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…
Delivers expert nursing care in helicopters and ambulances to patient and family whose needs range from uncomplicated to highly complex. Receives direct supervision from the Operat…
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…
The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we are committed t…
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 …
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…
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…
Become a part of our caring community and help us put health first The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. …
Delivers expert nursing care in helicopters and ambulances to patient and family whose needs range from uncomplicated to highly complex. Receives direct supervision from the Operat…
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 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…
Resp & Qualifications PURPOSE: Under minimal supervision, the Pediatric Commercial Care Manager researches and analyzes a Pediatric member's medical and behavioral health needs …
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…
Resp & Qualifications PURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. Th…