Utilization Review Program Manager

Job SummaryThe Lead UR Nurse serves as a clinical resource and lends guidance to Utilization Review staff in concurrent and retrospective review, utilization care management and denials and appeals programs.Key Responsibilities:Clinical Resource: Provide oversight, training, guidance, and assistance to staff regarding concurrent review, retrospective review,...

Job SummaryThe Lead Utilization Review Nurse Consultant plays a pivotal role in guiding the utilization review staff in concurrent and retrospective review, care management, denials, and appeals programs. This clinical resource lends expertise to ensure the effective implementation, maintenance, and evaluation of an integrated care management program. The...

Part-time Utilization Review / Case Management RNWe are seeking a highly skilled Registered Nurse to join our team in a part-time utilization review and case management role. This position is ideal for an individual who enjoys analyzing medical data, identifying opportunities for improvement, and collaborating with healthcare professionals to optimize...

We are seeking a skilled Clinical Utilization Review Specialist to join our team at LifeBridge Health. In this part-time, weekend position, you will conduct concurrent and retrospective chart reviews to ensure clinical, financial, and resource utilization information is accurate and efficient.Job SummaryThis role requires strong critical thinking skills, the...

Job Summary:We are seeking a skilled Utilization Review RN to join our team at LifeBridge Health.About the Role:This part-time position involves conducting concurrent and retrospective chart reviews to identify clinical, financial, and resource utilization information.The ideal candidate will have strong critical thinking skills and be able to abstract...

Job Title: Utility Outage Operations ManagerThe University of Maryland Medical System seeks a highly skilled and experienced Utility Outage Operations Manager to join our team.Overview:As a key member of our facilities management team, the successful candidate will be responsible for overseeing the utility outage program, ensuring minimal disruption to...

About the Role:We are seeking an experienced RN Utilization Review Professional to join our team at Ascension Saint Agnes. This position involves reviewing admissions and service requests for medical necessity and compliance with reimbursement policy criteria. The ideal candidate will possess strong analytical and communication skills, as well as a deep...

About the RoleThis Clinical Utilization Manager position is responsible for managing effective utilization review processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites. A key focus of this role is to develop and implement quality review programs and key performance indicators...

LifeBridge Health is seeking an experienced RN Utilization Review Specialist to join our team on a part-time basis. This position will be based at Grace Medical Center in Baltimore, MD.Job SummaryThe RN Utilization Review Specialist will conduct concurrent and retrospective chart reviews for clinical, financial, and resource utilization information. The...

About the Position:This RN Utilization Review position is an excellent opportunity for a motivated and detail-oriented individual to join our team at Ascension Saint Agnes. As a member of our team, you will have the chance to make a meaningful impact on the lives of patients and families by ensuring that they receive high-quality, patient-centered care.Key...

At LifeBridge Health, we are committed to providing exceptional patient care and advancing the field of healthcare. We are seeking a skilled Utilization Review Nurse to join our team.About the RoleThis is a full-time position with weekend coverage, requiring a minimum of four 10-hour shifts per week. The ideal candidate will have strong clinical expertise...

About the RoleCareFirst BlueCross BlueShield is seeking a seasoned Clinical Quality Assurance Specialist to join our team in the Government Programs Appeals Department. As a key member of our quality review team, you will be responsible for evaluating clinical quality and procedures within our department, ensuring compliance with regulatory standards.The...

Are you passionate about energy management and looking for a challenging role in a dynamic organization? Do you have a strong background in mechanical or electrical engineering and experience in monitoring systems operation, analyzing utility consumption, and developing utility purchasing strategies?About the RoleWe are seeking an Energy Manager to join our...

Overview\The University of Maryland Medical System is a leading academic medical center with a reputation for excellence in patient care, research, and education. As a key member of our team, you will play a critical role in ensuring the smooth operation of utilities within our system.\About the Job\We are seeking an experienced Utility Outage Program...

We are seeking an experienced Project Manager to join our team at BITHGROUP Technologies. This role is responsible for managing assigned team members through all project phases, including needs assessment, system analysis, implementation, development, maintenance, and support.Key Responsibilities:Manages project activities with other project managers and...

The salary for this position is estimated at $120,000 per year.About MEDSTAR HEALTHAs a leading healthcare organization, MEDSTAR HEALTH is dedicated to providing high-quality patient care and innovative medical solutions. We strive to create a collaborative work environment that fosters professional growth and development.Job Description: Healthcare...

Job Overview:A leading national business law firm with over 200 attorneys across the United States seeks a highly skilled Foreclosure Attorney to join its Hunt Valley, Maryland office. The ideal candidate will have prior experience in foreclosure law and be licensed to practice in Maryland.About Denovo Review:Dedicated to providing top-notch legal services,...

Company OverviewAt Barrow Wise Consulting, LLC, we are dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. Our team is passionate about delivering new solutions to clients and persevering until they are overjoyed.Job DescriptionThe Program Administration Specialist will support Barrow Wise's State of...

About the JobWe're seeking an experienced Utilization Management Specialist to join our team. This role involves reviewing medical records, making decisions on patient care, and collaborating with healthcare professionals to ensure the best possible outcomes.The salary for this position is estimated to be around $85,000 per year, based on national averages...

Job SummaryWe are seeking a Utility Coordinator to join our Baltimore, MD office. This role involves coordinating the identification, protection, and relocation of public and private utilities for transportation projects. The successful candidate will possess excellent technical, organizational, and communication skills to effectively collaborate with...