1mo
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Utilization Management Specialist II
Baltimore, Maryland, United States
OnsiteFull Time
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.
2w
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Utilization Management Nurse
Annapolis or Lanham
$34-$55/hr HybridFull Time
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.
EPIC
6d
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Utilization Management Supervisor (Hybrid)
Baltimore, Maryland, United States
$83k-$171k/yr HybridFull Time
3+ YOERN licensure, 3+ years medical/surgical experience, knowledge of utilization review and accreditation standards, supervisory experience, strong analytical and communication skills, Microsoft Office proficiency.
Microsoft Office
1d
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Utilization Management Representative - Remote
Pearland or Minneapolis or Washington
$16-$29/hr RemoteFull Time
2+ YOEHigh school diploma/GED, 2+ years managed care experience, knowledge of medical terminology and referral processes, strong communication and data-entry skills, valid Texas driver’s license.
Epic
1mo
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Director Utilization Management MedStar Family Choice
Washington, District of Columbia, United States
$121k-$238k/yr OnsiteFull Time
8+ YOE5+ MgmtProvides enterprise UM leadership; requires bachelor's in nursing/social work/related, RN licensure in MD/DC, 8+ years managed care experience, 5+ years UM leadership, InterQual experience, strong data and communication skills.
InterQual, ASAM
1mo
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Director Utilization Management MedStar Family Choice
Washington, District of Columbia, United States
$121k-$238k/yr OnsiteFull Time
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.
InterQual
3w
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Utilization Management Registered Nurse
Washington, District of Columbia, United States
OnsiteFull Time
2+ YOEActive RN licensed in DC/MD/VA, 2+ years clinical/utilization review or case management experience, strong clinical judgment, Medicaid knowledge, excellent communication, and ability to manage competing priorities.
2mo
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Senior Director, Complex Care Management and Utilization Management
Baltimore, Maryland, United States
RemoteFull Time
7+ YOESenior leadership in complex care or utilization management; travel across multiple markets; RN preferred; CCM/URAC credentials beneficial.
1mo
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Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation
Boston or Chicago or New York City or Washington or Nashville or United States
$250k-$350k/yr RemoteFull Time
10+ YOEBachelor's required (advanced preferred), 10+ years in CDI/care management/utilization management or healthcare consulting, deep knowledge of DRGs/denial prevention, EHR workflows, AI-enabled solutions, and strong executive communication.
Epic, NLP, EHR
2w
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Supervisor Work Management - WV & MD Work Management - Martinsburg Service Center
Martinsburg or Frederick or Mount Airy or Thurmont
OnsiteFull Time
5+ YOESupervisor with 5+ years related work experience in utility construction/maintenance, project management, leadership, Microsoft Office proficiency, WMI/GIS/SAP knowledge preferred, NESC/NEC awareness.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, WMI, GIS, CREWS, SAP
2mo
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Management Consultant-Energy Providers North
Chicago or New York or United States or Detroit or Arlington or Boston
$68k-$113k/yr HybridFull Time
1+ YOEUS citizen or permanent resident; bachelor’s in business/economics/STEM with 1+ years utilities experience or master’s; multiple seniority levels; strong communication; willingness to travel; onsite or client location.
Microsoft Word, PowerPoint, Excel
1w
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Manager, Project Management Office
Broomfield or Fort Mill or Pomona or Lebanon or Phoenix or Sterling or Sparks or North Plains or Grapevine or Newburg
$108k-$149k/yr HybridFull Time
5+ YOE5+ years experience preferred with data centers/renewables/utilities; proficient in Microsoft Office, Outlook, SharePoint and project management tools; ability to read electrical schematics; OSHA10 and First Aid/AED/CPR or willingness to obtain; passport or ability to obtain.
Microsoft Office, Outlook, Microsoft SharePoint, Project Management tools and Software
2w
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Senior Technical Infra Program Manager, DC Power Utilization Management
Seattle or Arlington or Herndon
$149k-$201k/yr OnsiteFull Time
5+ YOE5+ years program or technical project management experience, bachelor's degree or equivalent, experience owning program strategy and delivery, strong communication, technical aptitude, and proficiency with Microsoft Office, Microsoft Project, and Microsoft SharePoint.
Microsoft Office, Microsoft Project, Microsoft SharePoint, Tableau, KanBan, Playbook, SQL
2mo
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Regional Director, Construction Management (Solar EPC) – MD, PA, DE
Baltimore, Maryland, United States
$150k-$200k/yr HybridFull Time
12+ YOE12+ years of construction/project management experience in utility-scale solar EPC; leadership of construction teams; strong scheduling, safety, and subcontractor management.
Procore, Microsoft Office, MS Project
1w
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Senior Asset Management Consultant
Virginia Beach or Hanover
$100k-$170k/yr HybridFull Time
7+ YOE7+ years consulting or municipal utility experience, B.S. in engineering/MIS/engineering management, IAM/PE/PMP preferred, experience with GIS, BI tools, CMMS, Microsoft Project.
GIS, Power BI, Tableau, CMMS, Microsoft Project
1mo
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Manager for Case Management- Bayview Location
Baltimore, Maryland, United States
$95/hr OnsiteTemporary
5+ YOE1+ MgmtMaryland RN required, CPR certification required, ACM or CCM within 2 years, 5+ years case management experience, 1+ year leadership, bachelor’s in nursing or related (master’s preferred), knowledge of Medicare, utilization management, and quality improvement.
1mo
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Referral Management (Non-Nurse) Reviewer
Bethesda, Maryland, United States
$24/hr OnsiteFull Time
2+ YOEAssociate's degree, 2+ years in utilization/referral/authorization/claims processing, U.S. citizenship with ability to obtain Public Trust clearance, knowledge of InterQual/Milliman/SRGs, familiarity with MHS/TRICARE/HIPAA, and Microsoft Office proficiency.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Microsoft Outlook, MHS-GENESIS, Genesis Work Lists, External Provider Referral Online (EPRO)
2w
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Foreman, Pumping Operations - (26-DDCS-815006-109)
Washington, District of Columbia, United States
$48-$58/hr OnsiteFull Time
5+ YOEFive years experience operating and maintaining distribution, storage, pumping and sewer systems; high school diploma/GED; supervisory experience; ability to act as Confined Space Entry Site Supervisor; must obtain ABC, Collection Systems Operator II, and Distribution Systems Operator II within 18 months.
Maximo, MS Project, Primavera
1w
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Operations Supervisor
Conestoga, Pennsylvania, United States
$120k-$135k/yr OnsiteFull Time
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
1mo
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Director-Care Management Operations
York, Pennsylvania, United States
OnsiteFull Time
2+ YOEMaster's degree required, 2 years relevant experience, BLS required, RN or social worker license preferred; utilization management/case management/clinical specialty experience and specialty certification preferred.