Utilization Review SpecialistVirtualVocations • Baltimore, Maryland, United States
Utilization Review Specialist
VirtualVocations • Baltimore, Maryland, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Utilization Review Specialist.
Key Responsibilities
Review and process Independent Review (IR) requests for potential conflicts of interest
Request and organize additional medical documentation for Physician Advisors
Ensure all work meets Client, State, Federal, and URAC compliance standards
Qualifications
High school diploma or equivalent required
Minimum of 1 year in a healthcare-related setting required
Knowledge of HIPAA rules and regulations required
Prior experience in utilization review, medical management, or insurance preferred
serp_jobs.job_alerts.create_a_job
Utilization Review Specialist • Baltimore, Maryland, United States
Job_description.internal_linking.related_jobs
We offer free parking to all associates! .Various health insurance options & wellness plans.Retirement benefits including employer match plans.
Long-term & short-term disability.Employee assistance ...serp_jobs.internal_linking.show_more
Manager, Technical Program Management (Cloud Operations Resilience Engineering).Are you interested in leading programs that deliver on critical business goals and build large scale products & p...serp_jobs.internal_linking.show_more
Become a part of our caring community and help us put health first.The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication o...serp_jobs.internal_linking.show_more
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...serp_jobs.internal_linking.show_more Manager, Support Operations (Data Platforms).An IT leader, with a detailed understanding of IT Service management principles.
Manages teams providing technology support operations in the areas of da...serp_jobs.internal_linking.show_more 
Anders Group is seeking a travel nurse RN Case Management for a travel nursing job in Moses Lake, Washington.Job Description & Requirements Specialty : Case Management Discipline : RN Start D...serp_jobs.internal_linking.show_more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...serp_jobs.internal_linking.show_more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...serp_jobs.internal_linking.show_more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...serp_jobs.internal_linking.show_more Director, Technical Program Management - Card Tech.Are you interested in leading programs that deliver on critical business goals and build large scale products & platforms?.At Capital One, we&...serp_jobs.internal_linking.show_more 
System Director Of Utilization.MedStar Health is looking for a System Director of Utilization.With 10 nationally respected hospitals and over 500 specialty, urgent care, and primary care locations,...serp_jobs.internal_linking.show_more
Utilization Management Supervisor.Summary (Basic Purpose Of The Job).Performs a variety of utilization management activities to promote quality, clinical and cost effective outcomes.Supervises acti...serp_jobs.internal_linking.show_more
Manager Of Utilization Management II.This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement.This ...serp_jobs.internal_linking.show_more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...serp_jobs.internal_linking.show_more 
General Summary Of Position\n\nResponsible for evaluating the necessity, appropriateness and efficiency of the use of medical services, procedures and facilities.
Responsible for clinical review of ...serp_jobs.internal_linking.show_more
Coast Medical Service is seeking a travel nurse RN Case Management for a travel nursing job in Moses Lake, Washington.Job Description & Requirements Specialty : Case Management Discipline : R...serp_jobs.internal_linking.show_more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...serp_jobs.internal_linking.show_more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...serp_jobs.internal_linking.show_more 
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities...serp_jobs.internal_linking.show_more
Weekly Travel Rates up to $2,412.Department : Associate Travel Program.Schedule : Days, 40 hours per week.Hospital : Multiple Ascension acute care hospitals.
Location : Local and national travel options...serp_jobs.internal_linking.show_more
RN Clinical Lead - Labor & Delivery
Ascension • Columbia, MD, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Sr. Manager, Technical Program Management (Cloud Operations Resilience Engineering)
Capital One • Annapolis, MD, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
SNF Utilization Management RN - Compact Rqd
Humana • MD, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Delivery Driver - Sign Up in Minutes
DoorDash • Sparks Glencoe, MD, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Manager, Support Operations (Data Platforms)
Capital One • Annapolis, MD, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Utilization Review RN - $3,261 per week
Anders Group • Washington, DC, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_hour • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Restaurant Delivery - Sign Up in Minutes
DoorDash • Abingdon, MD, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Restaurant Delivery - Flexible Onboarding
DoorDash • Phoenix, MD, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Delivery Driver - Sign Up and Start Earning
DoorDash • Parkton, MD, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Director, Technical Program Management - Card Tech
Capital One • Annapolis, MD, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN System Director Utilization Management
Medstar Good Samaritan Hospital • Columbia, MD, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Mgmt Supervisor - FT - RMC
Capital Health • Washington, DC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Manager of Utilization Management II
Elevance Health • Washington, DC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Dashers - Sign Up and Start Earning
DoorDash • Phoenix, MD, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Management RN
MedStar Health • Washington, DC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_less • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Travel Utilization Review RN - $3,286 per week
Coast Medical Service • Washington, DC, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_hour • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Restaurant Delivery - Sign Up and Start Earning
DoorDash • Forest Hill, MD, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Restaurant Delivery - Flexible Schedule
DoorDash • Phoenix, MD, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Review Nurse RN
LifeBridge Health • Randallstown, MD, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Utilization Management RN Traveler
Ascension • Baltimore, MD, United States
serp_jobs.job_card.full_time +2
serp_jobs.last_updated.last_updated_1_hour • serp_jobs.job_card.promoted • serp_jobs.job_card.new