- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...business. **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement,… more
- CareFirst (Baltimore, MD)
- …the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week ... care. + Analyze the performance of provider partners based on utilization , trends, and quality metrics to develop rate/reimbursement solutions. Develops contracts… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, MD)
- …let huddles and weekly team meetings where patient care planning and management occur, except during staff shortages for coverage. Notifies his/her supervisor ... prepares a wide variety of administrative reports and documents for supervisor and Site Manager generates organization/survey reports for validation and monitors… more
- Johns Hopkins University (Baltimore, MD)
- …care options. All MHS clinicians work collaboratively with psychiatry, case management , occupational therapy, primary care, and health promotion staff to provide ... team, including therapists, psychiatric providers, primary care clinicians, case management , health coaches, and disability services staff. + In collaboration… more
- Johns Hopkins University (Baltimore, MD)
- …skills, and experience supporting clinical service delivery models, data management , and reporting. The service model includes Initial Consultations, goal-oriented ... manages direct reports, including goal setting, performance evaluations, performance management , and related HR processes; works collaboratively with Clinical… more