Utilization Management Jobs in Baltimore, MD

This role is field-based and candidates should live within a reasonable distance from the primary city.The Mid-Atlantic geography includes the following cities:Washington DCBaltimore MarylandPhiladelphia PennsylvaniaPittsburgh PennsylvaniaRoanoke VirginiaMorgantown West VirginiaThe Fi More...

Under limited supervision plans coordinates leads and monitors quality improvement and patient safety initiatives for ambulatory transplant services. Accountable for the overall quality of ambulatory transplant care provided at UMMC as well as compliance with UNOS OPTN CMS and Joint C More...

Thank you for considering a career at Bon Secours!Scheduled Weekly Hours:40Work Shift: Days/Afternoons (United States of America)Charles Carroll Barrister Elementary School Baltimore MD 8:00am-4:00pm Primary Function/General Purpose of Position The Community School Coordinator strengt More...

I. General SummaryUnder 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 care as well as the appropriate l More...

Under general supervision of the Manager Case Management coordinates the clinical and financial plan for patient assignments performs overall utilization management resource management discharge planning care facilitation and referral to other levels of care and related duties. Works More...

OverviewOutpatient MAT Opioid Treatment Program (OTP)Join our team at Pine Heights Comprehensive Treatment Center (CTC) as a Medical Director where youll play a pivotal role in transforming lives through exceptional care. As a leader in medication-assisted treatment (MAT) and behavior More...

Under general supervision of the Manager Case Management/Social Work coordinates the clinical and financial plan for patient assignments performs overall utilization management resource management discharge planning care facilitation and referral to other levels of care and related du More...

Receive requests for interfacility patient transport and dispatch for services utilizing the Maryland Institute for Emergency Medical Services Systems protocols for interfacility patient transports. Serve as a liaison between the transportation vendor and hospital requesting transport More...

Pay Rate: $52000The Esperanza Center provides a welcoming atmosphere social services health services legal support and English as a Second Language (ESL) to immigrants in the Baltimore metropolitan area. The centers staff offers assistance with employment English proficiency legal ser More...

Case Manager II Part-Time Weekends 8am-6pmAssesses the needs of individual patients within an assigned case load for care coordination discharge planning and utilization management services Facilitates early referral to high risk case management physical therapy occupational therapy s More...

General Summary:Under the supervision of the Director of Nursing supports and evaluates the operations of the R Adams Cowley Shock Trauma Outpatient Clinic. Collaborates in setting long-term strategy for clinical program development and service delivery. Assumes responsibility for the More...

Johns Hopkins Community Physicians(JHCP) is looking for anOffice Medical Director to join our Home-Based Primary Care Program in Baltimore Howard County and Anne Arundel County in growing program focuses on high needs geriatric home-limited patients and provides high-touch comprehens More...

Overview:Glycomine is searching for a highly motivated and experienced individual for the position of Medical Director/Senior Medical Director Medical Affairs to support our programs in development and pipeline efforts.  This role will serve as a scientific and clinical expe More...

This role is field-based and candidates should live within a reasonable distance from the primary city.Candidates may live in the following cities:Washington DCBaltimore MDRichmond VAThe Parkinsons Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is ava More...

Under general supervision of the Manager Case Management coordinates the clinical and financial plan for patient assignments performs overall utilization management resource management discharge planning care facilitation and referral to other levels of care and related duties. Works More...

Receive requests for interfacility patient transport and dispatch for services utilizing the Maryland Institute for Emergency Medical Services Systems protocols for interfacility patient transports. Serve as a liaison between the transportation vendor and hospital requesting transport More...

Volo Kids Program and Coaching Coordinator Volo Kids Foundation1215 E Fort Ave Baltimore Maryland 21230Full-timePosition Type: Full TimeDepartment: KidsCompany DescriptionVolo Kids Foundation provides free organized sports programs to kids in Baltimore Boston Denver New York New Jerse More...

YOU BELONG HEREWhat Awaits YouCareer growth and developmentEmployee and Dependent Tuition AssistanceDiverse and collaborative working environmentAffordable and comprehensive benefits packageOur competitive Benefit Package is designed to support the well-being and financial security of More...

Position Summary:Reporting to the Clinical Audit and Appeals Manager this position is responsible for supervising the resources that perform denial appeals processing for JHHS hospital entities by leveraging the systems and staff towards the achievement of daily weekly monthly and fi More...

This role is field-based and candidates should live within a reasonable distance from the primary city.Candidates may live in the following cities:Washington DCBaltimore MDRichmond VAThe Parkinsons Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is ava More...