- Cognizant (Annapolis, MD)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Annapolis, MD)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …of the EDRP application. Former participants ineligible to apply Responsibilities The Registered Nurse (RN) functions interdependently in carrying out the ... 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… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- CareFirst (Baltimore, MD)
- …Office programs. **Licenses/Certifications Required Upon Hire** : Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure. ... approved claims. + Prepares retrospective reviews, case appeals, billing coordination, and clinical support. + Manages the analysis of utilization patterns, such… more
- Trinity Health (Silver Spring, MD)
- …1 Benefits, 10k Sign-on Bonus & More** **Position Overview** As a Home Health Registered Nurse , you'll provide in-home skilled nursing care to patients by ... this role offers a rewarding opportunity to apply your clinical expertise in a more independent, patient-focused environment. **Why...an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of… more
- Centene Corporation (Annapolis, MD)
- …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + For ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- CenterWell (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Johns Hopkins University (Baltimore, MD)
- …and rapidly changing environment. **Minimum Qualifications** + Master's Degree in Nursing. + Registered Nurse license and Certified as a Nurse Practitioner. ... guidelines of the department and institution and in accordance with the Nurse Practitioner-Physician Written Agreement required and approved by the State of Maryland… more
- Johns Hopkins University (Baltimore, MD)
- …team while maintaining patient confidentiality. **Minimum Qualifications** + Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse ... to obtain informed consent from study participants. + Remain proficient in the utilization of commonly used clinical protocols and guidelines. + Remain abreast… more
- Sharecare (Annapolis, MD)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Johns Hopkins University (Baltimore, MD)
- …fluids with blood borne pathogens. **Minimum Qualifications** + Master's Degree in Nursing. + Registered Nurse license and Certified as a Nurse Practitioner. ... to obtain informed consent from study participants. + Remain proficient in the utilization of commonly used clinical protocols and guidelines. + Remain abreast… more
- Trinity Health (Silver Spring, MD)
- …licensure by the Maryland State Board of Nursing or Compact State as a Registered Nurse . + BLS certification (American Heart Association) + Department specific ... Advancement Program + **Location:** Holy Cross Health, Silver Spring, MD **Description:** The Nurse Supervisor is a designated clinical leader for a patient care… more
- CareFirst (Baltimore, MD)
- …required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure. + RN ... Utilizing experience and skills in both care management and utilization management, the Onsite Clinical Navigator will...- Registered Nurse in MD, VA or Washington,...- Registered Nurse in MD, VA or Washington, DC Upon Hire… more
- CareFirst (Baltimore, MD)
- …to the required work experience. **Licenses/Certifications Upon Hire Required** : + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- ... Utilizing experience and skills in both case management and utilization management, the Onsite Clinical Navigator will...Registered Nurse in MD, VA or Washington,...Registered Nurse in MD, VA or Washington, DC **Experience:** 5… more
- CareFirst (Baltimore, MD)
- …of care and manage health care costs. **We are looking for an experienced Registered Nurse and people leader with UM/CM experience** **living within the ... to the required work experience. **Licenses/Certifications Upon Hire Required:** RN - Registered Nurse Active State Licensure and/or Compact State Licensure.… more
- CareFirst (Baltimore, MD)
- …High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- ... of the interdisciplinary care team to coordinate services, decrease utilization , and ensure optimal health outcomes. We are looking...Registered Nurse in MD, VA or Washington.… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …in a hospital, long-term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse /Licensed Practical Nurse . ... to self or others in all settings such as utilization of lifting equipment. Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf… more
- Sunrise Senior Living (Silver Spring, MD)
- …of approved college / school of nursing + Maintains a current state license as a Registered Nurse per state regulations + A minimum of two (2) years' experience ... not limited to the essential functions listed as follows: ** Clinical Care Delivery Operations** + Directs, supervises the management...highest quality standards for well being. + Ensures proper utilization of the Resident Care Plan by all team… more
- CareFirst (Baltimore, MD)
- …excellent internal and external customer service. **Licenses/Certifications** : + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- ... experience working in Care Management, Discharge Coordination, Home Health, Utilization Review, Disease Management or other direct patient care... Registered Nurse in MD, VA or Washington,… more