Utilization Review Jobs in Baltimore, MD

IntroductionIf you are looking for an exciting career with great benefits pension generous leave competitive salary and the opportunity for advancement and professional growth apply to join the DPSCS team today!The Department of Public Safety and Correctional Services (DPSCS) is seeking dedicated ca...

The Clinical Director is responsible for the clinical leadership oversight and integrity of all therapeutic services delivered across Transformation Healthcare Inc. (THI). This role ensures that all clinical services are evidence-based compliant ethical and outcomes-driven while supporting staff dev...

A Prospective Payment System (PPS) Coordinator is responsible for IRF-PAI and CMS regulatory compliance in accordance with current regulations.  Provides expert advice to organization and interdisciplinary rehab team and monitors admissions length of stay and clinical documentation for regulatory co...

A Prospective Payment System (PPS) Coordinator is responsible for IRF-PAI and CMS regulatory compliance in accordance with current regulations.  Provides expert advice to organization and interdisciplinary rehab team and monitors admissions length of stay and clinical documentation for regulatory co...

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...

Make it happen at Hopkins!Johns Hopkins Medicine a nonprofit combines over 125 years of commitment to community care with groundbreaking research teaching and medical services to patients Hopkins Medicine operates six academic and community hospitals four health care and surgery centers more than s...

Make it happen at Hopkins!Johns Hopkins Medicine a nonprofit combines over 125 years of commitment to community care with groundbreaking research teaching and medical services to patients Hopkins Medicine operates six academic and community hospitals four health care and surgery centers more than s...

Make it happen at Hopkins!Johns Hopkins Medicine a nonprofit combines over 125 years of commitment to community care with groundbreaking research teaching and medical services to patients Hopkins Medicine operates six academic and community hospitals four health care and surgery centers more than s...

Make it happen at Hopkins!Johns Hopkins Medicine a nonprofit combines over 125 years of commitment to community care with groundbreaking research teaching and medical services to patients Hopkins Medicine operates six academic and community hospitals four health care and surgery centers more than s...

Make it happen at Hopkins!Johns Hopkins Medicine a nonprofit combines over 125 years of commitment to community care with groundbreaking research teaching and medical services to patients Hopkins Medicine operates six academic and community hospitals four health care and surgery centers more than s...

Make it happen at Hopkins!Johns Hopkins Medicine a nonprofit combines over 125 years of commitment to community care with groundbreaking research teaching and medical services to patients Hopkins Medicine operates six academic and community hospitals four health care and surgery centers more than s...

General SummaryUnder the general supervision of respiratory care leadership and pulmonary diagnostics medical direction supervises and monitors the daily work activities of pulmonary diagnostics staff when engaged in delivery of pulmonary diagnostic procedures regardless of location which includes R...

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...

ABOUT US: Ethos is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space and our success is driven by a dynamic team passionate about d...

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...