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MC SENIOR UTILIZATION MANAGEMENT SPECIALIST I

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 inpa...

CompanyUniversity Of Maryland Medical System
AddressBaltimore, MD
CategoryHuman Resources
Date Posted 4 days ago See detail

MC SENIOR UTILIZATION MANAGEMENT SPECIALIST I

University Of Maryland Medical System

Baltimore, MD

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 inpa...

4 days ago seen See more...

Medical Information Specialist: Senior Manager -HIV Prevention (PrEP) and COVID-19

Biospace

California, United States

Responds to unsolicited medical requests regarding Gilead products from HCPs, members of the public, and internal Gilead colleagues. Responses are provided promptly using approved standard documents, up-to-date literature support,...

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Utilization Management Specialist

Group1001

Park Ridge, IL

Performs prospective, initial, concurrent, and retrospective reviews for all requested services to include but not limited to the following: inpatient admissions, concurrent reviews, discharges, durable medical equipment (DME), Pa...

4 weeks ago seen See more...

Utilization Management Specialist

Allmed Staffing Inc

Everett, WA

Initiate Referral Authorizations. Acquires and maintain a working knowledge of contracted health plans agreements and related insurance products. Gathers information from relevant sources for processing referrals and authorization...

a month ago seen See more...

Utilization Management Specialist II

Pinnacle Treatment Centers

Cambridge City, IN

$42.7K - $54.1K a year

working collaboratively with the treatment team and health plans to obtain authorization for treatment. Masters Degree in Social Work, Psychology, Counseling, or related Human Services field is required. Licensed Clinical Social...

a month ago seen See more...

Utilization Management Specialist

Ocd Anxiety Centers

South Jordan, UT

A competitive base salary starting at $18.00 per hour, depending on experience. 401k match. Core benefits: medical/dental/vision, with the company contribution to medical benefits for employee. Company-paid employee life insurance...

a month ago seen See more...

Information Management Specialist (Vacancy#:VAR002706A)

Library Of Congress

Washington, DC

$93k-115k (estimate)

Opening Date: April 16, 2024. Closing Date: May 7, 2024. OPM Control Number: 787428000. Vacancy Number: VAR002706. LC Organization Unit: Congressional Research Service. Grade: GS-09. Series: 1412. Minimum Salary: $68,405.00. Maxim...

6 days ago seen See more...

Health Information Management Specialist

Cook Inlet Tribal Council Inc

Anchorage, AK

Develops policy/procedures related to the maintenance, control and release of medical records while ensuring organization/government/regulatory/accreditation compliance requirements. Provides education/document distribution to all...

a week ago seen See more...

Association Management Specialist - HOA

Pmi Rgv

McAllen, TX

Local property management company is looking for an HOA specialist to joinour growing team!!! !If you are self-driven, and are looking to grow in the business, join us andgrow with us!! !An HOA specialist typically has a wide rang...

2 weeks ago seen See more...

Maintenance Specialist (Electrician)- Facilities Management

Mercy Medical Center - Cedar Rapids

Cedar Rapids, IA

Complete and facilitate basic and complex work orders and Preventative Maintenance at the direction of Supervisor or Dispatcher using staff and contractor resources. Serve as a technical expert resource in a specific field of mech...

5 days ago seen See more...

TECHNICAL INFORMATION SPECIALIST (ELECTRONIC RESOURCES MANAGEMENT)

United States Fleet Forces Command

Mississippi, United States

Career transition (CTAP, ICTAP, RPL)Federal employees who meet the definition of a "surplus" or "displaced" employee. Federal employees - Competitive serviceCurrent or former competitive service federal employees. Land & base mana...

6 days ago seen See more...

Biospecimen Management Specialist I

Biomarin Pharmaceutical Inc.

San Rafael, CA

Serve as BMS for one program (all studies) or select studies across multiple programs as necessary. Perform continuous tracking of clinical trial collected biospecimens and related logistics, issues and queries from the planning s...

2 weeks ago seen See more...

1302 Biospecimen Management Specialist I

Harvest Technical Services, Inc.

San Rafael, CA

Serve as BMS for one program (all studies) or select studies across multiple programs as necessary. Perform continuous tracking of clinical trials collected biospecimens and related logistics, issues and queries from the planning...

2 weeks ago seen See more...

Biospecimen Management Specialist I

Intelliswift Software Inc

San Rafael, CA

Hybrid role - 2 days onsite - Tuesdays manditory and second day is flexibleServe as Client for one program (all studies) or select studies across multiple programs as necessary.Perform continuous tracking of clinical trial collect...

2 weeks ago seen See more...

Biospecimen Management Specialist I

Intelliswift

San Rafael, CA

Hybrid role - 2 days onsite - Tuesdays manditory and second day is flexibleServe as Client for one program (all studies) or select studies across multiple programs as necessary.Perform continuous tracking of clinical trial collect...

2 weeks ago seen See more...

Biospecimen Management Specialist I

Talent Software Services, Inc.

San Rafael, CA

Serve as Client for one program (all studies) or select studies across multiple programs as necessary. Perform continuous tracking of clinical trial collected biospecimens and related logistics, issues and queries from the plannin...

2 weeks ago seen See more...

Senior Manager (Application Specialist)

The Bank Of Nova Scotia

New York, NY

$40 per hour

Req'mnts: Bachelor's or foreign equiv in Applied CS, Computer Eng'g, Info. field & 10 yrs of progressively responsible exp in job offered or rel. occupation: using srvc-oriented architecture (SOA) to dvlp web srvcs interfaces for...

a week ago seen See more...

Laboratory Utilization Management and Process Improvement Specialist

Labcorp

Portland, OR

$83K - $105K a year

Uses knowledge of Medical Laboratory Science in combination with IT skills to support customers in working through application to produce meaningful reports and data sets. Demonstrates knowledge of laboratory processes from the pr...

2 weeks ago seen See more...

Nurse IV (Utilization Management) New

Department Of Veterans Affairs

Vancouver, WA

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

21 hours ago seen See more...

Behavioral Health Utilization Management, Remote - Kansas License New

Unitedhealth Group

Overland Park, KS

Manage facility-based admissions for mental health and substance abuse through the continuum of care. Effectively collaborate with treating providers and facilities to ensure consumers are receiving treatment in line with best pra...

23 hours ago seen See more...

Health Information Management Specialist

Ensemble Health Partners

Albuquerque, NM

Completes analysis/reanalysis of all records accurately and timely. Completes accounts from EPIC Waiting for Documentation and Missing Document work queues when missing documentation is received. Follow-up with ancillary/nursing d...

3 weeks ago seen See more...

Information Management Specialist

Us Library Of Congress

Washington, DC

$97k-120k (estimate)

Ability to organize information and maintain document repositories**. Ability to collect, describe, and present information and data**. Ability to solve problems and make decisions**. Ability to provide instructional services. Abi...

3 weeks ago seen See more...

Texas Institute Utilization Management Nurse -Dallas

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Five years inpatient clinical nursing experience in an acute care hospital setting required. Minimum of two years Utilization Management acute care setting experience required. Minimum of one year drafting an...

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INFORMATION SECURITY SPECIALIST- SCIF MANAGER-JUNIOR

Chugach Government Solutions

Washington, DC

$72.4K - $91.7K a year

Applies practical knowledge of commonly applied INFORMATION SECURITY principles, concepts, and methodologies to resolve well-defined questions or conditions. Identifies information requiring protection, such as documents, material...

2 weeks ago seen See more...

Utilization Management Clinical Nurse Consultant

Cvs Health

Phoenix, AZ

3+ years clinical practice experience required.. Must have a active and unrestricted RN Licensure in the state of Arizona or Compact RN licensure. Utilization management experience preferred.. Acute care setting experience preferr...

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Utilization Management Nurse Consultant

Cvs Health

Phoenix, AZ

1+ year varied Utilization Management experience within an inpatient/Outpatient setting, concurrent review or prior authorization. 5+ years of variety clinical experience required including acute care, home health, or long term ca...

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Supervisor, Utilization Management

Altais

Oakland, CA

Supervises and coordinates activities of utilization review staff in maintenance of informed policy and procedure manuals, files, records and correspondence. Provide guidance on issues related to referral and authorization process...

2 days ago seen See more...

Utilization Management Coordinator

Yoh, A Day & Zimmermann Company

Alameda, CA

One (1) year of Managed Care experience (HMO or IPA) strongly preferred. Ability to work from home M-F, 8am-5pm PT. Support clinical staff through completion of the administrative and nonclinical coordinator functional components...

2 days ago seen See more...

RN Supervisor Utilization Management

Dignity Health Medical Foundation

Rancho Cordova, CA

Under general supervision this position is responsible for coordinating the daily operations of the UM Pre-Authorization team in order to ensure requests are processed in a consistent and timely manner while observing regulatory g...

2 days ago seen See more...

System Solutions Analyst I (Utilization Management)

Hawaii Medical Service Association

Honolulu, HI

Bachelor's degree and one year of related work experience; or equivalent combination of education and related work experience. Good verbal communication skills to present information before groups, departments, and management. Goo...

2 days ago seen See more...

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