- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Manager Care Mgt & Util Review **Employment Type:** Full Time **Shift:** Day ... 8am - 4:30pm + Reporting to the Director of Care Management + The RN Manager is...the activities of RN Case Managers for in inpatient care coordination and utilization review. Oversees interactions… more
- Evolent Health (Annapolis, MD)
- …and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Client ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of ... health care services and compliance with UR policies/procedures, as well...department functions + Communicates in a timely manner to Manager appropriate information including, but not limited to, customer/case… more
- Highmark Health (Annapolis, MD)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health care… more
- WellSpan Health (York, PA)
- …and/or under utilization . + Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support ... Registered Nurse - Case Manager - Days Location: WellSpan Health, York, PA...continuous quality and cost of care efforts. + Liaisons between utilization management… more
- Intermountain Health (Annapolis, MD)
- … utilization management, emergency department, acute, ambulatory and specialty care . **Job Essentials:** + Demonstrates critical thinking skills when utilizing ... partnerships with patients to assist them in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Under minimal supervision, the Obstetric Nurse Care Manager researches and analyzes an Obstetric member's medical and ... behavioral health needs and healthcare cost drivers. The Obstetric Nurse Care Manager works closely with the Obstetric member/members family and the… more
- WellSpan Health (Gettysburg, PA)
- …acute care experience. Required + Field of experience in Utilization management, case management or clinical nursing specialty. Preferred Licenses: + Licensed ... Case Manager - RN - Weekend Option Location: WellSpan...General Summary Performs a variety of duties and applies utilization and case management techniques to determine the most… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and ... healthcare cost drivers. The Care Manager works closely with members and...**Experience** : 5 years clinically related experience working in Care Management, Discharge Coordination, Home Health, Utilization … more
- Erickson Living (Parkville, MD)
- …implementation, and evaluation of the delivery of safe and effective person-centered care in their assigned neighborhood. The Clinical Manager will also ... Living Oak Crest is a beautiful 87 acre continuing care retirement community located in Parkville, MD. Oak Crest... with campuses in 11 states-and growing. The Clinical Manager is an active member of the clinical leadership… more
- CenterWell (Annapolis, MD)
- …Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, ... the assignment of caregivers. + Responsible for and oversees the delivery of care to all patients served by the location. Receives case referrals. Reviews available… more
- Ascension Health (Baltimore, MD)
- …and 1 year of cumulative leadership experience required. **Additional Preferences** + **Post acute Care Manager ** + **The RN Manager , Post Acute Services at ... ensure continuity and quality of care for patients transitioning from acute care to various post-acute settings.** + **The manager leverages their clinical… more
- SMX (Annapolis, MD)
- …within the company and will help to optimize engagement, understanding, and utilization of benefit programs. Additionally, the Benefits Manager ensures plans ... Benefits Manager (3461)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States...inquiries. + Surveys industry trends, reviews experience data and utilization reports. Examines possible benefit changes and proposes recommendations… more
- Abbott (Baltimore, MD)
- …Our 114,000 colleagues serve people in more than 160 countries. **Clinical Sales Manager , CPT - Baltimore, MD/Washington, DC** **Working at Abbott** At Abbott, you ... can do work that matters, grow, and learn, care for yourself and family, be your true self...throughout the pain continuum. **The Opportunity** The **Clinical Sales Manager , CPT** will partner and collaborate with key stakeholders… more
- The Cigna Group (Baltimore, MD)
- The System Contract Senior Manager will have oversight of a region of facility network and will be responsible for its contract performance. This Senior Manager ... negotiators to manage all rate renewals and contract maintenance activities. This Senior Manager will collaborate with the other Regional Senior Manager to… more
- Fresenius Medical Center (Baltimore, MD)
- **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining clinical ... of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area… more
- Baylor Scott & White Health (Annapolis, MD)
- …lives. Come play a vital role in our organization's strategy!** **JOB SUMMARY** The Manager of Advanced Analytics II runs and manages a team that provides advanced ... valuable insights from our data to help improve the utilization of our services and the quality of the...with stakeholders to build, manage, and enhance relationships. The Manager of Advanced Analytics II has responsibility for developing,… more
- Johns Hopkins University (Baltimore, MD)
- …and restrictions. This position supervises the Department Sr. Production Unit Manager , Research Lab Coordinator and additional lab employees and reports to ... monitor, and reconcile expenses. Routinely report on Department financial performance at Manager and Faculty meetings. + Administer annual joint agreements with the… more
- J&J Family of Companies (Annapolis, MD)
- Senior Manager , Field Strategy & Operations, Oncology Solid Tumor/GU (Remote) - Johnson & Johnson Innovative Medicine - 2406205109W **Description** Johnson & Johnson ... is recruiting for a Senior Manager , Field Strategy and Operations, GU Solid Tumor Oncology....* People Management experience desired * Knowledge of health care reimbursement from a patient and provider perspective is… more
- BriteLife Recovery (Hanover, PA)
- CASE MANAGER Do you work for a company that no...post treatment placement to the most appropriate level of care as recommended for each client. The goal of the ... to work. What you will be doing? The Case Manager is responsible for providing confidential addiction guidance, education...They may help clients accomplish this goal by coordinating care with external providers and community resources such as:… more