2d
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Utilization Reviewer
Largo, Maryland, United States
OnsiteFull Time
Active Maryland RN licensure (or compact eligibility) required; utilization/case management and acute care experience preferred; CPUR preferred; strong communication and analytical skills.
2w
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Supervisor, Utilization Management
Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming or Phoenix
$101k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet, Internet, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System, American Dental codes
1w
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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
3w
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Utilization Review Nurse RN - PRN
Westminster, Maryland, United States
$50-$53/hr OnsitePart Time
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
2w
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Utilization Management Director - Inpatient (Hybrid)
Baltimore, Maryland, United States
$135k-$251k/yr HybridFull Time
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
1mo
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Utilization Management Nurse Consultant
Michigan or Mississippi or Pennsylvania or North Carolina or Maryland or Minnesota or Nebraska or Missouri or Colorado or New York or New Jersey or Arizona or Connecticut or Texas or District of Columbia or Florida or Rhode Island or Iowa or Alaska or Arkansas or South Dakota or Idaho or Illinois or Kansas or Tennessee or Virginia or Delaware or Wisconsin or Georgia or West Virginia or Oregon or Oklahoma
$29-$62/hr RemoteFull Time
3+ YOEActive unrestricted RN license in state of residence, 3+ years Med-Surg RN hospital experience, Associates in Nursing required (BSN preferred), 1+ year Microsoft Office (Outlook, Teams, Excel) experience, ability to work multiple IT platforms.
Microsoft Outlook, Microsoft Teams, Microsoft Excel
1d
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Utilization Management Behavioral Health Professional
Virginia or Texas or Tennessee or South Carolina or Pennsylvania or West Virginia or New York or Wisconsin or North Carolina or New Jersey or Massachusetts or Louisiana or Michigan or Kentucky or Maryland or Kansas or Indiana or Illinois or Georgia or Florida or Arkansas or Alabama or Vermont or Rhode Island or Maine or Delaware or Connecticut
$65k-$89k/yr RemoteFull Time
1+ YOERequires behavioral health clinical licensure (RN/LCSW/LPC/LMFT/LCP/clinical psychologist), 1+ year post-degree clinical and 1+ year managed care experience, Microsoft Office proficiency, and remote work capabilities.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, HireVue
2w
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Registered Nurse Utilization Review
Baltimore, Maryland, United States
$81k-$116k/yr HybridFull Time
Maryland RN credential required prior to hire, diploma or equivalent nursing education, utilization/case management experience preferred, and clinical documentation/compliance expertise.
3w
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RN Team Lead Utilization Review
Clinton, Maryland, United States
$89k-$163k/yr HybridFull Time
3+ YOEBachelor's in Nursing, active RN licensure (MD/DC/compact), 3+ years acute care experience, BLS; CCM preferred; Utilization/Case Management experience and supervisory/mentoring skills.
1mo
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Remote - Radiologist Utilization Review - 1099 (contract)
Salt Lake City or District of Columbia or Maryland or United States
RemoteContract
5+ YOEBoard-certified radiologist (MD or DO) with a DC or Maryland medical license, 5+ years clinical experience, daytime availability for peer-to-peer conversations, HIPAA compliance, and ability to perform remote utilization reviews.
1mo
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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.
5d
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Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible Weekend Dayshift - Remote in VA and NC
Norfolk or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
2+ YOEMaster's in counseling/social work/MFT (or BSN for RN), valid state license (LCSW/LPC/LMFT/RN), 2 years behavioral health and 1 year case management, ASAM/substance use experience preferred.
3w
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RN Team Lead Utilization Review
Clinton, Maryland, United States
$89k-$163k/yr OnsiteFull Time
3+ YOE1+ MgmtBachelor's in Nursing required, active RN state or compact licensure for DC/MD, 3+ years acute care experience, 2 years UM/Case Management preferred, 1+ year leadership preferred, CCM preferred, strong clinical judgment and communication.
2mo
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Senior Mechanical Utilities Engineer
Rockville, Maryland, United States
OnsiteFull Time
5+ YOEBS in engineering; 5+ years utilities/facility engineering in biopharma; knowledge of utility systems; project engineering; MS Project; PE preferred.
MS Project, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1w
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Foreman (Utility)
Annapolis Junction or Washington or Alexandria or Leesburg
$40-$50/hr FieldFull Time
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.
3mo
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Grill / Utility
Pasadena, Maryland, United States
OnsitePart Time
Part-time grill/utility role requiring fast service and team collaboration.
1mo
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SUE Field Technician II
Hunt Valley, Maryland, United States
$19-$25/hr FieldFull Time
Requires extensive knowledge of underground utility locating/marking, operating locating equipment, excavation of utilities, and interpreting roadway and utility construction plans.
1w
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Sales/Miss Utility Administrative Coordinator
Arnold, Maryland, United States
$55k-$65k/yr OnsiteFull Time
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
2mo
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Utility- 12 Hour Night Shift
Cumberland, Maryland, United States
$18-$21/hr OnsiteFull Time
Utility experience a plus; operate pallet jack with certification; knowledge of SQF/ISO guidelines.
1mo
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Oracle Utilities Applications Solution Architect
St. Petersburg or Tampa or Cleveland or California or Colorado or Illinois or Maine or Maryland or Massachusetts or Minnesota or New York or New Jersey or Virginia or Washington or District of Columbia
$80k-$266k/yr HybridFull Time
5+ YOEMinimum 5 years experience as a solution architect/designer/techno-functional consultant in Oracle Utilities CCB and C2M; master proficiency in Oracle Utilities Customer Care & Billing; bachelor’s degree or equivalent experience; strong requirements analysis and solution architecture skills.
Oracle Utilities Customer Care And Billing, Oracle Utilities Customer to Meter C2M Back Office, Oracle Utilities Customer to Meter C2M Front Office
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