- CenterWell (Annapolis, MD)
- …our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Humana (Annapolis, MD)
- …community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, ... from medical records sent from Behavioral Health Facilities to obtain sufficient clinical information. The Utilization Management Behavioral Health Nurse 2 work… more
- Humana (Annapolis, MD)
- …us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a ... beneficiary's capacity for self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care....and to enhance quality of medical care. The **Telephonic Nurse Case Manager** will collect and document data to… more
- Ivyhill Technologies LLC (Bethesda, MD)
- Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center ... referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of First… more
- Highmark Health (Annapolis, MD)
- …experience, or provider operations and/or health insurance experience + 1 year in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year ... over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Neonatal Intensive Care Unit* *University of Maryland St Joseph's Medical Center ( UM -SJMC) * *I. GENERAL SUMMARY* The Department of Pediatrics, University of ... School of Medicine seeks a mid-career or senior level Neonatologist to join UM -SJMC as the level III NICU Medical Director. This position requires someone with… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Medical Center (UMMC).* This position will support the*Level III NICU at UM -SJMC*while also contributing to clinical care, education, and quality initiatives ... Professor or Associate Professor-level**faculty member*to join our expanding team with*split clinical duties between the University of Maryland St. Joseph Medical… more
- Datavant (Annapolis, MD)
- …recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed ... Practical Nurse or Registered Nurse well versed in...denials and appeal writing for inpatient admission. Experience with clinical criteria resources and payor guidelines. **You will:** +… more
- CareFirst (Baltimore, MD)
- …standards, and attainment of standards of care for care managers or other clinical and non- clinical team members. + Organizes and supports the educational ... is required in addition to the required work experience. **Experience:** 8 years clinical experience in a healthcare setting with 2 years of demonstrating increasing… more
- University of Maryland, Baltimore (Baltimore, MD)
- …in addition to clinical expertise. *Hospital/Service Line Offerings and Features:* * UM Children's Hospital includes: o State of the art 52-bed Level IV NICU o ... Pediatric Endocrinology. *Position/Program Highlights:* * Collaborative team of Physicians, Nurse Practitioners, Nurses, Dieticians and Administrative Staff who support… more
- University of Maryland, Baltimore (Baltimore, MD)
- …HIFU research/ clinical unit. Multi-disciplinary research collaborations across the UMB, UM College Park and with our basic science faculty is highly encouraged. ... physicians, ACGME-accredited integrated and independent IR residencies, and three full-time IR nurse practitioners. Our Baltimore IR practice is out of 3 hospitals… more