Utilization Management Jobs in Baltimore, MD

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 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 level of care. The More...

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 care as well as the appropriate level of care. The More...

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...

Assesses 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 social work risk management patient advocac More...

NUMBER AND TYPE OF PERSONS SUPERVISED: 5-30 Volunteers/Student Interns Volunteer Facilitators Parent Group Leaders & Student Interns Children and Youth Program Specialist for Parent Support Groups POSITION SUMMARY: To effectively manage all volunteer and internship pr More...

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...

BandLevel 4Job Description SummaryAccess and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs (see b More...

Assesses 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 social work risk management patient advocac More...

Thank you for considering a career at Bon Secours!Scheduled Weekly Hours:40Work Shift: Days (United States of America)Community Resource Center Program Coordinator full time occasional evening and weekend availability.This position will work closely with the Community Resource Center More...

Job Details MD Baltimore Baltimore City Correctional Center Baltimore MD FullTime Professional Degree None Day Medical Physician & Advanced Practice ProviderDescription Centurion is proud to be the NEW provider of comprehensive healthcareservicesto the Maryland Department of Pub More...

This role is fieldbased and candidates should live within a reasonable distance from the primary city.The MidAtlantic geography includes the following cities:Washington DCBaltimore MarylandPhiladelphia PennsylvaniaPittsburgh PennsylvaniaRoanoke VirginiaMorgantown West VirginiaThe Fiel 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...

General Summary:This is a grantfunded role responsible for managing and coordinating all aspects of the Youth Apprenticeship and Workforce Development Program. The Program Coordinator plays a central role in overseeing program implementation training compliance and partnership buildin More...

General SummaryAssumes 24 hour accountability for managing the functions of Care Coordination and Discharge Planning. Along with the Manager of Utilization Management serves as the central resource to the Director of Care Management to develop financial reimbursement strategies which More...

About This Role:As the Senior Director of Medical Affairs Statistics you will play a pivotal role in leading a dynamic team focused on evidence generation and health technology assessment. This position is critical to ensuring the development and dissemination of scientific evidence o More...

Job Details Center for Sustainable Careers Baltimore MD $55000.00 $65000.00 Salary/year Staff MemberDescription Organization SummaryCivic Works Energy Programs make it easy and affordable for Baltimore City and Central Maryland residents to go solar and upgrade their energy efficien More...

About This RoleThe Medical Director Lupus role is a part of Immunology Specialty Care North America (US) Medical a strategic partner within Biogen that helps inform medical practice across our therapeutic areas and pipeline to improve meaningful patient outcomes. As a key member of t More...

As the Field Medical Strategy & Insights Lead within the Global Medical Affairs (GMA) organization you will spearhead the development of an overarching strategy for the Global Field Medical Team (MSLs) to support clinical trials site engagement scientific exchange and insights gat More...