Utilization Management Nurse Jobs in Baltimore, MD | Glassdoor
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Utilization Management Nurse Jobs in Baltimore, MD

239 Jobs

  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    13 days ago 13d
    years of nursing experience required 5 years in a managed care environment (case management or utilizationmanagement) required… Director of UtilizationManagement reports to the Executive Director Medical Management and is responsible for the Utilization Management…
  • 3.9
    Piper Enterprise Solutions – Baltimore, MD
    6 days ago 6d
    , outpatient, discharge planning, case management, Utilization review, registered nurse, milliman, interqual, ICD-9, ICE-10, CPT… for the Director of UtilizationManagement: Primary contact and liaison for the UtilizationManagement Department Manage…
  • 3.5
    Johns Hopkins Hospital – Baltimore, MD
    $89k-$113k(Glassdoor est.)
    7 days ago 7d
    patients under the direct supervision of a Nurse Practitioner or physician. The Nurse Practitioner educates patients and/or intervenes… certifications as a Nurse Practitioner while awaiting completing of JHH affiliate credentialing as a Nurse Practitioner or per…
  • 3.7
    University of Maryland Medical Center – Baltimore, MD
    13 days ago 13d
    the MD Board of Nursing, is preferred. One year of experience in case management or utilizationmanagement with knowledge of… › Explore Jobs › UtilizationManagement Specialist (PRN) Baltimore, MD UtilizationManagement Specialist (PRN)…
  • 3.9
    Piper Enterprise Solutions – Baltimore, MD
    6 days ago 6d
    care nursing experience Knowledge of the health field and pre-authorization review Knowledge of utilizationmanagement tools… for the Inpatient UtilizationManagement Supervisor: 2+ years of health insurance utilizationmanagement experience 1+…
  • 3.1
    LifeBridge Health – Randallstown, MD
    $112k-$142k(Glassdoor est.)
    24 days ago 24d
    opportunities to utilize tele-health services, collaborate with skilled nursing facilities and ambulatory practices, and pilot… Master's degree in an advanced practice Nurse Practitioner, Diabetes Education and Management experience preferred, at least 2 years…
  • 3.5
    Johns Hopkins Hospital – Baltimore, MD
    $85k-$114k(Glassdoor est.)
    HOT
    leadership and management responsibilities for the case management and utilization components of the case management team and development… Health Current registered nurse licensure in the state of Maryland Certification in case management (CCM) preferred The Johns…
  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    $40k-$62k(Glassdoor est.)
    NEW
    innovators in the healthcare field. The Clinical Quality ManagementNurse reports to the Manager, Quality Improvement and assists… and maintenance of a global Quality Improvement and UtilizationManagement Program for Johns Hopkins Health Care (JHHC). Assists…
  • 3.4
    University of Maryland Medical System – Baltimore, MD
    $79k-$113k(Glassdoor est.)
    NEW
    Units: The director of medical/surgical nursing will oversee the management of more than 10 specialized units in distinct… Three years of management experience leading a hospital department or unit is required. Bachelors of Science in Nursing (BSN) and…
  • 3.5
    MedStar Health – Baltimore, MD
    $58k-$73k(Glassdoor est.)
    6 days ago 6d
    Utilization-Case Mgt PRN/As Needed (no benefits) Weekends as needed Collaborates with the physician, nurse case manager… experience in acute care setting. Two years experience in utilizationmanagement preferred…
  • 3.5
    Johns Hopkins Hospital – Baltimore, MD
    $79k-$101k(Glassdoor est.)
    NEW
    registration. Three years of nursing experience required, significant experience with acute adult nursing preferred. Knowledge and… Johns Hopkins Hospital Baltimore, MD Pay Grade: RO The Nurse Practitioner for the Oncological Solid Tumor/Medical Oncology…
  • 3.5
    Johns Hopkins Home Care Group – Baltimore, MD
    10 days ago 10d
    employees, and utilization review / management functions as requested and appropriate. JOB REQUIREMENTS AA in Nursing required… driver's license At least three years of direct pediatric nursing experience in an acute care setting preferably in the ICU,…
  • 3.2
    Johns Hopkins Bayview Medical Center – Baltimore, MD
    $40k-$55k(Glassdoor est.)
    20 days ago 20d
    required Bachelor's Degree Nursing required Recent ED experience preferred Case management experience strongly preferred… clinical and cost outcomes are met and to insure reimbursement. Utilizes clinical guidelines and criteria to determine medical necessity…
  • 3.1
    Fresenius Medical Care – Baltimore, MD
    $67k-$84k(Glassdoor est.)
    11 days ago 11d
    any or all area facilities as required by management ICD - 9 coding Training Nurses Technical Training Must meet appropriate… part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis…
  • 3.5
    Johns Hopkins Health System – Baltimore, MD
    $83k-$111k(Glassdoor est.)
    21 days ago 21d
    leadership and management responsibilities for the case management and utilization components of the case management team and development… Health Current registered nurse licensure in the state of Maryland Certification in case management (CCM) preferred The Johns…
  • 2.7
    Genesis Healthcare – Baltimore, MD
    $52k-$68k(Glassdoor est.)
    HOT
    re-hospitalizations; Actively participates in UtilizationManagement or Interdisciplinary Care Management Meeting to facilitate appropriate… the RN Nursing Supervisor, Resident Care Director, the Registered Nurse (RN) delivers efficient and effective nursing care while…
  • 3.3
    UnitedHealth Group – Baltimore, MD
    $102k-$129k(Glassdoor est.)
    NEW
    medical management for patients in long term care facilities on weekends and holidays. You will collaborate with nursing home staff… Job Keywords: Part time, per diem, Nurse Practitioner, Geriatrics, Nursing Home, Hospice, Telecommute, Miami, FL, Tampa…
  • 3.1
    Fresenius Medical Care – Baltimore, MD
    $67k-$84k(Glassdoor est.)
    10 days ago 10d
    any or all area facilities as required by management ICD - 9 coding Training Nurses Technical Training Must meet appropriate… part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis…
  • 3.9
    Piper Enterprise Solutions – Glen Burnie, MD
    4 days ago 4d
    Outpatient Utilization Review Nurse in Baltimore, MD to support a local health system with utilizationmanagement and coordination… Responsibilities for the Outpatient Utilization Review Nurse: Responsible for the utilizationmanagement and review of outpatient…
  • 2.7
    Catholic Charities of Baltimore – Baltimore, MD
    $30k-$41k(Glassdoor est.)
    NEW
    Community Advisor. JOB DUTIES / RESPONSIBILITIES: Utilizesnursing process prioritizing care in decision-making when identifying… SUMMARY: The Neighborhood Nurse is responsible and accountable for the effective overall management of clinical services and for…
  • 3.1
    Fresenius Medical Care – Baltimore, MD
    $67k-$84k(Glassdoor est.)
    12 days ago 12d
    any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate… philanthropy and community outreach programs. Staff Registered Nurse This is an exceptional opportunity to succeed with a premier…
  • 3.5
    Johns Hopkins Health System – Baltimore, MD
    $60k-$85k(Glassdoor est.)
    19 days ago 19d
    changing environment. Applies advanced knowledge of nursing and management to manage systems of patient care, personnel development… leadership and/or management responsibilities. Advanced knowledge of nursing theory, practice, and research commensurate with an…
  • 3.5
    Johns Hopkins Hospital – Baltimore, MD
    $69k-$97k(Glassdoor est.)
    22 days ago 22d
    changing environment. Applies advanced knowledge of nursing and management to manage systems of patient care, personnel development… degree in nursing from an accredited school of nursing. Applicants without the required degree may be considered, per Nursing guidelines…
  • MedStar Union Memorial Hospital - 40102 – Baltimore, MD
    11 days ago 11d
    in Nursing preferred. EXPERIENCE: 5 years clinical experience in acute care setting; 2 years experience in utilization management… Collaborates with the physician, nurse case manager, social worker, and other members of the health care team to meet individualized…
  • 3.1
    Fresenius Medical Care – Baltimore, MD
    $67k-$84k(Glassdoor est.)
    12 days ago 12d
    any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate… philanthropy and community outreach programs. Staff Registered Nurse This is an exceptional opportunity to succeed with a premier…
  • 3.9
    Johns Hopkins University – Glen Burnie, MD
    $38k-$60k(Glassdoor est.)
    NEW
    innovators in the healthcare field. The Clinical Quality ManagementNurse reports to the Manager, Quality Improvement and assists… and maintenance of a global Quality Improvement and UtilizationManagement Program for Johns Hopkins Health Care (JHHC). Assists…
  • 3.5
    Johns Hopkins Home Care Group – Baltimore, MD
    27 days ago 27d
    employees, and utilization review / management functions as requested and appropriate. JOB REQUIREMENTS AA in Nursing required… driver's license At least three years of direct pediatric nursing experience in an acute care setting preferably in the ISU,…
  • 3.5
    Johns Hopkins Hospital – Baltimore, MD
    $69k-$97k(Glassdoor est.)
    19 days ago 19d
    changing environment. Applies advanced knowledge of nursing and management to manage systems of patient care, personnel development… leadership and/or management responsibilities. Advanced knowledge of nursing theory, practice, and research commensurate with an…
  • 3.7
    Carefirst Blue Cross Blue Shield – Baltimore, MD
    $42k-$57k(Glassdoor est.)
    5 days ago 5d
    Completes projects as requested by management team related to nurse training and support of Case Management Department. Perform administrative… interviewing training programs for Case Management associates in a constantly changing environment, utilizing industry standard training tools…
  • 3.7
    Anne Arundel Medical Center – Annapolis, MD
    $45k-$52k(Glassdoor est.)
    NEW
    registered nurse by the Maryland Board of Nursing. Adherence to the credentialing requirements of AAMC as stated in the nursing bylaws… clinical nursing knowledge and skill in the specialization of the unit. Demonstrates the ability to apply the nursing process…
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