- CareFirst (Baltimore, MD)
- …Care Guidelines (MCG) to act as a resource to conduct concurrent review for medical necessity and appropriate level of care for Commercial and Government lines of ... We are looking for an experienced Registered Nurse and people leader with UM /CM experience living within the greater Baltimore metropolitan area. The incumbent may… more
- LA Care Health Plan (Los Angeles, CA)
- …health care auditing and monitoring (preferably in Appeals, Grievances, Quality Improvement, Utilization Management ( UM ) and so forth) and developing audit ... unit, the Advisor also advises and supports the Manager, Director , and Chief Compliance Officer on other duties as...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more