- Humana (Annapolis, MD)
- …where your clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....skills to make an impact** **Required Qualifications** + Registered nurse (RN). + 5 or more years of clinical… more
- Elevance Health (Hanover, MD)
- **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within… more
- Elevance Health (Washington, DC)
- ** Nurse Case Manager Sr** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law. The ** Nurse Case Manager Sr** will be responsible...for new care management staff. + Participates in department audit activities. **Minimum Requirements:** + Requires BA/BS in a… more
- Alaka'ina Foundation Family of Companies (Silver Spring, MD)
- Clinical Research Coordinator III (Registered Nurse ) Location MD - Silver Spring Job Code 13347 # of openings 1 Apply Now ... is looking for a Clinical Research Coordinator III (Registered Nurse ) to support our government customer in Silver Spring,...SOPs, etc.) + Enter required data on CRFs and audit records for accuracy, resolve discrepancies, and correct as… more
- Sunrise Senior Living (Severna Park, MD)
- …be a part of.** **Job ID** 2025-234069 **JOB OVERVIEW** The LPN Medication Care Manager is responsible for providing the highest degree of quality care and services ... medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and...supervisor. + Count all narcotics with another Medication Care Manager (MCM) or Lead Care Manager (LCM)… more
- CVS Health (Annapolis, MD)
- …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
- Elevance Health (Hanover, MD)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- CareFirst (Baltimore, MD)
- …plan development involving the member/enrollee, family, Hospital Transition of Care (TOC) nurse , Care Coordination (CC), Care Manager (CM), Primary Care ... Health Worker. The role works closely with the Care Manager , Supervisor or Manager to develop and...for completion of documentation review and peer to peer audit as assigned by management Responsible for adherence to… more