- Humana (Annapolis, MD)
- …to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such as a ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to… more
- The Arora Group (Bethesda, MD)
- …an office in Behavioral Health in Building 19. QUALIFICATIONS OF THE REGISTERED NURSE CASE MANAGER ( RN ): Degree/Education: + Degree: Associates Degree ... Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager...Managers: Care Manager Certified (CMC) + Experience: + Referral Management / Utilization Management (RM/UM) experience. +… more
- Elevance Health (Washington, DC)
- …degrees of medical complexity and acuity. Participates in case and/or utilization management execution/decision making for managed member populations. Primary ... II HCMS is responsible for managing a team of physical and/or behavioral health practitioners in the development, implementation, and coordination of a comprehensive… more
- Elevance Health (Arlington, VA)
- …should reside in Fort Lee or Charles City, VA. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case within the ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Sharecare, Inc. (Washington, DC)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- BrightSpring Health Services (Upper Marlboro, MD)
- …Education: + Bachelor's Degree in Nursing or the equivalent + Currently licensed as a Registered Nurse ( RN ), in good standing in state of residence ... and direction in performance improvement, provision of clinical services, survey management , documentation management , incident management , EMR/EHR… more
- Centene Corporation (Arlington, VA)
- …Performs all other duties assigned. + Works under direct supervision of a Registered Nurse Additional Responsibilities: * Travel to inpatient bedside, member's ... Associate's Degree in nursing** **Candidate Experience:** Required 2+ years of experience in utilization management and/or case management in a hospital or… more