401 utilization jobs at 194 companies in Aberdeen, MD
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Utilization Management Specialist II
Baltimore, Maryland, United States
OnsiteFull Time
University of Maryland Medical System: Operates hospitals and clinics providing comprehensive medical healthcare services.
1+ YOEMaryland RN or equivalent license (or Compact-eligible), 12+ months case/utilization management experience, knowledge of utilization management, strong verbal/written communication and analytical skills, ability to work with hospital/utilization management software.
Nemours Children's Health: Pediatric health system providing clinical care, research, and education.
5+ YOEBSN and active DE RN license required, 5+ years related experience, conducts concurrent utilization reviews, ensures regulatory compliance and coordinates interdisciplinary care using EMR.
Luminis Health: Provides comprehensive hospital and healthcare services in Maryland.
3+ YOECurrent Maryland RN license, BSN (or ADN with equivalent experience; BSN to be completed within 5 years), 3 years acute care nursing, chart review and utilization management experience, EPIC proficiency.
Diversified Treatment Alternative Centers: A provider of behavioral health services focused on quality care, compliance, and growth.
1+ YOEBachelor's degree in a related field, 1+ years utilization review/case management or behavioral health revenue cycle experience, strong understanding of medical necessity and authorization processes, attention to detail, and strong communication skills.
LifeBridge Health: Provides hospital and comprehensive healthcare services in Maryland
Active RN license, utilization review and medical necessity knowledge, experience in utilization/case/care management, EHR proficiency, strong assessment, documentation, and communication skills.
Electronic Health Records (EHR), InterQual, MCG, utilization management software
Utilization Management Director - Inpatient (Hybrid)
Baltimore, Maryland, United States
$135k-$251k/yrHybridFull Time
CareFirst BlueCross BlueShield: Provides health insurance coverage and administrative healthcare services.
8+ YOE3+ MgmtRequires an active RN license, 8+ years clinical/UM experience with 3+ years management, proficiency with Guiding Care or similar, Microsoft Office, and knowledge of utilization management and regulatory requirements.
Guiding Care, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
ChristianaCare: Provides hospital care and outpatient medical services.
3+ YOEDE or compact RN license, Bachelor’s in Nursing required, minimum 3 years acute care RN and 3 years utilization management, denial management and insurer experience, 8 CEUs/year in utilization/case management.
Middlesex Water CompanyNASDAQ: MSEX: Provides water and wastewater utility services to communities.
Assist with maintenance, repair, and inspection of water distribution systems, operate equipment, perform physical labor, possess valid driver’s license and obtain Class A CDL within one year.
Brookfield RenewableNYSE: BEP: Operates and develops utility-scale renewable power generation assets.
5+ YOE5+ years control room or power plant operations experience; ability to read electrical/hydraulic/mechanical prints; clear communication; MS Office proficiency; ability to lead teams and work independently.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Teams
Annapolis Junction or Washington or Alexandria or Leesburg
$40-$50/hrFieldFull Time
Kokosing: Provides heavy civil, industrial, and marine construction services.
5+ YOESupervise utility and roadway construction crews, read plans, act as OSHA competent person, 5+ years related experience in utilities/road grading, maintain safety and production records.
Requires extensive knowledge of underground utility locating/marking, operating locating equipment, excavation of utilities, and interpreting roadway and utility construction plans.
Childs Landscape Contractors: Provides commercial landscape installation and professional grounds maintenance services.
2+ YOEHigh school diploma/GED required (associate preferred). 2+ years administrative or utility experience preferred. Experience with MISS Utility/One Call systems, Microsoft Office, strong communication and organizational skills.
MISS Utility, One Call, Compass, Highwire, Microsoft Office
Mindgrub: Digital agency providing custom software and AI innovation solutions.
5+ YOE5+ Mgmt5+ years in energy/utilities; 5+ years as Account Director or similar; fully remote with travel; leadership, account management, CRM and technical acumen; B2B sales beneficial.
Grand Prairie or Atlanta or Tampa or Mason or Miami or Wilmington
HybridFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOEAS in nursing and current unrestricted RN license, minimum 3 years clinical nursing (or 1 year utilization/medical management), familiarity with utilization management, ICD-10/CPT-4 coding preferred.