Utilization Management Jobs in Baltimore, MD

Medical Director Small Animal Veterinarian We are seeking an experienced Small Animal Veterinarian to step into a Medical Director role within a well-established general practice. This opportunity is ideal for a DVM passionate about leadership mentorship and high-quality patient care while remainin...

At Guidehealth our mission is simple but powerful: to make great healthcare affordable for all. Were a technology-forward company that believes in accountability continuous learning innovation and ensuring every voice is heardall while leading with empathy.Were looking for Customer Service Guides wh...

Works collaboratively with the Division Director of Community Psychiatry and the Program Managers to identify quality improvement and patient safety focus and priorities core measures and the Quality Management plan for the ambulatory behavioral health programs.Interprets hospital and department pol...

Work Schedule: M-F 7a-7p with potential for weekend rotation based on department need.Under general supervision of the Manager of Case Management the Case Manager provides care coordination and discharge planning for an assigned patient case load.  The Case Manager will assess individual patients ne...

Make it happen at Hopkins!This is a remote position.Our organization is registered for remote work in the following states: MD VA DC FL and PA. Utilization Management/Review experience is required.Johns Hopkins Medicine a nonprofit combines over 125 years of commitment to community care with groundb...

Work Schedule:  M-F 8am-4:30pm 1 holiday per 1-2 year required.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 patients need for outpatient or inpatient car...

Clinical Program Coordinator II/ CMA Job Summary:The Clinical Program Coordinator II/ CMA is a key team member of the Johns Hopkins Home-based Medicine (JHOME) program. The JHOME program is a primary care program that provides home medical visits for older patients who can no longer reach a medical...

Clinical Program Coordinator II/ CMA Job Summary:The Clinical Program Coordinator II/ CMA is a key team member of the Johns Hopkins Home-based Medicine (JHOME) program. The JHOME program is a primary care program that provides home medical visits for older patients who can no longer reach a medical...

I. General SummaryUnder limited supervision assists the manager of care coordination in the supervision of the care coordination team. This includes providing guidance in regards to policies and procedures related to patient flow discharge process and care coordination. Provides input regarding huma...

I.    General SummaryUnder general supervision of the Manager of Case Management the Case Manager provides care coordination and discharge planning for an assigned patient case load.  The Case Manager will assess individual patients needs coordinate and implement plans of care and monitor and evalua...

General SummaryUnder general supervision plans implements evaluates and tracks outcomes of educational programs for Marylands citizens regarding prevention of violence and traumatic injuries.  Provides information and education to the community about services provided by the Shock Trauma Center for...

Make it happen at Hopkins!Johns Hopkins Bayviewis a vibrant academic medical center offering services that range from primary care and emergency medicine to specialized centers forburn treatment bariatric surgery pelvic health allergy and asthma and Alzheimers Disease. Our staff provides compassiona...

GRADE 25 LOCATION OF POSITION MDH Office of Health Care Financing Baltimore MD Main Purpose of Job The primary purpose of the Director Office of Medical Benefits Management Administration (OMBM) is to direct the operation of the Maryland Medical Assistance Programs managed care behavi...

Responsible for coordinating the daily functions of the Physician Builder Team ensuring seamless project execution effective communication and alignment with strategic goals. Manage schedules facilitate meetings maintain project documentation coordinate invoices and act as a central liaison for inte...

I.    General SummaryUnder general supervision of the Manager of Case Management the Case Manager provides care coordination and discharge planning for an assigned patient case load.  The Case Manager will assess individual patients needs coordinate and implement plans of care and monitor and evalua...

YOU BELONG HEREWhat Awaits YouCareer growth and developmentEmployee and Dependent Tuition AssistanceDiverse and collaborative working environmentAffordable and comprehensive benefits packageOur competitiveBenefit Packageis designed to support the well-being and financial security of our employees. Y...

I.    General SummaryUnder general supervision of the Manager of Case Management the Case Manager provides care coordination and discharge planning for an assigned patient case load.  The Case Manager will assess individual patients needs coordinate and implement plans of care and monitor and evalua...

I.    General SummaryUnder general supervision of the Manager of Case Management the Case Manager provides care coordination and discharge planning for an assigned patient case load.  The Case Manager will assess individual patients needs coordinate and implement plans of care and monitor and evalua...

Date Posted:Country: United States of AmericaLocation: OT300: NPB - LINTHICUM (BALT) MD 1705 Twin Springs Road Suite 110 Baltimore MD 21227 USAGiven the nature of the position applicants must have authorization to work in the U.S. now and in the future without sponsorship.Would you like to join a tr...

Date Posted:Country: United States of AmericaLocation: OT300: NPB - LINTHICUM (BALT) MD 1705 Twin Springs Road Suite 110 Baltimore MD 21227 USAWould you like to join a truly international talent driven company that values Safety Ethics Quality Innovation and Employee OpportunityOtis Elevator Company...