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Utilization Management Nurse Manager
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- 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.
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