- 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
- Select Medical (Alexandria, VA)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/331267/ case - manager prn %28- rn rt sw… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- Summary The Geriatric Extended Care (GEC) Patient Aligned Care Team (PACT) Care Manager Registered Nurse ( RN ) is proficient in the practice in delivering ... disease and chronic care management. Responsibilities The GEC PACT RN Care Manager is responsible for learning...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Elevance Health (Washington, DC)
- RN Utilization Review Nurse (Washington DC Medicaid) JR149756 **Location** : This role requires associates to be in-office 4 days per week, Monday - ... located at 609 H. Street NE. The **Medical Management Nurse ** is responsible for review of the most complex...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has… 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
- KBR (Washington, DC)
- …certifying organization, ie Commission for Case Management Certification, American Case Manager Association, or American Nurse Credentialing Center, ... Title: *SKILLBRIDGE* Special Operations Case Manager Belong. Connect. Grow. with...Current licensure; full, active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker… more
- KBR (Washington, DC)
- …certifying organization, ie Commission for Case Management Certification , American Case Manager Association, or American Nurse Credentialing Center, or ... Title: Special Operations Case Manager Part-time (National Capital Region)...; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker… more
- Highmark Health (Washington, DC)
- …Inc. **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
- Immigration and Customs Enforcement (Washington, DC)
- …be a Registered Nurse , Advanced Practice Registered Nurse or Physician Assistant/Associate with clinical and case management experience. Minimum four ... management board certification through the American Nurses Credentialing Center ANCC or a Certified Case Manager through the Commission for Case Manager … 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
- Humana (Washington, DC)
- …us put health first** Humana is seeking a Telephonic Behavioral Health Care Manager who will, in a telephonic environment, assess and evaluate members' needs and ... achieve and/or maintain optimal wellness state. The Behavioral Health Care Manager guides members and/or families towards and facilitates interaction with resources… more