Summary Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination …
Summary SHIFT DETAIL: Every other weekend, 9a-9:30p; 16 hours bi-weekly **Position is on-site and requires ability commute to Grace Medical Center for scheduled shifts.** Pos…
Summary Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination …
Job Description: PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review t…
Company Description Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical c…
Resp & Qualifications PURPOSE: In collaboration with the Medical Director, the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and develop medical polici…
PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and …
Specialty: RN Case Management Job Details: * Provides nursing case management and delegating RN services to a caseload of individual s with autism and related disabilities, in ou…
Overview About Kennedy Krieger Institute Kennedy Krieger Institute leads the way in translating scientific advances into new therapies and educational interventions, while prov…
General Summary of Position Serves as a member of the Case Management Team. Facilitates the delivery of quality, cost effective, patient-centered care from pre-admission through p…
Summary JOB SUMMARY: The Inpatient Care Manager, in collaboration with the clinical team and medical provider, provides discharge planning coordination and intervention. The Care…
General Summary of Position This position is located in Maryland but has the ability to work remotely for the most part. Coordinates, negotiates, procures and manages care of o…
Resp & Qualifications We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will …
Resp & Qualifications PURPOSE: Under minimal supervision, the Oncology Commercial Care Manager researches and analyzes an Oncology member's medical and behavioral health needs a…
Senior leader in charge of MedStar Surgery Center and oversees the direction and coordination of all functions of the surgery center. Accountable and responsible for planning, orga…
Resp & Qualifications PURPOSE: Under minimal supervision, the Pediatric Commercial Care Manager researches and analyzes a Pediatric member's medical and behavioral health needs …
Company Description THE MEDICAL HEART OF MARYLAND Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of Maryland's health…
Resp & Qualifications PURPOSE: The Care Management Supervisor supervises, directs and coordinates the activities of Care Managers. Develops and reviews Care Management standards…
Serves as a member of the Case Management Team. Facilitates the delivery of quality, cost effective, patient-centered care from pre-admission through post-discharge timeframe. Ensu…