Utilization Review Specialist
10 hours ago
We are seeking a highly skilled Utilization Review Coordinator to join our team at Sheppard Pratt. The successful candidate will be responsible for reviewing and assessing the appropriateness of patient admissions and continued stays, working with financial case management representatives to monitor insurance benefits, and providing timely and pertinent insurance benefits information to clinical staff.
Key Responsibilities- Review and assess patient admissions and continued stays to ensure appropriateness and maximize insurance benefits.
- Collaborate with financial case management representatives to monitor insurance benefits and optimize service to patients.
- Provide timely and pertinent insurance benefits information to clinical staff to ensure they provide care within patients' benefits package.
- Assist physicians in preparing appeals for denied insurance payments.
- Implement the Hospital Utilization Review Plan and provide consultation and education to clinical staff on monitoring studies and medical records reviews.
- Represent the hospital in involuntary hearings and serve as a member of various clinical committees.
- Bachelor's degree in nursing, allied health, records administration, or a closely related field.
- Two to three years of related experience in patient medical records, health insurance provisions, psychiatric diagnoses, and utilization review practices.
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Clinical Utilization Review Specialist
3 weeks ago
Towson, Maryland, United States Sheppard Pratt Full timeJob Summary:We are seeking a skilled Clinical Utilization Review Specialist to join our team at Sheppard Pratt. As a key member of our healthcare team, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key Responsibilities:Review and Assessment: Conduct thorough reviews of patient admissions and continued stays...
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Clinical Utilization Review Specialist
3 weeks ago
Towson, Maryland, United States Sheppard Pratt Full timeJob SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Sheppard Pratt. As a key member of our clinical operations team, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesReview and Assess Patient Admissions: Conduct thorough reviews of patient...
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Utilization Review RN
6 days ago
Towson, Maryland, United States LifeBridge Health Full timeUtilization Review / Case Management RN - Part Time, WeekendsJob SummaryWe are seeking a skilled Utilization Review RN to join our team at LifeBridge Health. As a Utilization Review RN, you will conduct concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.Key...
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Utilization Review Coordinator
2 weeks ago
Towson, Maryland, United States Sheppard Pratt Full timeJob SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Sheppard Pratt. As a key member of our clinical team, you will play a critical role in ensuring that our patients receive the most appropriate and effective care possible.Key ResponsibilitiesConduct thorough reviews of patient medical records to assess the...
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Utilization Review Coordinator
2 weeks ago
Towson, Maryland, United States Sheppard Pratt Full timeJob SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Sheppard Pratt. As a key member of our clinical operations team, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesReview and assess the appropriateness of patient admissions and continued stays to...
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Utilization Review Coordinator
2 weeks ago
Towson, Maryland, United States Sheppard Pratt Full timeJob Summary:We are seeking a highly skilled Utilization Review Coordinator to join our team at Sheppard Pratt. As a key member of our clinical operations team, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key Responsibilities:Review and assess the appropriateness of patient admissions and continued stays...
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Travel Nurse RN
2 weeks ago
Towson, Maryland, United States Infojini Healthcare Full timeJob SummaryWe are seeking a skilled Travel Nurse RN to join our team at Infojini Healthcare. As a Med Surg Specialist, you will be responsible for assessing, planning, implementing, and evaluating nursing care for patients in accordance with organizational policies and professional nursing practice standards.Key ResponsibilitiesAssess patient needs and...
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Advanced Cardiac Ultrasound Specialist
4 weeks ago
Towson, Maryland, United States Greater Baltimore Medical Center (GBMC) Full timePosition Overview:As an Advanced Cardiac Ultrasound Specialist, you will be responsible for operating advanced ultrasound technology to capture high-quality echocardiographic images for both adult and pediatric patients. Your expertise will play a crucial role in the diagnostic process, ensuring that all examinations meet the highest standards of quality.Key...
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Sanitation Specialist
4 weeks ago
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Financial Clearance Specialist
2 days ago
Towson, Maryland, United States University of Maryland Medical System Full timeJob SummaryWe are seeking a highly skilled Financial Clearance Specialist to join our team at the University of Maryland Medical System. As a key member of our patient access team, you will be responsible for processing patient, insurance, and financial clearance aspects for both scheduled and non-scheduled appointments.Key ResponsibilitiesProcess...
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Sanitation Specialist
4 weeks ago
Towson, Maryland, United States Ymca Of Central Maryland, Inc. Full timeSanitation Specialist - YMCAThe YMCA of Central Maryland is dedicated to fostering a community that reflects our core values. We are seeking individuals who are passionate about contributing to the well-being of others and are committed to making a positive impact.Role Overview:As a Sanitation Specialist, you will be responsible for maintaining the...
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HVAC/R Maintenance Specialist
4 weeks ago
Towson, Maryland, United States Goucher College Full timeTitle: HVAC/R Maintenance SpecialistRemote Type: On CampusLocation: FacilitiesTime Type: Full timeJob Overview:The HVAC/R Maintenance Specialist plays a crucial role in ensuring optimal operation of heating, ventilation, air conditioning, and refrigeration systems. This position is customer-focused and operates under the guidance of the Multi-Trades...
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Culinary Specialist
4 weeks ago
Towson, Maryland, United States Aerotek Full timeJob OverviewWe are looking for talented and committed culinary specialists to join our dynamic team. The role involves preparing a diverse range of dishes following established recipes and standards, organizing workstations with essential ingredients and tools, and upholding food safety and hygiene regulations.Key ResponsibilitiesPrepare and cook food items...
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Registered Nurse
2 weeks ago
Towson, Maryland, United States Accede Solutions Inc Full timeJob Summary:Accede Solutions Inc is seeking a highly skilled Registered Nurse to join our team as an Endoscopy Specialist. The ideal candidate will have a strong background in nursing, excellent communication skills, and the ability to work effectively in a fast-paced environment.Responsibilities:Develop and implement effective nursing plans of care,...
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Travel Nurse RN ICU Specialist
2 weeks ago
Towson, Maryland, United States Tact Staff Full timeJob DescriptionTact Staff is seeking a skilled travel nurse RN ICU specialist for a travel nursing job in a reputable healthcare institution.Job RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hoursEmployment Type: TravelUnder general supervision, the travel nurse RN ICU specialist will provide...
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LPN Homecare Specialist
4 weeks ago
Towson, Maryland, United States Maxim Healthcare Services Full timeJob SummaryWe are seeking a skilled and compassionate Licensed Practical Nurse (LPN) to join our team at Maxim Healthcare Services. As an LPN Homecare Specialist, you will provide high-quality patient care to pediatric patients in their own homes, working closely with our team to ensure the best possible outcomes.Key ResponsibilitiesUtilize the nursing...
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LPN Homecare Specialist
4 weeks ago
Towson, Maryland, United States Maxim Healthcare Services Full timeJob SummaryWe are seeking a skilled and compassionate Licensed Practical Nurse (LPN) to join our team at Maxim Healthcare Services. As an LPN Homecare Specialist, you will provide high-quality patient care to pediatric patients in their own homes, working closely with our team to ensure the best possible outcomes.Key ResponsibilitiesUtilize the nursing...
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Maintenance Service Specialist
3 weeks ago
Towson, Maryland, United States Continental Realty Full timeJob OverviewPosition SummaryAs a Maintenance Service Specialist at Continental Realty, you will play a crucial role in preserving the operational excellence of our vibrant community comprising 526 apartment homes.Key ResponsibilitiesCollaborate effectively with team members to fulfill service requests and prepare units efficiently while ensuring top-notch...
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Complex Care Social Worker
6 days ago
Towson, Maryland, United States LifeBridge Health Full timeRenal Dialysis Social Worker - Complex Care SpecialistAt LifeBridge Health, we are seeking a skilled Renal Dialysis Social Worker to join our team as a Complex Care Specialist. This role will play a critical part in facilitating discharge planning for patients with complex needs, ensuring timely and cost-effective care.Key Responsibilities:Develop and...
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Culinary Specialist
4 weeks ago
Towson, Maryland, United States Aerotek Full timeJob OverviewPosition Title: Culinary SpecialistWe are looking for a skilled Culinary Specialist to contribute to our kitchen operations. In this role, you will be tasked with preparing a diverse range of dishes in accordance with established production standards and recipes. You will rotate through various cooking stations, including grilling, frying, and...