Manager Utilization Management Jobs in Rosedale, MD

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Rosedale, Maryland Start Date: May 19, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...

Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...

Supports utilization management and ensures compliance with payer guidelines. Onboarding typically takes 2-4 weeks based on documentation and clearance processes. Requirements Required for Onboarding:

Has input into the hiring/interview process for new care coordinators, social work, and utilization management applicants. * Collaborates with Manager on performance improvement related to Dashboard ...

Has input into the hiring/interview process for new care coordinators, social work, and utilization management applicants. * Collaborates with Manager on performance improvement related to Dashboard ...

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Baltimore, Maryland Start Date: June 1, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

Demonstrated knowledge of regulatory and accreditation requirements, understanding of appeals process and utilization management, and systems software used in processing appeals. * Knowledge and ...

... utilization management, resource management, discharge planning, care facilitation, and referral to other levels of care and related duties. Works with the physician and interdisciplinary team to ...

... utilization management, resource management, discharge planning, care facilitation, and referral to other levels of care and related duties. Works with the physician and interdisciplinary team to ...

Responsibilities will include but not are limited to; drug formularies, utilization management, clinical drug evaluations, development of drug management tools, and oversight of delegated programs.

Responsibilities will include but not are limited to drug formularies, utilization management, clinical drug evaluations, development of drug management tools, and oversight of delegated programs.

Familiarity with chronic conditions, NCQA, HEDIS, case management, and utilization management. Preferred Qualifications • Proficiency in telephonic and remote work environments. • Strong care ...

Accountable for value-based care outcomes (e.g., ADK, total cost of care), medical management, care management, utilization management, and quality improvement tools and processes in the region

Knowledge of Case Management, Critical Pathways and Utilization Management preferred Benefits Compensation: $55/hr Flat Rate Employment Type: OTHER

Oversee utilization management processes to maximize resource allocation and ensure cost-effective care delivery. * Coordinate credentialing for providers to maintain compliance with licensing and ...

Knowledge of Case Management, Critical Pathways and Utilization Management preferred Benefits Compensation: $55/hr Flat Rate

... Utilization Management and synthesizes information in order to reduce avoidable days 11. Collaborates with Physician Advisor for complex issues 12. Guides physicians in appropriate clinical ...

... Utilization Management and synthesizes information in order to reduce avoidable days 11. Collaborates with Physician Advisor for complex issues 12. Guides physicians in appropriate clinical ...

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

Demonstrated knowledge of regulatory requirements and accreditation standards, understanding of appeals process and utilization management, and systems software used in processing appeals.