• Greater Baltimore Medical Center Healthcare (Towson, MD)
    …registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse . Completion of "Healthcare Provider" CPR course, bi-annually. Experience: ... 2 year Registered Nurse experience required in the specific...patient experience and service recovery Principal Duties and Responsibilities: Utilization of Nursing Process A. Assessment. *Compiles database and… more
    Upward (07/18/25)
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  • Greater Baltimore Medical Center Healthcare (Towson, MD)
    …registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse . Completion of "Healthcare Provider" CPR course, bi-annually. Experience: ... One-year Registered Nurse experience required Skills: *Proficiency in...patient experience and service recovery Principal Duties and Responsibilities: Utilization of Nursing Process A. Assessment. 1. Compiles database… more
    Upward (07/16/25)
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  • Greater Baltimore Medical Center Healthcare (Towson, MD)
    …registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse . Healthcare Provider CPR course biennial Experience: None required ... and evaluating outcome of nursing intervention. Principal Duties and Responsibilities: Utilization of Nursing Process A. Assessment. 1. Compiles database and… more
    Upward (07/17/25)
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  • CareRing Health, LLC (Upper Marlboro, MD)
    …*Educated patients families on medication and procedures. Qualifications *Holds a current Registered Nurse license *Is a graduate from an approved school ... Overview The RN completes initial and periodic comprehensive assessments of...weekend on-call assignments. *Provides comprehensive nursing care through the utilization of the home assessment, nursing diagnoses, and physician-approved… more
    Upward (07/20/25)
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  • Children's National Hospital (Washington, DC)
    …least three in a pediatric setting (Required) Required Licenses and Certifications Registered Nurse in District of Columbia (Required) Current certification in ... all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice.… more
    Upward (06/27/25)
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  • Greater Baltimore Medical Center Healthcare (Towson, MD)
    …5 years. Licensures/Certifications: *Must possess current Maryland State license as a Registered Nurse . *Certification as CPR instructor by American Heart ... throughout the program *Collaborate with stakeholders for ongoing evaluation of nurse graduate placement to ensure appropriateness *Assist new graduates in… more
    Upward (07/16/25)
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  • Registered Nurse

    Ascension Health (Baltimore, MD)
    …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday, 8:00AM-4:30PM. + **Facility:** St. Agnes Hospital + **Location:**… more
    Ascension Health (05/17/25)
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  • Registered Nurse - Post Acute…

    Veterans Affairs, Veterans Health Administration (Washington, DC)
    …Center (CLC) (Freedom Way East) Post-Acute Rehabilitation/Polytrauma and Long Term Care (LTC) Registered Nurse ( RN ) provides care and counseling of persons ... View Community Living Center (Freedom Way East) Post-Acute Rehabilitation and Long Term Care Registered Nurse registered nurse provides care and… more
    Veterans Affairs, Veterans Health Administration (07/10/25)
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  • Registered Nurse (Non-Practicing)…

    Ivyhill Technologies LLC (Bethesda, MD)
    …referral management process and the RM Team. Requirements Qualified candidate must be a Licensed Registered Nurse ( RN ), with an unencumbered active RN ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its...years of clinical nursing experience. Referral Management (RM) and Utilization Management (UM) experience is preferred. Full-time employment in… more
    Ivyhill Technologies LLC (06/09/25)
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  • Occupational Health Registered Nurse

    Koniag Government Services (Camp Springs, MD)
    …on the National Council Licensure Examination (NCLEX- RN ) + Current active, unrestricted Registered Nurse license to practice in Maryland + Minimum of three ... Occupational Health Registered Nurse Camp Springs, MD, USA...Prepare and submit required reports, including quarterly and annual utilization reports + Manage and maintain medical equipment and… more
    Koniag Government Services (05/01/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Baltimore, MD)
    …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
    Fresenius Medical Center (06/27/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Hyattsville, MD)
    …supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve ... combination of education and experience + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + 6 - 8… more
    Fresenius Medical Center (06/14/25)
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  • Utilization Management Nurse

    CVS Health (Annapolis, MD)
    …Qualifications** + Must reside in EST zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have active ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...current and unrestricted RN licensure in state of residence + 1+ year(s)… more
    CVS Health (07/16/25)
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  • Utilization Management Review Nurse

    AmeriHealth Caritas (Washington, DC)
    …health care, or medical office setting **Licensure** + Current driver's license required + A Registered Nurse ( RN ) license in the District of Columbia in ... Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring… more
    AmeriHealth Caritas (06/03/25)
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  • Interim RN Utilization Review…

    Ascension Health (Baltimore, MD)
    …job transfer date required. American Heart Association or American Red Cross accepted. + Registered Nurse obtained prior to hire date or job transfer date ... required. Education: + Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required. **Additional Preferences** \#ATP **Why Join Our Team** Ascension associates are key to our commitment of… more
    Ascension Health (04/24/25)
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  • Utilization Management Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …+ Proficient in Microsoft Office programs. **Licenses/Certifications Required Upon Hire** : Health Services\ RN - Registered Nurse - State Licensure and/or ... **Resp & Qualifications** **PURPOSE:** Manages the utilization of referral services. Enhances quality of care...FUNCTIONS:** + Trains staff on standards of practice of Utilization Management and reimbursement methodologies and treatment coding. +… more
    CareFirst (07/12/25)
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  • RN Hospice Case Manager (Home Health-Based)

    Amergis (Columbia, MD)
    Salary: $53 / Hour The Registered Nurse - Hospice Case Manager is responsible for providing care, comfort and supportto terminally ill patients. The Registered ... the delivery of hospice patient carein various settings. The Registered Nurse demonstrates the abilityto make clinical...in the managementof patient care. Position Details: + Position: RN Hospice Case Manager (Home Health- Based) + Location:… more
    Amergis (06/05/25)
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  • Disease Management Nurse - Remote

    Sharecare (Annapolis, MD)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (07/12/25)
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  • Care Manager RN (Delaware)

    Highmark Health (Annapolis, MD)
    …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care… more
    Highmark Health (07/08/25)
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  • Sr. Nurse Practitioner - #Staff

    Johns Hopkins University (Baltimore, MD)
    …team while maintaining patient confidentiality. **Minimum Qualifications** + Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse ... The Department of Emergency Medicine is seeking a **_Sr. Nurse Practitioner_** to work collaboratively within a multidisciplinary health care team. Responsible for… more
    Johns Hopkins University (05/16/25)
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