- CareFirst (Baltimore, MD)
- …medical-surgical or similar clinical experience OR 5 years' experience in Medical Review, Utilization Management or Case Management at CareFirst BlueCross ... of regulatory and accreditation requirements, understanding of appeals process and utilization management , and systems software used in processing appeals.… more
- Humana (Annapolis, MD)
- …with managers across other departments. + Collaborates with leadership of the Utilization Management , Community Health Workers, HRSN (Social Workers), and ... nursing, social sciences, or health related field. + Previous experience in utilization management , discharge planning and/or home health or rehabilitation. +… more
- Johns Hopkins University (Baltimore, MD)
- …resources in coordination with respective vendors. + Automate user account creation, management , and purging. + Contribute to planning sessions on network and ... group. + Implement network configuration and security measures to assure effective utilization of resources. + Understand HPC technical needs. Work closely with the… more