- AmeriHealth Caritas (Washington, DC)
- …with complex medical needs appropriate for care coordination and case management services in achieving their optimal level of health through self-management.; ... more about us at; www.amerihealthcaritas.com . **Responsibilities:** The Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists… more
- Highmark Health (Annapolis, MD)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Annapolis, MD)
- …or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support ... efficiency and strong organizational skill + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Proactive… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) at ... one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The contracted RN shall...the continuity, access, and provision of care services for complex and defined patients, to include catastrophic and end-of-life… more
- Guardian Life (Annapolis, MD)
- The **Group Life/Supplemental Health Claims Case Manager II** is responsible for making timely and accurate decisions on assigned claims through proactive ... service to all internal and external customers. The Claims Case Manager II administers claims within a...and Optional Group Life claims as well as more complex Accidental Death & Dismemberment (AD&D) Claims, ensuring all… more
- KBR (Washington, DC)
- Title: Special Operations Case Manager (National Capitol Region) (Part-Time) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR is a company ... services. We are seeking a stellar part-time Special Operations Case Manager that will provide a full...Demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems in order to… more
- Johns Hopkins University (Baltimore, MD)
- …Sr. Clinical Nurse Job Posting Title (Working Title): Sr. Clinical Nurse Case Manager Role/Level/Range: ACRP/04/MF Starting Salary Range: $75,100 - $131,700 ... Manager , we are seeking a **_Sr. Clinical Nurse Case Manager_** who will perform duties related to medical...the ordering clinician or medical director for patients with complex medical conditions or any medical decision-making that is… more
- Cardinal Health (Annapolis, MD)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
- Elevance Health (Washington, DC)
- …- Friday** **Travel:** **Field Based** **Position Overview:** Responsible for performing case management telephonically and/or by home visits within the scope of ... You Will Make an Impact:** + Responds to more complex cases and account specific requests + Uses appropriate...providers + Serves as a resource to other BH Case Mgrs + Participates in cross-functional teams projects and… more
- Sedgwick (Baltimore, MD)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** ... **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Guardian Life (Annapolis, MD)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... minimum of 3 years of experience handling appeals or complex claims (preferred). + Bachelor's Degree (preferred) or equivalent...learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to… more
- Cardinal Health (Annapolis, MD)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
- AmeriHealth Caritas (Washington, DC)
- …. **$5,000.00 Sign On Bonus** **Responsibilities:** The Care Manager Early Intervention/Pediatrics (RN/LICSW) assists members appropriate for care ... achieving their optimal level of health through self-management. The Care Manager Early Intervention/Pediatrics (RN/LICSW) is responsible for engaging the member,… more
- AmeriHealth Caritas (Washington, DC)
- …about us at www.amerihealthcaritas.com . **$5,000.00 SIGN ON BONUS** The Care Manager II assists members appropriate for care management and care coordination ... in achieving their optimal level of health through self-management. The Care Manager is responsible for engaging the member, member caregiver and providers to… more
- Public Consulting Group (Annapolis, MD)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Immigration and Customs Enforcement (Washington, DC)
- … management board certification through the American Nurses Credentialing Center ANCC or a Certified Case Manager through the Commission for Case Manager ... Health Service Corps (IHSC). The incumbent will report directly to the Medical Case Management Program Manager (MCMPM). This is a non-supervisory position. This… more
- Cardinal Health (Annapolis, MD)
- …knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works ... independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place… more
- Travelers Insurance Company (Annapolis, MD)
- …evaluate, reserve, negotiate and resolve the company's most severe and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury ... **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe/ complex Life Science medical products, clinical trial and pharmaceutical bodily injury… more
- Dentons US LLP (Washington, DC)
- …US May 8, 2025 Dentons US LLP is currently recruiting for a Discovery Project Manager to support our Case Teams, nationally. The Discovery Project Manager ... Discovery Project Manager Washington DC, DC, USSt. Louis, MO, USNew...will act primarily as a consultant for firm case team members across a broad spectrum of issues… more
- Ascension Health (Baltimore, MD)
- …standards. + Cover on units as needed and serves as a resource for complex case management issues. **Requirements** Licensure / Certification / Registration: + ... BLS Provider preferred. American Heart Association or American Red Cross accepted. + Case Manager credentialed from the Commission for Case Manager … more