- 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
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- Summary The Intensive Community Mental Health Program (ICMHR) Registered Nurse ( RN ) is a member of the Behavioral Health Care Service Line whose role is to ... of care and minimizing health care costs. Responsibilities The registered nurse provides care and counseling of...the purpose of improving care to patient groups, maximizing utilization of resources and enhancing the case management… 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
- 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
- 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 (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
- 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
- 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
- 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
- Highmark Health (Annapolis, MD)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more