- LifeBridge Health (East Case, MD)
- Utilization Review Nurse RN - PRN Baltimore, MD SINAI HOSPITAL UTILIZATION REVIEW PRN - Day shift - 8:00am-4:30pm RN Other 92270 $50.00-$50.00 Posted: ... ideas and community-centered care. About the Role/Unit: The PRN Utilization Review RN at Sinai Hospital works...Management process and payors to ensure efficiency of utilization of resources, minimize losses and maximize reimbursement. Key… more
- Yale New Haven Health (Lisbon, MD)
- …Provides Assistance To Nursing And Anesthesia Staff. Assists With Inventory Management As Well As Equipment Maintenance. Provides Any Supportive Duties That ... Include But Not Limited To: 2. Positioning 3. ?Time Out? 4. Medication Management 5. Prevention Of Nosocomial Infection 6. Implements Actions To Prevent Patient… more
- LifeBridge Health (Mcdonogh Run, MD)
- …Case Management Certification (CCM) within 3 years Must have Utilization Review experience CareerPriority Additional Information Who We Are: LifeBridge ... 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… more
- Parexel (Annapolis, MD)
- …mitigations and drive resolution with cross-functional stakeholders as part of the Risk Management Plan. + Review and analyze metrics to derive meaningful ... Leadership:** + Manage and coordinate the integration and utilization of all ancillary systems. + Highlight issues/risks to...project-level resourcing of staff and staff assignments. + Regularly review and update Data Management resources to… more
- Coty (Hunt Valley, MD)
- …to ensure effective implementation of new products + Own change management and validation processes for designated operations; Update process control strategies ... + Support operating department by establishing, implementing, and maintaining Quality Management System + Drive cost savings through improved productivity, material … more
- Foxhole Technology (Washington, DC)
- Overview Position: Software Product Management Lead Location: Washington DC (Hybrid) Clearance: Secret Start: Based on contract award Foxhole Technology provides ... . Foxhole Technology is seeking an experienced Subject Matter Expert Software Production Management Lead as part of a team of information assurance professionals in… more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- Senior Manager Administration and Resource Management Job ID: 251059 Location: MD-Metro Bldg New Carrollton Full/Part Time: Full-Time Posting Open-Close 11/24/2025 - ... **Job Description** **Marketing Statement** The Senior Manager Administration and Resource Management will serve as the operational architect and strategic backbone… more
- Fresenius Medical Care (Annapolis, MD)
- …auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials ... including efficient utilization of supplies or equipment and regular profits and loss review . Responsible for all required network reporting and on-site state or… more
- Parexel (Annapolis, MD)
- …the intent of the study concept and make informed recommendations based on scientific review and information available at the time of the request + Ability to ... as required to ensure viability output fulfills the teamsteam's requirements. + Utilization of tools (eg Medidata, Symphony (Real World Evidence)) to generate data… more
- Red River (Annapolis, MD)
- …Residency Services Manager will be responsible for our residents' growth and operational management in the field full-time for the project's duration for any given ... field operatives working at a full time, or 100% utilization less time off. + Leverage SKU-based residency services...of 30% GP. + Build and manage Residency Project Management Office to manage customer expectations around delivery which… more
- CBRE Government and Defense Services (Annapolis, MD)
- …maintenance, and repair of equipment used in electricity generation, and utilization . Your expertise will ensure the smooth operation of various electrical ... Education + **REQUIRED:** Experience with a Facility Computerized Maintenance Management System software (CMMS) desired **.** + **REQUIRED:** Electrical Journeyman… more
- GCG (Annapolis, MD)
- …Drive change management and user training to ensure effective system utilization across the organization + Monitor system performance and user feedback to ... Business Partners to support talent reviews, succession planning, and performance management , while managing and facilitating key development programs. You will… more
- NuAxis Innovations (Washington, DC)
- **IT Asset Management Lead** Location **Washington, DC** \# of openings **1** Salary Range (Min-Max) **00** **We are a federal IT company on a mission to make ... join our team NOW! We are currently seeking a talented and motivated **IT Asset Management Lead** for a Full-Time position. The IT Asset Management Lead is… more
- AmeriHealth Caritas (Washington, DC)
- …meet the patient's needs in the least restrictive and most effective manner. The Utilization Management Reviewer must maintain a strong working knowledge of ... **$5,000.00 SIGN ON BONUS** **Role Overview** Our Utilization Management Reviewers evaluate medical necessity...cases are escalated to the Medical Director for further review . The reviewer independently applies medical and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist, will analyze clinical information, contracts,… more
- Humana (Annapolis, MD)
- …MDS Coordinator or discharge planner in an acute care setting + Previous experience in utilization management / utilization review for a health plan or ... of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... of business. **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement, change adoption… more
- CenterWell (Annapolis, MD)
- …clinical experience. + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Intelligence + ... - unrestricted + Experience with Home Health preferred + Previous experience in utilization management within Insurance industry a plus + Previous Medicare… more
- Humana (Annapolis, MD)
- …put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed… more
- Elevance Health (Hanover, MD)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... **Nurse Reviewer I** **Virtual:** This role enables associates to...required. **Preferred Skills, Capabilities, and Experiences:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding,… more
