Job Seekers, Welcome to Health Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
NEW! NEW!
Vanderbilt Health
Nashville, Tennessee
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Vanderbilt Health
Nashville, Tennessee
NEW! NEW!
NEW! NEW!
University of Maryland Medical System
La Plata, Maryland
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
BJC HealthCare
Farmington, Missouri
NEW! NEW!
NEW! NEW!
University of Maryland Medical System
Baltimore, Maryland
NEW! NEW!
Indiana University Health
Carmel, Indiana
NEW! NEW!
Atlantic Health System
South Orange, New Jersey
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
University of Maryland Medical System
Bel Air, Maryland
NEW! NEW!
Loading... Please wait.
Utilization Management Specialist
DescriptionUnder the direction and supervision of the Utilization Management Manager, the Utilization Management Specialist is responsible for overseeing the research, resolution and workflow development of out-of-network (OON) referral requests. This role reviews OON referral requests from members and providers, acting as a key liaison to facilitate timely, accurate, and efficient processing. In addition, the UM Specialist will:Ensure compliance with organizational guidelines and regulatory standards, promoting quality care access for members while optimizing network utilization and reducing unnecessary out-of-network expenses
Loading. Please wait.