- Ivyhill Technologies LLC (Bethesda, MD)
- …duty and reserve/guard referrals under the supplemental health care program. Coordinate with Medical Director , Product Line leaders, and/or RM leadership for all ... (RM) information management systems. Will conduct reviews for capacity, capability, medical necessary, deferral to network, and right of first refusal activities.… more
- University of Maryland, Baltimore (Baltimore, MD)
- …the Department's Director of Neurosurgery at the Baltimore (VISN5) VA Medical Center*.*Candidates should hold the rank of Associate Professor or higher and will ... developing innovative treatment protocols across multi-disciplinary teams and environments. UM -Neurosurgery solves complex neurological problems to improve the condition… more
- CareFirst (Baltimore, MD)
- …to act as a resource for the nurses to conduct concurrent review for medical necessity and appropriate level of care for Commercial and Government lines of business. ... **We are looking for an experienced Registered Nurse and people leader with UM /CM experience** **living within the Washington DC and/or Virginia area** . The… more