Centurion is proud to be the provider of comprehensive healthcare services to the Indiana Department of Correction. We are currently seeking a full-time Utilization Management Manager to join our Maryland Regional Office Team located in Baltimore, Maryland. The Utilization Management (UM) Manager is responsible for managing the process and supporting the utilization management review process and centralized scheduling programs within a statewide contract. The UM Manager concurrently provides sup... more details
Centurion is proud to be the provider of comprehensive healthcare services to the Indiana Department of Correction.
We are currently seeking a full-time Utilization Management Manager to join our Maryland Regional Office Team located in Baltimore, Maryland.
The Utilization Management (UM) Manager is responsible for managing the process and supporting the utilization management review process and centralized scheduling programs within a statewide contract. The UM Manager concurrently provides support and direction to the UM team, assisting staff in the processes and documentation associated with the statewide evidence-based utilization management review program. This program consists of prospective review, concurrent review, retrospective review, complex case management, and continuity of quality medical services. This includes office, hospital, and free-standing diagnostic services, specialty care services, surgical services, and inpatient care. The UM Manager contributes to the evaluation of the utilization management program and staff through review of data, inter-rater reliability, and other standard program evaluation tools.
Qualifications
Maryland RN license
Bachelor’s Degree in nursing or other related field required
Master’s Degree in nursing or other related field preferred
At least five (5) years of experience in utilization management, case management, disease management, health information management, nursing management, healthcare quality monitoring/auditing, or related field
Medical Management, Case Management, Disease Management, Quality Management, or CCHP Certification preferred
Knowledge of statistics, data collection, analysis, and data presentation
Experience working with a correctional institution or agency preferred
Must be able to pass background investigation and obtain agency security clearance
We offer excellent compensation and comprehensive benefits for our full-time team members including:
Health, dental, vision, disability and life insurance
Job Abstracts is an independent Job Search Engine. Job Abstracts is not an agent or representative and is not endorsed, sponsored or affiliated with any employer. Job Abstracts uses proprietary technology to keep the availability and accuracy of its job listings and their details. All trademarks, service marks, logos, domain names, and job descriptions are the property of their respective holder. Job Abstracts does not have its members apply for a job on the jobabstracts.com website. Additionally, Job Abstracts may provide a list of third-party job listings that may not be affiliated with any employer. Please make sure you understand and agree to the website's Terms & Conditions and Privacy Policies you are applying on as they may differ from ours and are not in our control.
We would like to take a second to Welcome You to Job Abstracts, the nation’s largest Pure Job Board. With over 3.1 million job listings from 15,000+ Companies & Organizations, we help job searchers find careers that match their interests. As an anonymous user, you have probably discovered how easy our system is to use. However, you have just scratched the surface of what we can offer.
We encourage you to Register so you can use our most powerful features: searching with multiple terms, setting up multiple locations, establishing favorite companies, and accessing your search history. If you find a job you like, you can apply directly for it, and then, keep notes on it. We will also keep a lookout for jobs that match your search terms and email you when we find something you may like.
You can register for free and the system is free to use. If you like our system so far, click on Register and unlock the power required by serious job searchers.
Any time you conduct a search, the system shows you job matches, ranked by their Relevance Score (RS).
The score is calculated by a proprietary algorithm that uses Intelligent Machine Learning.
The Relevance Score tells you how well the job opportunity matches your search term or terms.
When not logged in, the system is limited to one search term. Scores for single term matches are usually lower.
When you register, log in, and set up multiple terms prioritized by importance, the jobs found for you will receive a much higher Relevance Score.
