Utilization Review Jobs in Towson, MD

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...

Schedule: Fulltime MondayFriday DaysThe Clinical Specialist Pharmacist is an expert pharmacist practitioner who relies on skills of comprehensive knowledge and experience who maintains practice by ongoing literature review and selfevaluation; responsible for providing various clinical More...

Schedule: Fulltime MondayFriday DaysThe Clinical Specialist Pharmacist is an expert pharmacist practitioner who relies on skills of comprehensive knowledge and experience who maintains practice by ongoing literature review and selfevaluation; responsible for providing various clinical More...

General SummaryWork closely with end users source data owners and customers to provide support and maintenance for the performance analytics applications. Accountable for overall system maintenance and functionality for assigned applications and reporting. Develop maintain and ensure More...

The Care Manager coordinates the care and service of selected patient populations across the continuum. He/ she works collaboratively with physicians and other members of the health care team to achieve the highest quality clinical outcomes with the most cost effective use of availabl More...

General Summary In collaboration with Director of Integrated Care Management manages the operations of the Care Management Department to include Care Management Discharge and Transition Planning and Utilization Management in accordance with regulatory requirements and the needs o More...

General Summary In collaboration with Director of Integrated Care Management manages the operations of the Care Management Department to include Care Management Discharge and Transition Planning and Utilization Management in accordance with regulatory requirements and the needs o More...

Job Description:Care Manager RN at Santa Monica CA.Case Management is a collaborative practice including patients caregivers nurses social workers physicians payers support staff other practitioners and the community. The Case Management process facilitates communication and care coor More...

Job SummaryThe National Account Director GPO Trade and Distribution is responsible for developing and maintaining business relationships with Oncology and Immunology Institutional and Community GPOs and Hospital and Community Immunologists Rheumatologists Endocrinologists and Oncologi More...

Under general direction the Practice Manager is responsible for the operational management of one or more practice sites.  The Practice Manager assumes responsibility for ensuring the cost effective delivery of quality patient care.  The incumbent will remain abreast of fina More...

Under general supervision performs scheduling registration preadmission processing wayfinding and other administrative duties while adhering to the department specific standards for data entry and patient selection. The additional duties of this role can include verification of insura More...

Work Schedule *Every Other Weekend 3p11:30pUnder general supervision performs scheduling registration preadmission processing wayfinding and other administrative duties while adhering to the department specific standards for data entry and patient selection. The additional duties More...

Under general supervision performs scheduling registration preadmission processing wayfinding and other administrative duties while adhering to the department specific standards for data entry and patient selection. The additional duties of this role can include verification of insura More...

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Under general supervision performs scheduling registration preadmission processing wayfinding and other administrative duties while adhering to the department specific standards for data entry and patient selection. The additional duties of this role can include verification of insura More...

The National Accounts Manager is an expert at leading navigating and selling to large complex organizations.  The candidate is expected to be able to gain access to high level decision makers identify unmet client needs and to exploit insights and trends to create winning value p More...

Under general supervision performs scheduling registration preadmission processing wayfinding and other administrative duties while adhering to the department specific standards for data entry and patient selection. The additional duties of this role can include verification of insura More...

Team ad Role:On the Customer Service & Support Business Operations & Strategy team our mission is to run and scale our business with relentless focus on the customer 360 alignment and pride in service to protect and drive revenue increase efficiency and embrace new technologie More...

Job Title: Senior Learning & Development Specialist Duration: 12 months contract with possible extension Shift Details: 1st Shift Position Details: Lead the standardization and centralization of bestpractice principles of curriculum design Support Learning Strategy Lead in drafti More...

Job Title : Prior Authorization Representative/Customer Service Rep II Client : Medical Device Manufacturing Company Duration : 2 Years with Possible of Extension Location : Virtual CT 06355 Shift : 1st shift Job Description: The Prior Authorization Representative is responsible for More...