Utilization Management Specialist in Baltimore, MD for University of Maryland Medical System

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Utilization Management Specialist

Job DescriptionUnder general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need for outpatient or inpatient care as well as the appropriate level of care. The role requires interfacing with the case managers, medical team, other hospital staff, physician advisors and payers.Company DescriptionUtilization Management Specialist IIRenowned as the academic flagship of the University of Maryland Medical System, our Magnet(r)-designated facility is a nationally recognized, academic medical center

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