Utilization Review And Denials Management 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
Utilization Management Coordinator I Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination, and quality of care. Essential Functions: 35% Performs member or provider related administrative support which may
Utilization Management Nurse Specialist Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and
Utilization Review Specialist (BCBA Licensee) Utilizing key principles of utilization management the Utilization Review Specialist (BCBA Licensee) performs prospective, concurrent, and retrospective reviews to determine authorization, medical necessity, and appropriateness of ABA services. The Utilization Management Specialist leverages clinical expertise in behavior
Behavioral Health Analyst Pay Range: $46.76hr - $51.76hr Requirement/Must Have: Masters Degree or higher in Behavior Analysis, Psychology, Education, or a related field. Board Certified Behavior Analyst (BCBA) Required. Active state licensure as a Behavior Analyst
Utilization Review Specialist PURPOSE: Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness of care determination and benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist
Utilization Management Specialist Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent, and retrospective reviews for authorization, appropriateness of care determination, and benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist will analyze
Health Services - Spec, Utilization Management Utilizing key principles of utilization management, the Utilization Review Specialist (BCBA Licensee) performs prospective, concurrent, and retrospective reviews to determine authorization, medical necessity, and appropriateness of ABA services. The Utilization Management Specialist leverages clinical expertise in behavior
Medical Director Oncology Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting
The Director, Technology Business Management partners with senior technology leaders to connect technology strategy, investment decisions, operating performance, and measurable business value. This leader helps bring discipline to Technology financial planning, demand management, portfolio governance, performance reporting, and
Overview Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the strength of our
Utilization Review Nurse RN Sign On Bonus Potential: 6,000 Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Part-time w/Weekend Commitment - Day/Night rotation - Rotating-7am-730pm/7pm-730am RN OTHER 96531 $40.12-$62.19 Experience based Posted: June 8, 2026 Apply Now Save Job
Utilization Review Nurse RN Hiring Immediately
Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN OTHER 96679 $40.12-$62.19 Experience based Posted: June 3, 2026 Apply Now Save Job Saved Summary The Utilization Review Nurse RN conducts initial, concurrent
Utilization Review Nurse RN - NE Hiring Immediately
Utilization Review Nurse RN - NE Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Part-time - Weekends - Weekend shifts - 8:00am-4:30pm RN OTHER 95496 $40.12-$62.19 Experience based Posted: April 9, 2026 Apply Now Save Job Saved Summary This
Utilization Review Nurse RN Baltimore, MD SINAI HOSPITAL UTILIZATION REVIEW Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm RN OTHER 96812 $40.12-$62.19 Experience based Posted: July 2, 2026 Apply Now Save Job Saved Summary Who We Are: LifeBridge
Your Future Role At A Glance Location: Partially Remote, with onsite coverage required in Baltimore, MD. Facility: Ascension Saint Agnes Hospital Department: Utilization Management Schedule: Day-Shift | Full-Time Salary: $81,120.00- $115,939.20 per year Life At Ascension: Where Purpose
Coord, Utilization Mgmt I Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented team. Job Location:
Utilization Management Coordinator I Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination, and quality of care. Essential Functions: Abstractor Primary functions: 35% Performs member or provider related administrative
About Us Formed in 1924, Cowan Systems is a subsidiary of Schneider National headquartered in Baltimore, MD and enjoys a history of excellence and quality in the transportation business. Starting out as one mans entrepreneurial spirit,
Management Consultant With over 35 years of cross-industry management consulting experience, DeWolff, Boberg & Associates has successfully provided services to a variety of clients worldwide and has conducted over 700 projects in 20 countries. Management Consultants gain exposure to