- AmeriHealth Caritas (Washington, DC)
- …with complex medical needs appropriate for care coordination and case management services in achieving their optimal level of health through self-management.; ... more about us at; www.amerihealthcaritas.com . **Responsibilities:** The Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists… more
- Highmark Health (Annapolis, MD)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Annapolis, MD)
- …or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support ... efficiency and strong organizational skill + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Proactive… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) at ... one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The contracted RN shall...the continuity, access, and provision of care services for complex and defined patients, to include catastrophic and end-of-life… more
- KBR (Washington, DC)
- Title: Special Operations Case Manager (National Capitol Region) (Part-Time) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR is a company ... services. We are seeking a stellar part-time Special Operations Case Manager that will provide a full...Demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems in order to… more
- Johns Hopkins University (Baltimore, MD)
- …Sr. Clinical Nurse Job Posting Title (Working Title): Sr. Clinical Nurse Case Manager Role/Level/Range: ACRP/04/MF Starting Salary Range: $75,100 - $131,700 ... Manager , we are seeking a **_Sr. Clinical Nurse Case Manager_** who will perform duties related to medical...the ordering clinician or medical director for patients with complex medical conditions or any medical decision-making that is… more
- Cardinal Health (Annapolis, MD)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
- Elevance Health (Washington, DC)
- …- Friday** **Travel:** **Field Based** **Position Overview:** Responsible for performing case management telephonically and/or by home visits within the scope of ... You Will Make an Impact:** + Responds to more complex cases and account specific requests + Uses appropriate...providers + Serves as a resource to other BH Case Mgrs + Participates in cross-functional teams projects and… more
- Sedgwick (Baltimore, MD)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** ... **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Guardian Life (Annapolis, MD)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... minimum of 3 years of experience handling appeals or complex claims (preferred). + Bachelor's Degree (preferred) or equivalent...learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to… more
- Cardinal Health (Annapolis, MD)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
- AmeriHealth Caritas (Washington, DC)
- …. **$5,000.00 Sign On Bonus** **Responsibilities:** The Care Manager Early Intervention/Pediatrics (RN/LICSW) assists members appropriate for care ... achieving their optimal level of health through self-management. The Care Manager Early Intervention/Pediatrics (RN/LICSW) is responsible for engaging the member,… more
- AmeriHealth Caritas (Washington, DC)
- …about us at www.amerihealthcaritas.com . **$5,000.00 SIGN ON BONUS** The Care Manager II assists members appropriate for care management and care coordination ... in achieving their optimal level of health through self-management. The Care Manager is responsible for engaging the member, member caregiver and providers to… more
- Public Consulting Group (Annapolis, MD)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Immigration and Customs Enforcement (Washington, DC)
- … management board certification through the American Nurses Credentialing Center ANCC or a Certified Case Manager through the Commission for Case Manager ... Health Service Corps (IHSC). The incumbent will report directly to the Medical Case Management Program Manager (MCMPM). This is a non-supervisory position. This… more
- Cardinal Health (Annapolis, MD)
- …knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works ... independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place… more
- Travelers Insurance Company (Annapolis, MD)
- …evaluate, reserve, negotiate and resolve the company's most severe and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury ... **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe/ complex Life Science medical products, clinical trial and pharmaceutical bodily injury… more
- Dentons US LLP (Washington, DC)
- …US May 8, 2025 Dentons US LLP is currently recruiting for a Discovery Project Manager to support our Case Teams, nationally. The Discovery Project Manager ... Discovery Project Manager Washington DC, DC, USSt. Louis, MO, USNew...will act primarily as a consultant for firm case team members across a broad spectrum of issues… more
- Ascension Health (Baltimore, MD)
- …standards. + Cover on units as needed and serves as a resource for complex case management issues. **Requirements** Licensure / Certification / Registration: + ... BLS Provider preferred. American Heart Association or American Red Cross accepted. + Case Manager credentialed from the Commission for Case Manager … more
- Entergy (Washington, DC)
- …Sr. Manager , Project Controls provides intrusive oversight of large, complex projects by establishing and leading project assurance, reporting, and training ... **Job Title:** Project Controls, Senior Manager **Work Place Flexibility:** Onsite **Legal Entity:** Entergy...project teams, project controls team, aids in project business case development, and lessons learned to achieve the requirements… more