- Trinity Health (Silver Spring, MD)
- …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management,...resource for navigating post-acute care services. **Minimum Qualifications:** + RN licensed by the State of Maryland or Compact… more
- Amergis (Columbia, MD)
- Salary: $53 / Hour The Registered Nurse - Hospice Case Manager is responsible for providing care, comfort and supportto terminally ill patients. The ... Registered Nurse - Hospice assumesthe responsibility and...in the managementof patient care. Position Details: + Position: RN Hospice Case Manager (Home… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Nurse Case Manager **Employment Type:** Full Time **Shift:** Day **Position ... accurate clinical documentation, and supports post-hospital planning. The Case Manager also monitors and manages clinical resource utilization , working to… more
- CareFirst (Baltimore, MD)
- …+ Proficient in Microsoft Office programs. **Licenses/Certifications Required Upon Hire** : Health Services\ RN - Registered Nurse - State Licensure and/or ... **Resp & Qualifications** **PURPOSE:** Manages the utilization of referral services. Enhances quality of care...of services and approved claims. + Prepares retrospective reviews, case appeals, billing coordination, and clinical support. + Manages… more
- Highmark Health (Annapolis, MD)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care… more
- Highmark Health (Annapolis, MD)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case management, and… more
- Trinity Health (Silver Spring, MD)
- …assessment and care plan development in collaboration with the Population Health Case Manager . Provides functional support/supervision to Home Healthcare Aides ... Qualifications:** + Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have… more
- CareFirst (Baltimore, MD)
- …addition to the required work experience. **Licenses/Certifications Upon Hire Required:** Health Services\ RN - Registered Nurse Active State Licensure and/or ... health care costs. **We are looking for an experienced Registered Nurse and people leader with UM/CM...Compact State Licensure. **Experience:** 5 years experience in Utilization Management or Case Management at CareFirst… more
- BAYADA Home Health Care (Towson, MD)
- …+ Four (4) year college degree. + Holds a current license in good standing as a Registered Nurse or Therapist in the state of practice. + Three (3) to five (5) ... Collaborate directly with office Directors and Clinical Leadership team members (Clinical Manager (CM), Rehabilitation Manager (RM), Clinical Associate (CA)) to… more