- Evolent (Annapolis, MD)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Surgery Care Affiliates (Bethesda, MD)
- …do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous improvement ... will. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision,...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
- Johns Hopkins University (Baltimore, MD)
- …academic affairs. Quality - Responsible for monthly review of quality and clinical outcomes - Manage the pediatric cardiac surgery database - Oversee with ... improvement process to evaluate outcomes, best practices and dashboards to evaluate the clinical activity within the pediatric cardiac surgery program - With… more
- GAP Solutions Inc (Bethesda, MD)
- …in keeping with research protocols when appropriate (including abnormal lab values). + Review patients' charts to collect relevant clinical data such as ... for study enrollment based on thorough patient interviews and review of medical records. + Obtain medical histories and...follow up exams, transportation and admissions; present data at clinical staff meetings. Basic Qualifications: + For Nurse… more
- CenterWell (Annapolis, MD)
- …regarding Home Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special ... **When working weekends, it will allow for off-days during the week.** The ** Clinical Care Coordinator** helps to ensure optimal continuity of care for patients… more
- Sedgwick (Annapolis, MD)
- …Candidates must live within the United States. **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on ... Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more **We are looking… more
- University of Maryland, Baltimore (Baltimore, MD)
- …audits. 2. Directs activities related to the delivery of medical care and clinical services such utilization review , quality assurance, policies, procedures and ... NICU Medical Director. This position requires someone with strong clinical , operational, and leadership skills and experience in neonatal...Towson, MD * Staffed with 24 /7 and Neonatal Nurse Practitioners * TeleHealth Support 24/7 from the UMMC… more