- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …as required. + Provides expert advice, guidance, and consultation to WMATA's senior management on space utilization & allocation. + Develops and manages updates ... 8+ years of experience in interior architectural design, administrative office facilities management , and at least 5 years of experience in facilities occupancy… 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
- 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
- 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
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …is published to asset owners under COO. + Analyzes projected product utilization and calculates the cumulative effect on final system reliability of individual ... assets most cost-effectively. + Advises and confers with engineers in design review meetings to give reliability findings and recommendations. **OTHER FUNCTIONS** +… more
- American Bankers Association (Washington, DC)
- …national significance equals a winning combination! Click Here to review ABA's holistic approach to Benefits and Total Rewards. ... the Chief Finance & Administration Officer (CFAO), shaping financial strategy, risk management , and investment decisions while leading a team of eleven responsible… more
- Coty (Hunt Valley, MD)
- …are opportunities for improvement. **RESPONSIBILITIES** This role is part of Operations management team and reports to the Operations Department Manager. As an ... line and tracking of non-productive time and equipment down time + Enforcing utilization of Ignition by all technicians to make data driven production decisions +… more
- Battelle Memorial Institute (Arlington, VA)
- …understanding of capture processes to win new business including: the gate review process; developing a capture strategy; planning capture milestones, managing a ... and delivery of compliant, responsive, innovative and integrated technical solutions and management approaches that are competitive and cost effective. + Passion and… more
- Battelle Memorial Institute (Arlington, VA)
- …within legal and professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential ... by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At...programs for equal treatment of all staff and full utilization of all qualified employees at all levels within… more
- Battelle Memorial Institute (Crystal City, VA)
- …Gate Reviews are milestones of maturity for business development opportunities. Gate Review Calendar coordination and management requires clear organization of ... to be there. Also includes responsibility for SharePoint administration of Gate Review request portal; logging Gate Review participants; advancing approved… more
- Battelle Memorial Institute (Arlington, VA)
- …maintaining detailed medical records, possibly supervising trainees, performing case management , and engaging in military-specific training and activities as ... current notes in the electronic medical records of all patients contacted for review by the managing physician + Routinely staff difficult cases with the referring… 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
- 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)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Liberty Healthcare Corporation (Annapolis, MD)
- …people who are living with developmental disabilities + Service coordination + Case management + Utilization review + Prior authorizations + Claims ... their best lives. To support this initiative, Liberty is now hiring for a full-time Utilization Reviewer position. As a Utilization Reviewer , your daily… more
- Evolent (Annapolis, MD)
- …Reviewer , Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management , reviewing cases... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Annapolis, MD)
- …cost-effective care. **Collaboration Opportunities** : As a Radiation Technologist in the Utilization Management department, you will work closely with other ... per guidelines. + Utilizing clinical guidelines approved by the Utilization Management Committee (UMC), the URN has...medical necessity, the request is sent to a physician reviewer . At no time can a URN recommend an… more
- Humana (Annapolis, MD)
- …. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, ...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Elevance Health (Washington, DC)
- …Prepares reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation ... determines appropriate area to refer or assign case ( utilization management , case management , QI, Med Review ). + Provides information regarding network… more
