Utilization Review Jobs in Largo, MD

Position SummaryUnder the regular supervision of the Nursing Department Director the Surgical Posting Coordinator is responsible for managing the schedule of inpatient and outpatient surgical procedures for the Operating Room. Support will be provided for Labor and Delivery (L&D). More...

Hours: 8am- 4:30pm rotating weekends and some holidays.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 outpa More...

Hours: 8am- 4:30pm rotating weekends and some holidays.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 outpa More...

Reporting to the Director of Clinical Programs the Stroke Program Coordinator serves as clinical expert liaison between Physicians Nursing and other UMCAP Departments as it pertains to the care of the acute stroke patients. Primary Responsibilities:1. Participates in daily rounds More...

Job Description SummaryThe Program Coordinator is responsible for developing managing and maintaining construction and skilled trades training programs at Prince Georges Community College serving Prince Georges County and the Washington DC Metro area. Reporting to the Department Chair More...

Job Description SummaryResponsible for the conception needs assessment development delivery management and evaluation of WDCE programs ensuring alignment with the mission of lifelong learning and community engagement. This includes overseeing open enrollment courses developing innovat More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# More...

Every weekend 8am-4:30pmPrincipal Duties:1. Assesses patients evaluates psycho-social problems prepares and implements services care plans.2. Collaborates with Admissions and Patient Accounts in admission and discharge planning.3. Provides ongoing service planning.4. Implements patien More...

Position SummaryUnder the regular supervision of the Nursing Department Director the Surgical Posting Coordinator is responsible for managing the schedule of inpatient and outpatient surgical procedures for the Operating Room. Support will be provided for Labor and Delivery (L&D). More...

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 leve More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...

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 leve More...

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 leve More...

Regional Manager Quality Review for ID/DDGeorgia remote@Orchard LLC is supporting a notforprofit corporation that partners with public and private sectors to create highquality safe and efficient delivery of health care and human services programs. Our client has multiple lines of bu More...

Job Details Family Support Services of Suncoast Admin Office Largo FL Full Time Graduate DegreeDescription Behavioral Health Care CoordinatorJoin our team at FSS and enjoy comprehensive benefits including but not limited to:Tuition ReimbursementHealth InsuranceDental InsuranceVision More...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...

Every weekend 8am4:30pmPrincipal Duties:1. Assesses patients evaluates psychosocial problems prepares and implements services care plans.2. Collaborates with Admissions and Patient Accounts in admission and discharge planning.3. Provides ongoing service planning.4. Implements patient More...