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
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