental health of all Maryland’s citizens. The Agency’s mission is to protect and restore the environment for the health and well-being of all Marylanders with a vision of healthy,...
-
Baltimore, United States City of Baltimore Maryland Full timeThe Baltimore City Health Department is seeking a Grant Services Specialist II Waiver Support Planner who will review, monitor, and process a variety of complex client cases involving the provision of social, health, vocational, rehabilitation or r Support, Health, Planner, Specialist, Service, Department, Healthcare
-
Manager, Utilization Management
4 weeks ago
Baltimore, United States University of Maryland Medical System Full time**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...
-
Utilities Manager
2 weeks ago
Baltimore, United States W.R. Grace & Co. Full timeW. R. Grace & Co. a leading manufacturer of Specialty Chemicals has an immediate need for a Manager responsible for the site facilities services. Powerhouse operations (Boilers, Air compressors, Air Dryers, Combined Heat and Power equipment), and mai Manager, Utilities, Maintenance Supervisor, Equipment Maintenance, Operations, Mechanical, Manufacturing
-
Intake Specialist II
2 weeks ago
Baltimore, United States Kennedy Krieger Institute Full timeOverview The Intake Specialist II (Care Center) will perform front end clinical operation activities which include, but are not limited to, scheduling, charge entry and routine financial counseling activities. The incumbent will interact with client, families, clinicians and administrative staff in a courteous and professional manner, while adhering to high...
-
Intake Specialist II
7 days ago
Baltimore, United States Kennedy Krieger Institute Full timeOverviewThe Intake Specialist II (Care Center) will perform front end clinical operation activities which include, but are not limited to, scheduling, charge entry and routine financial counseling activities. The incumbent will interact with client, families, clinicians and administrative staff in a courteous and professional manner, while adhering to high...
-
Intake Specialist II
1 week ago
Baltimore, United States Kennedy Krieger Institute Full timeOverview The Intake Specialist II (Care Center) will perform front end clinical operation activities which include, but are not limited to, scheduling, charge entry and routine financial counseling activities. The incumbent will interact with client, families, clinicians and administrative staff in a courteous and professional manner, while adhering to high...
-
Correctional Program Specialist II
3 weeks ago
Baltimore, United States Anne Arundel County Full timeThis position announcement will be used to fill a full-time, permanent, safety sensitive Correctional Program Specialist II vacancy at the Department of Detention Facilities with Anne Arundel County Government. The Anne Arundel County Detention Facilities serve the citizens of Anne Arundel County by professionally managing safe and secure correctional...
-
Risk Manager Ii- Mmcip
4 weeks ago
Baltimore, United States Faculty Physicians Inc. Full timeThe Risk Manager II with mínimal supervision investigates adverse events, near misses, and potential claims and suits and actively participates in developing and implementing loss prevention and risk mitigation methodologies and patient safety initiatives in assigned areas or entities. This includes gathering and analyzing data and preparing reports as well...
-
Financial Analyst II
6 days ago
Baltimore, United States Johns Hopkins Care At Home Full timeUnder the guidance of the Director of Finance, the Finance Analyst II will play a crucial role in supporting financial decision-making at Johns Hopkins Care at Home. As a key member of the Finance team, this position will be responsible for conducting in-depth financial analysis and reporting, strategic financial planning, and budget oversight for specific...