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219 utilization management nurse jobs in Baltimore

Registered Nurse (RN) - Remote Utilization Management (UM) Nurse Consultant

Aetna 100+ Reviews Baltimore, MD

As a Registered Nurse (RN) - Remote Utilization Management (UM) Nurse Consultant,… Beyond.com

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Utilization Management Nurse Coordinator Referral Reviewer

Wexford Health Sources 31 Reviews Columbia, MD

Wexford Health has an exceptional opportunity for a *Utilization Management Nurse Coordinator… Beyond.com

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Statewide Utilization Management Registered Nurse

Wexford Health Sources 31 Reviews Columbia, MD

Wexford Health has an exceptional opportunity for a *Statewide UM Registered Nurse (In-Patient & Out-Patient)* to join our team of healthcare… Beyond.com

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Utilization Review Nurse - Managed Care Experience

Myriddian, LLC Baltimore, MD

Coordinate with the appropriate manager(s) on a daily basis to assess the inpatient census for appropriate alternative health care service needs… Myriddian, LLC

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Nurse Clinical Manager Home Health – new

BAYADA Home Health Care 100+ Reviews Towson, MD

BAYADA Home Health Care is seeking a full-time Registered Nurse, RN to fill the position of Clinical Manager based in our Medicare certified office… BAYADA Home Health Care

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RN Utilization Coordinator – new

MedStar Harbor Hospital Baltimore, MD

Experience: Five years clinical experience in acute care setting. Two years experience in utilization management preferred… MedStar Harbor Hospital

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Full-Time Nurse Practitioner

confidential Chevy Chase, MD

• Examines and evaluates new and return patients and documents findings in electronic medical record. This is to include, as needed: medical history… HealtheCareers

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Acute Care Nurse Case Manager, PT

UMMC 66 Reviews Baltimore, MD

The Case Manager at the University of Maryland Medical Center provides utilization management, care coordination and discharge planning for the… UMMC

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CASE MANAGER PRN

Bon Secours Health System 48 Reviews Baltimore, MD

The primary responsibility of the Emergency Department Case Manager is to determine medical necessity utilizing Milliman criteria; and, provide… Bon Secours Health System

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Utilization Review Nurse

Korak Global HealthCare Services, LLC Baltimore, MD

Utilization Review Nurse - Inpatient Responsible for utilization review and interdisciplinary coordination with a variety of providers, the most… CareerBuilder

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Utilization Review Nurse

Quality Health Strategies Columbia, MD

and reduce medical fraud, waste, and abuse. Utilization Management Review Nurse</div… CareerBuilder

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Physician Assistant Nurse Practitioner

Parkway Medical Association LLC 1 Review Glen Burnie, MD

include admissions, daily rounds and care coordination, and discharge planning for patients. The rehabiliation facilities includes care coordination… Parkway Medical Association LLC

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Director Nursing Surgical Services

Leading Healthcare Company Baltimore, MD

and improve current job performance by participating in educational meetings. Independent study and maintaining appropriate certifications… Ivy Exec

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RN Manager Utilization Management

TRN Hanover, MD

Responsible for providing clinical supervision to a team responsible for coordinating member service, utilization, access, and concurrent review to… TRN

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RN - Clinical Nurse Manager - Inpatient Psych

University of Maryland Medical System 12 Reviews Baltimore, MD

Main Function: The Clinical Manager has 24-hour responsibility and accountability for the effective implementation of the philosophy, goals… CareerBuilder

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