- Elevance Health (Washington, DC)
- …each week. The office is located at 609 H. Street NE.** The ** RN ** ** Manager - Utilization Management ** is responsible for managing a team of physical ... acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member...as aligned to license which includes 3 years prior management experience + Current active unrestricted RN … more
- Fresenius Medical Center (Towson, MD)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Trinity Health (Silver Spring, MD)
- …Overview - Day 1 Benefits, 10k Sign-on Bonus & More** As a Home Health Registered Nurse , you'll provide in-home skilled nursing care to patients by developing ... Team is looking for a Fu** **ll-Time Home Health RN to service our patients in the Germantown, MD...an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of… more
- CVS Health (Annapolis, MD)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- CareFirst (Baltimore, MD)
- …in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact ... **Resp & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination… more
- Amergis (Baltimore, MD)
- The RN Case Manager is responsible for...of services + Follows State/County mandated guidelines for the nurse case management programs + Participates in ... continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential… more
- CareFirst (Baltimore, MD)
- …standards. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or ... Compact State Licensure RN - Registered Nurse in MD, VA or Washington,... Manager (ACM): Must have CCM/ACM or other RN Board Certified certification in case management .… more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + 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
- Erickson Living (Parkville, MD)
- …and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management /Safety (PI/RM/S) ... and survey readiness. What you will need + Current RN nursing license with no restrictions for the state...3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager , etc.). + Experience with… more
- BAYADA Home Health Care (Towson, MD)
- …Living in **Pikesville / Towson, MD** **_._** Are you a solutions-oriented, team-focused ** Registered Nurse , Licensed Practical Nurse or Therapist (Physical ... in several significant ways. As the **Senior Living Program Manager ** , you will be a dynamic influencer managing...professional growth. **Qualifications:** + Current MD licensure as a Registered Nurse , Licensed Practical Nurse ,… more
- CareFirst (Baltimore, MD)
- …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... of regulatory and accreditation requirements, understanding of appeals process and utilization management , and systems software used in processing appeals.… more
- Immigration and Customs Enforcement (Washington, DC)
- …Qualifications-Licenses and Certifications Required: a. Nursing License- Must be a Registered Nurse ( RN ).i. Maintains current/documented professional ... interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code...Nursing Services Unit. c. May be utilized as acting Nurse Manager (NM) during TDY assignments and… more
- Elevance Health (Hanover, MD)
- …services only, and there is licensed staff supervision. Previous experience in case management / utilization management with a broad range of experience with ... Behavioral Health Care Manager I- Behavioral Health Care Manager ...Skills, Capabilities and Experiences:** + Experience in behavioral health utilization management is highly preferred. + Exceptional… more
- Elevance Health (Washington, DC)
- …unless an accommodation is granted as required by law. The ** Nurse Case Manager Sr** will be responsible for care management within the scope of licensure ... ** Nurse Case Manager Sr** **Location:** Washington,...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and… more
- Deloitte (Baltimore, MD)
- …as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics RN , ... Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical… more
- Hologic (Baltimore, MD)
- …+ Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are strongly ... Radiology Clinical Account Manager - Baltimore, MD Baltimore, MD, United States...use our biopsy products to drive conversions and increase utilization of all available products. + Build professional relationships… more
- Elevance Health (Hanover, MD)
- …supervision.) **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... **Behavioral Health Care Manager I - Ameriben** **Location** : This role...a third-party administrator (TPA) of medical benefits, including medical management . **Hours: 8am-5pm (Local time)** The **Behavioral Health Care… more
- Trinity Health (Silver Spring, MD)
- …time **Shift:** Day Shift **Description:** **Job Title:** Clinical Business Manager , Neuroscience Programs **Schedule:** Full Time, Days **Department:** Neuroscience ... Description** Holy Cross Health is seeking an experienced and dynamic Clinical Business Manager to oversee our Neuroscience Program. The Manager is responsible… more
- CareFirst (Baltimore, MD)
- …complications. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure ... Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred **Experience:** 2 years'...healthcare payor organization. 2 years' experience in Medical Review, Utilization Management or Case Management … more
- Immigration and Customs Enforcement (Washington, DC)
- …years of case management experience and Incumbent must be a licensed Registered Nurse or an Advanced Practice Provider with extensive direct patient care ... and maintains status as a Certified Managed Care Nurse , ANCC Board Certified Nurse Case Manager or a Certified Case Manager through the Commission… more