• Telephonic Utilization

    Humana (Annapolis, MD)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (06/29/24)
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  • Registered Nurse Case Manager

    The Arora Group (Annapolis, MD)
    …algorithms, CM software, databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case management with ... Registered Nurse Case Manager Nurse Currently recruiting...INCLUDE: + Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets… more
    The Arora Group (05/09/24)
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  • Staff Professional - Risk Management

    Marriott (Annapolis, MD)
    …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely, ... associates is a foremost concern in this position. **SCOPE** + Provides telephonic case management of associates with occupational illness/injuries to coordinate… more
    Marriott (06/28/24)
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  • Director, UM

    Evolent Health (Annapolis, MD)
    …direct oversight of centralized telephonic review process of all necessary utilization management components. + Partner with leadership to mentor staff. ... culture. **What You'll Be Doing:** **Value Proposition Statement:** As a Director, Utilization Management , you'll work with your managers, front line clinical… more
    Evolent Health (07/02/24)
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