- CenterWell (Annapolis, MD)
- …our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Humana (Annapolis, MD)
- …community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, ... from medical records sent from Behavioral Health Facilities to obtain sufficient clinical information. The Utilization Management Behavioral Health Nurse 2 work… more
- Humana (Annapolis, MD)
- …us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a ... beneficiary's capacity for self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care....and to enhance quality of medical care. The **Telephonic Nurse Case Manager** will collect and document data to… more
- Highmark Health (Annapolis, MD)
- …experience, or provider operations and/or health insurance experience + 1 year in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year ... over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Neonatal Intensive Care Unit* *University of Maryland St Joseph's Medical Center ( UM -SJMC) * *I. GENERAL SUMMARY* The Department of Pediatrics, University of ... School of Medicine seeks a mid-career or senior level Neonatologist to join UM -SJMC as the level III NICU Medical Director. This position requires someone with… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Medical Center (UMMC).* This position will support the*Level III NICU at UM -SJMC*while also contributing to clinical care, education, and quality initiatives ... Professor or Associate Professor-level**faculty member*to join our expanding team with*split clinical duties between the University of Maryland St. Joseph Medical… more
- Datavant (Annapolis, MD)
- …recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed ... Practical Nurse or Registered Nurse well versed in...denials and appeal writing for inpatient admission. Experience with clinical criteria resources and payor guidelines. **You will:** +… more
- CareFirst (Baltimore, MD)
- …standards, and attainment of standards of care for care managers or other clinical and non- clinical team members. + Organizes and supports the educational ... is required in addition to the required work experience. **Experience:** 8 years clinical experience in a healthcare setting with 2 years of demonstrating increasing… more
- University of Maryland, Baltimore (Baltimore, MD)
- …in addition to clinical expertise. *Hospital/Service Line Offerings and Features:* * UM Children's Hospital includes: o State of the art 52-bed Level IV NICU o ... Pediatric Endocrinology. *Position/Program Highlights:* * Collaborative team of Physicians, Nurse Practitioners, Nurses, Dieticians and Administrative Staff who support… more
- University of Maryland, Baltimore (Baltimore, MD)
- …HIFU research/ clinical unit. Multi-disciplinary research collaborations across the UMB, UM College Park and with our basic science faculty is highly encouraged. ... physicians, ACGME-accredited integrated and independent IR residencies, and three full-time IR nurse practitioners. Our Baltimore IR practice is out of 3 hospitals… more