• Signet Health (Clinton, MD)
    …compensation package including generous salary and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three ... the following: Triaging, assessing and managing members referred for Behavioral Health Case management Tracking and ...Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required One… more
    JobGet (05/02/24)
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  • Signet Health (Clinton, MD)
    …Experience & Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical Social ... be responsible for the following: Triaging, assessing and managing members referred for Behavioral Health Case management . Tracking and management of members… more
    JobGet (05/17/24)
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  • Manager, Utilization Management

    Humana (Annapolis, MD)
    …to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such as a ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to… more
    Humana (05/09/24)
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  • Registered Nurse Case Manager

    The Arora Group (Bethesda, MD)
    …an office in Behavioral Health in Building 19. QUALIFICATIONS OF THE REGISTERED NURSE CASE MANAGER ( RN ): Degree/Education: + Degree: Associates Degree ... Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager...Managers: Care Manager Certified (CMC) + Experience: + Referral Management / Utilization Management (RM/UM) experience. +… more
    The Arora Group (04/16/24)
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  • Manager, Utilization Management

    Elevance Health (Washington, DC)
    …degrees of medical complexity and acuity. Participates in case and/or utilization management execution/decision making for managed member populations. Primary ... II HCMS is responsible for managing a team of physical and/or behavioral health practitioners in the development, implementation, and coordination of a comprehensive… more
    Elevance Health (05/17/24)
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  • Clinical Transformation Partner RN

    Highmark Health (Washington, DC)
    …degree or RN diploma. **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse ( RN ) license in PA; additional states may be ... member is responsible for building relationships, engaging clinicians, educating on Utilization Management policies and processes, developing workflows and… more
    Highmark Health (05/16/24)
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  • LTSS Service Coordinator- RN Clinician

    Elevance Health (Arlington, VA)
    …should reside in Fort Lee or Charles City, VA. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case within the ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral more
    Elevance Health (05/16/24)
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  • LTSS Service Coordinator - RN Clinician

    Elevance Health (Arlington, VA)
    …Must be located in the state of Virginia The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral more
    Elevance Health (05/03/24)
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  • Managed Care Coordinator Clinician Non RN

    Elevance Health (Washington, DC)
    … with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, ... **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
    Elevance Health (05/10/24)
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  • Clinical RN , Comprehensive Care…

    Sharecare, Inc. (Washington, DC)
    …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
    Sharecare, Inc. (05/09/24)
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  • LTSS Service Coordinator - Clinician

    Elevance Health (Arlington, VA)
    …telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case, as...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
    Elevance Health (05/03/24)
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  • LTSS Service Coordinator- Clinician

    Elevance Health (Arlington, VA)
    …contract. **Preferred Skills, Knowledge, and Experience:** + Previous experience with Utilization Management preferred. + Computer experience and experience ... with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
    Elevance Health (05/14/24)
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  • Arpa h - Health and Life Science (HLS) Portfolio…

    Amentum (Arlington, VA)
    …are interested in personnel with technical managerial, and/or financial management experience supporting Government technology development projects, preferably in ... devices, diagnostics, and digital health domains + Software development and management + Electronic Health Record and Cybersecurity, redundant backup system,… more
    Amentum (03/27/24)
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  • Addiction (ARTS) Case Manager

    Elevance Health (Fairfax, VA)
    …type of experience may be required based upon state law and contract requirements. + LMHP, RN /LPN field of study preferred. + Behavioral /Mental Health experience ... A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and… more
    Elevance Health (05/18/24)
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