707 utilization jobs at 303 companies in Hyattsville, MD
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Utilization Review Nurse
Baltimore County, Maryland, United States
$87k-$138k/yrHybridFull Time
State of Maryland: Provides public governance and services for Maryland residents.
Current Maryland RN license, CPR certification may be required, ability to conduct independent medical necessity reviews, familiarity with utilization review processes and appeals, experience with Google Sheets preferred.
University of Maryland Medical System: Operates hospitals and clinics providing comprehensive medical healthcare services.
3+ YOEActive Maryland RN license, graduation from accredited nursing program, BSN preferred, 3 years clinical experience, knowledge of utilization review and case management, ongoing professional development.
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.
Boston or Chicago or New York City or Washington or Nashville
$85-$95/hrRemoteContract, Temporary
Chartis: Strategic consulting and data analytics for the healthcare sector.
Design, configure, implement, and support Epic Tapestry Utilization Management workflows; ensure regulatory compliance; perform testing and documentation; partner with clinical and operational teams.
Epic, Epic Tapestry, Tapestry Care Link, SmartTools, SmartText
Summit BHC: Operates behavioral health and addiction treatment centers nationwide.
1+ YOEHigh school diploma required; bachelor's degree in social work, behavioral or mental health, or related health field preferred. One year of psychiatric or mental health clinical experience preferred.
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
Hanover or Maryland or Virginia or Pennsylvania or Delaware or Florida or United States
$40-$61/hrRemoteFull Time
Johns Hopkins Health System: Provides clinical care, medical research, and health education services.
3+ YOEUnencumbered Maryland or Compact State RN license, 3+ years acute care RN experience, 1+ year managed care or utilization review experience, and knowledge of InterQual criteria.
Smyrna or Fort Riley or Topeka or Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin or Hot Springs or Waco
$75k-$123k/yrOnsiteFull Time
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
1+ YOERequires one year of specialized procurement experience at the next lower federal grade, U.S. citizenship, and experience with acquisition strategy, contract compliance, procurement documentation, federal regulations, stakeholder coordination, and presentations.
Director Utilization Management MedStar Family Choice
Washington, District of Columbia, United States
$121k-$238k/yrOnsiteFull Time
MedStar Health: Operates hospitals and provides diverse clinical healthcare services.
8+ YOE5+ MgmtRequires RN licensure in MD/DC, 8+ years managed care experience, 5+ years UM leadership, experience with InterQual, strong data/financial skills, and executive communication.
Utilization Review Manager (Behavioral Health Supervisor)
Fairfax, Virginia, United States
$85k-$148k/yrOnsiteFull Time
Fairfax County: Providing public administration and services for Fairfax County residents.
3+ YOE3+ MgmtMaster's degree in social work, psychology, counseling, or nursing plus 3 years clinical experience, or doctorate plus 1 year. Virginia licensure eligibility, driver's license, and supervisory expertise required.
Town of Herndon: Local government providing municipal services to Herndon, Virginia.
3+ YOE2+ MgmtHigh school diploma/GED and 3 years of water utilities or related experience. Requires Class B CDL, tanker endorsement, Virginia Class V Waterworks Operator License, and safety certifications.
Ascension: Nonprofit Catholic health system providing hospital and medical care.
Maryland RN credential required; diploma from accredited nursing school or equivalent licensure; experience in utilization/case management preferred; knowledge of clinical documentation and payer regulations.
American WaterNYSE: AWK: Provides regulated water and wastewater services to US customers.
Performs construction, operation and maintenance of water distribution systems; must work safely, handle chemicals, operate trucks and equipment, and perform physical outdoor tasks.
Scope Services: Provides infrastructure and workforce solutions for the utility industry.
1+ YOEHigh school diploma, valid driver's license, ability to pass background and drug screen, 1+ year field or hand-tools experience preferred, ability to work outdoors and drive company vehicle.
Anne Arundel County: Providing essential public services and infrastructure to county residents.
2+ YOEHigh school diploma or GED, 2+ years in plant operations, laboratory, or mechanical, electrical, or instrumentation maintenance; temporary Class 5A license and valid Class C driver's license required.
Stake Center Locating: Identifies and marks underground utility lines for excavation safety.
Entry-level role; 18+; high school diploma or equivalent; valid driver license and acceptable driving record; pass background and drug screen; able to walk up to 5 miles and lift up to 25 lbs (assisted lifting up to 75+ lbs).
U.S. Department of the Army: Defends the United States through land-based military operations.
Operate a 24-hour wastewater plant, conduct laboratory testing, adjust treatment processes and equipment, collect samples, perform maintenance, and hold current Maryland Waste Water Class 5A certification.