- 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
- 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
- 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 (Alexandria, 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 (Alexandria, VA)
- …Arlington, Alexandria, Falls Church, Springfield, and Fairfax. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- 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
- 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
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Licenses/Certifications:** + _Required Upon Hire:_ RN - Registered Nurse - State Licensure And/or Compact ... State Licensure RN - Registered Nurse in MD, VA or Washington,...**Experience:** 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review,… more
- CareFirst (Baltimore, MD)
- …+ Ability to provide excellent internal and external customer service. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact ... **Experience:** 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review,...State Licensure RN - Registered Nurse in MD, VA or Washington,… more
- CareFirst (Baltimore, MD)
- …+ Ability to provide excellent internal and external customer service. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact ... **Experience:** 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review,...State Licensure RN - Registered Nurse in MD, VA or Washington,… more
- CareFirst (Baltimore, MD)
- …Health, Discharge Coordination and/or Utilization Review. **Licenses/Certifications Upon Hire Required:** RN - Registered Nurse - Active State Licensure ... of care utilizing experience and skills in both case management and utilization management including...And/or Compact State Licensure RN - Registered Nurse in MD,… more
- CareFirst (Baltimore, MD)
- …application protocol and regulatory standards. **QUALIFICATIONS:** **Licenses and Certifications Required:** + RN - Registered Nurse - State Licensure And/or ... Compact State Licensure. + CCM/ACM or other RN Board Certified certification in case management ...**Experience:** 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review,… more
- Erickson Living (Baltimore, MD)
- …, occupational health, and absence management + Licensed in Maryland as a Registered Nurse . Willing and eligible to be licensed in all states where they ... Erickson Senior Living) will have primary responsibility for case management and program management , including the day-to-day...+ Completion of an accredited nursing program as a Registered Nurse is required. Bachelor's degree in… more
- Elevance Health (Alexandria, 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
- 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
- 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 (Arlington, VA)
- …care program in which members needs are identified, including physical health, behavioral health, social services for Virginia Foster Care. . Primary duties may ... include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,...a related field, including at least 1 year people management experience. + Requires a BA/BS; or any combination… more