- Somatus (Annapolis, MD)
- …supporting teammates physical and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care ... care and barriers to good health; The RN Care Manager is expected...2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact ... team, specifically the Medicare Advantage line of business. The Care Manager helps members, families, and caregivers...State Licensure RN - Registered Nurse in MD, VA or Washington.… more
- Highmark Health (Annapolis, MD)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Annapolis, MD)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- AccentCare, Inc. (Columbia, MD)
- …Location: Columbia, MD Position: After Hours Registered Nurse / RN , Hospice Position Type: Part Time Remote /Virtual Position: No Coverage Area: Baltimore ... Overview After Hours Registered Nurse / RN ,...Your Passion and Purpose as a Hospice After Hours Registered Nurse Salary: $43 - $46 /... transitions as directed. + If serving as a Care Manager , coordinates all aspects of patient… 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 ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Sharecare (Annapolis, MD)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- CareFirst (Baltimore, MD)
- …complications. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure ... - Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred **Experience:** + 2 years medical-surgical or similar… more
- Highmark Health (Annapolis, MD)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- BrightSpring Health Services (Greenbelt, MD)
- …Community Living Overview The Delegating Nurse Case Manager (DNCM) is a licensed Registered Nurse ( RN ) in the state of Maryland who is certified to ... + Complete initial and ongoing assessments of residents'/clients' health care needs. + Develop and update nursing service plans...status to appropriate stakeholders. Qualifications + Required + Current Registered Nurse ( RN ) license in… more
- Humana (Annapolis, MD)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- Healthfirst (MD)
- **This position is 100% Remote **Duties/Responsibilities:** + The Pediatric Care Manager plans and manages pediatric medical and/or behavioral care with ... members and their beneficiaries across the continuum of care . The Care Manager is...services within their coverage plan empowering self-management. + **NYS RN or LCSW, LMSW** + **1 year of pediatric… more
- CenterWell (Annapolis, MD)
- …The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... + **Required to work every other holiday.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...work-from-home telephonic nurse position. **Essential Functions:** + Act as CenterWell Home… more
- Healthfirst (MD)
- …alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge of Centers for Medicare ... This position is 100% Remote ** **Duties//Responsibilities:** + **Provides case management services for...+ **Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member … more
- Sedgwick (Baltimore, MD)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager will cover our ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Sedgwick (Annapolis, MD)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… 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 ... Services Strategic Business Unit** company, is looking for a Nurse Practitioner to support the Department of Health and...project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide… more
- CenterWell (Annapolis, MD)
- …operations research techniques to model and optimize staffing needs by skill type (eg, RN , PT, HHA), pay type (eg, hourly, salaried), and time type (eg, full-time, ... interruptions to protect member PHI/HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
