- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...business. **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement,… more
- CareFirst (Baltimore, MD)
- …County/Washington DC or Northern Virginia metropolitan area.** **PURPOSE:** The Inpatient Management Care Management Supervisor will direct and ... a week-to-week basis, management may occasionally approve the onsite care management supervisor to perform limited functions telephonically, at its sole… more
- CareFirst (Baltimore, MD)
- …medical-surgical or similar clinical experience OR 5 years experience in Medical Review, Utilization Management or Case Management at CareFirst BlueCross ... of regulatory and accreditation requirements, understanding of appeals process and utilization management , and systems software used in processing appeals.… more
- Johns Hopkins University (Baltimore, MD)
- …resources in coordination with respective vendors. + Automate user account creation, management , and purging. + Contribute to planning sessions on network and ... group. + Implement network configuration and security measures to assure effective utilization of resources. + Understand HPC technical needs. Work closely with the… more
- Johns Hopkins University (Baltimore, MD)
- …skills, and experience supporting clinical service delivery models, data management , and reporting. The service model includes Initial Consultations, goal-oriented ... manages direct reports, including goal setting, performance evaluations, performance management , and related HR processes; works collaboratively with Clinical… more