- STG International (Rockville, MD)
- …of the agreement and coordinating service delivery with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case ... to cost recover on all exams according to the Interagency Agreement (IAA). The Registered Nurse Case Review Specialist will ensure that complete exams… more
- CVS Health (Annapolis, MD)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Annapolis, MD)
- …it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating all ... case management activities with members to evaluate the medical...- Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... process when providing and/or supervising direct patient care. The BT Wound Care Nurse (WCN) reviews inpatient wound consults and wound care nursing notes in the… more
- Cayuse Holdings (Washington, DC)
- **Overview** **The Work:** The Registered Nurse provides occupational health services to support the Clients Health Unit (HU). The Registered Nurse (RN) ... and Core Values of Cayuse. **Responsibilities** **Key Responsibilities:** The Registered Nurse (RN) assists with operation and...nursing care with limited supervision + Act as the nurse case manager for workers' compensation cases.… 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 ... Family of Companies is potentially looking for a Clinical Research Coordinator III ( Registered Nurse ) to support our government customer in Silver Spring, MD.… more
- Cayuse Holdings (Washington, DC)
- **Overview** The Registered Nurse provides occupational health services to support the Health Unit (HU). The Registered Nurse (RN) assists with operation ... the Mission, Vision, and Core Values of Cayuse. **Responsibilities** + Act as the nurse case manager for workers' compensation cases. + Provide all other… more
- Immigration and Customs Enforcement (Washington, DC)
- …ensuring needed interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code of Ethics for ... and Certifications Required: a. Nursing License- Must be a Registered Nurse (RN).i. Maintains current/documented professional licensure. (It… more
- CVS Health (Annapolis, MD)
- …+ 3+ years of clinical experience in a healthcare setting. + 2+ years as a Registered Nurse (RN) or License Practical Nurse / License Vocational Nurse . ... it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health of Texas by ensuring compliance… more
- University of Maryland, Baltimore (Baltimore, MD)
- …research studies or clinical trial protocols requiring the expertise and care of a Registered Nurse . * Manages the collection of complex research study or ... such as protocol worksheets, procedural manuals, adverse event reports, case report forms, and institutional review board...the Maryland Board of Nursing to practice as a registered nurse or a multistate licensure privilege… more
- Datavant (Annapolis, MD)
- …experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification ... understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. +… more
- Chenega Corporation (Rockville, MD)
- …possess a current, active, full, and unrestricted license or registration as a professional nurse and Advance Practice Registered Nurse from a State, the ... Professional Services Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health… more
- Parexel (Baltimore, MD)
- …a hospital or clinical setting + BSN preferred or relevant work experience. + Active Registered Nurse License in the state of Maryland + Current Basic Life ... appropriate physician. + Collect and prepare data. Organize and enter data into case report forms. + Enter data into databases when required. Assist physicians in… more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- ... determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical... Registered Nurse in MD, VA or Washington,… more
- Datavant (Annapolis, MD)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- CareFirst (Baltimore, MD)
- …subject to change based on evolving business needs. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact State Licensure: RN - ... (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely... Registered Nurse in MD, VA or Washington,… more
- CareFirst (Baltimore, MD)
- …individual and team-based performance as needed. **Licenses/Certifications** : + RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon ... and External review requests. Accountable for quality review and interpretation of the appeal case ... Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred Salary Range: $78,696… more
- CareFirst (Baltimore, MD)
- …required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon ... benefit application. Applies sound clinical knowledge and judgment throughout the review process. Coordinates non-par provider/facility case rate negotiations… more
- Deloitte (Baltimore, MD)
- …as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, ... degree in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist… more