Top 15143 Monitor Jobs in Maryland

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
RN-Nurse Monitor (Part-time)
Specialty Care Services —Silver Spring, MD
- $50 - $55 an hour
- Part-time
- Background check
- Spanish
- Patient monitoring
- 401(k)
- 401(k) matching
Quick Apply
1d
Clinical Research Coordinator
United Theranostics —Glen Burnie, MD
- $70,000 - $98,000 a year
- Full-time
- Mid-level
- Clinic
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Treatment Coordinator
Enterprise Mangement Solutions Inc —Baltimore, MD
- $25 - $45 an hour
- Full-time
- Hybrid work
- Licensed Clinical Social Worker
- Mid-level
- Outpatient experience
- Disability insurance
- Health insurance
International Affairs Analyst (Remote)
Amyand Consulting —Maryland
- $40,000 - $45,000 a year
- Contract
- Remote
- Analysis skills
- Project management
- Bachelor's degree
- Work from home
- Flexible schedule
Quick Apply
Administrative Assistant/Data Entry Clerk
severn side —Severna Park, MD
- $280 - $285 a day
- Full-time
- Mid-level
- Office
- Administrative experience
- Health insurance
- Paid time off
Quick Apply
Hall Monitor (26-27)
Baltimore City Public Schools —Baltimore, MD
- Online Application
- Ability to walk for extended periods
- Pass drug screening
- Ability to climb stairs
- Retirement plan
9d
Monitor Tech
MedStar Health —Clinton, MD
- $18.40 - $29.74 an hour
- Part-time
- Hospital
- Customer service
- Computer literacy
Operations Coordinator - NIH
Global Solutions Network Inc —Bethesda, MD
- $37.28 - $43.35 an hour
- Full-time
- Research
- Mid-level
- 3 years
- Travel reimbursement
- Profit sharing
Quick Apply
Lead Monitor Room Officer - Daytime
Walters Art Museum —Baltimore, MD
- $23.05 an hour
- Overtime
- CPR Certification
- Writing skills
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Policy Consultant
Amyand Consulting —Maryland
- $40,000 - $47,000 a year
- Contract
- Remote
- Analysis skills
- Senior level
- Communication skills
Quick Apply
Study Hall Monitor
Al-Huda School —College Park, MD
- English
- Entry level
Access Control Monitor
Omniplex World Services Corporation —Annapolis Junction, MD
- Full-time
- 18 years or older
- English
- Mid-level
5d
Safety & Facility Monitor
Medical Transportation Management (MTM, Inc.) —Hyattsville, MD
- $24 an hour
- Full-time
- Microsoft Word
- Clean driving record
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Meal Attendant
University of Maryland Medical System —Baltimore, MD
- Full-time
- Experience working with individuals with disabilities
- Communication skills
- Entry level
- Paid holidays
- Health insurance
Contact Center Representative
National Electrical Benefit Fund —Rockville, MD
- $35 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Central Station Monitor – 2nd Shift
Datawatch Systems, Inc —Bethesda, MD
- $19 an hour
- Extended hours
- Pass drug screening
- High school diploma or GED
- Criminal background check
- Paid training
- Commuter assistance
Quick Apply
Care Coordinator
Universal Home Health Care Llc —Cheverly, MD
- Full-time
- Mid-level
- Organizational skills
- Communication skills
- Health insurance
- Paid time off
Quick Apply
Associate Program Officer
Baltimore Children and Youth Fund Inc —Baltimore, MD
- $75,900 a year
- Full-time
- Hybrid work
- Mid-level
- Administrative experience
- Children
- Travel reimbursement
- Paid parental leave
Quick Apply

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Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

Apply Now

Job Details

$23.56 an hour

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Customer service
Associate's degree
Medical terminology

Full Job Description

Zimmerman Associates, Inc. (ZAI) is seeking to hire multiple Referral Management (Non-Nurse) Reviewers to support our contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Region’s premier authority for appointment coordination and referral management services for beneficiaries within the Defense Health Network.

Pay Rate: $23.56 per hour plus $4.93 Health & Wellness Fringe

Role and Responsibilities:

Referral Management (Non-Nurse) Reviewers will facilitate centralized product line and specialty referrals for Active-Duty Service Members and TRICARE Prime beneficiaries enrolled at Military Treatment Facilities (MTFs) within the National Capital Region.

This is an onsite opportunity

Qualifications / Skills / Experience:

Minimum of an Associate’s degree
At least 2 years of experience in Utilization Management, Referral Management, Authorization/Denials, or Medical Claims Processing/Insurance Referral
U.S. Citizenship required, with the ability to obtain a Public Trust Clearance
Knowledge of medical care criteria such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs), or other evidence-based Military Health System (MHS) guidelines
Familiarity with medical terminology and ability to learn MHS, VA-DOD Sharing Program, TRICARE, HIPAA, and release of medical information protocols
Excellent communication and interpersonal skills
Strong customer service orientation
Understanding of Access to Care Standards within the Direct Care System
Attention to detail, including correct use of deferral codes
Strong organizational skills with ability to prioritize tasks and manage time effectively
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook) and internet navigation

Essential Tasks:

Review and process referrals for administrative and clinical completeness and appropriateness, completing disposition within 24 hours of referral date
Collaborate with appointing centers, case managers, product line nurses, providers, clinics, managed care contractors, and other healthcare team members to ensure appropriate use of Direct Care and civilian network resources
Ensure patients are scheduled with the right provider, at the right time and place
Review compliance with Specialty Referral Guidelines (SRGs) per IRMAC protocols
Complete and return Clear Legible Reports (CLR) to ordering civilian providers within required Return of Favorable Response (ROFR) timelines
Manage telephone, written, and electronic communications regarding specialty appointments and referrals
Monitor and process referral management worklists (e.g., Genesis Work Lists) to ensure timely consult processing
Communicate referral status to patients, including benefit counseling and advocacy resources as needed
Reschedule or redirect patients within 3 days when referrals are disapproved or invalid, advising on other care options and Line-of-Duty issues
Receive and enter ROFR referrals in MHS-GENESIS from Military Contractor Support Centers (MCSC) portals for assigned specialties/product lines, adhering to all timelines and business rules
Verify patient eligibility and update demographics in MHS-GENESIS
Document patient interactions, especially when appointments are refused, and coordinate with Beneficiary Counselor and Assistance Coordinator as appropriate
Coordinate with product line nurses and clinics for special accommodations
Interface with MCSC and multidisciplinary teams to ensure referral appropriateness
Submit referrals to non-network providers for TRICARE Service Center medical necessity reviews
Monitor referral management voicemail and return patient calls within established guidelines
Provide External Provider Referral Online (EPRO) information as requested
Close unused referrals following DHA IPM and NCR Medical Directorate policies, notifying ordering providers accordingly
Orient and train new IRMAC staff on referral processes and timelines
Perform other duties as assigned

Zimmerman Associates, Inc. is an equal opportunity employer. We comply with Federal and State Equal Opportunity laws and consider qualified applicants without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, veteran status, or any other protected status.

#INDSPN

Apply Now

Refine Your Search

monitor jobs in maryland

Referral Management (Non-Nurse) Reviewer

RN-Nurse Monitor (Part-time)

Clinical Research Coordinator

Referral Management (Non-Nurse) Reviewer

Treatment Coordinator

International Affairs Analyst (Remote)

Administrative Assistant/Data Entry Clerk

Hall Monitor (26-27)

Monitor Tech

Operations Coordinator - NIH

Lead Monitor Room Officer - Daytime

Policy Consultant

Study Hall Monitor

Access Control Monitor

Safety & Facility Monitor

Meal Attendant

Contact Center Representative

Central Station Monitor – 2nd Shift

Care Coordinator

Associate Program Officer

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