- Trinity Health (Silver Spring, MD)
- …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management,...resource for navigating post-acute care services. **Minimum Qualifications:** + RN licensed by the State of Maryland or Compact… more
- CVS Health (Washington, DC)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year… more
- CVS Health (Washington, DC)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …conditions and treatment are normally of a noncritical nature. Responsibilities The Registered Nurse - Patient Flow Clinical Coordinator provides care and ... Expedites the coordination of patient's transfer with physicians, staff RN 's and other departments while meeting the utilization...level of care, using established criteria. Collaborates with the Nurse Manager using proper chain of command… more
- 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 Nurse - Hospice assumesthe responsibility and...in the managementof patient care. Position Details: + Position: RN Hospice Case Manager (Home… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Nurse Case Manager **Employment Type:** Full Time **Shift:** Day **Position ... accurate clinical documentation, and supports post-hospital planning. The Case Manager also monitors and manages clinical resource utilization , working to… more
- Somatus (Mclean, VA)
- …can leverage existing high-speed internet service Preferred Qualifications: + BSN + Certified Case Manager (CCM) + Diabetic educator experience + ICU, Cardiology ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management… more
- Highmark Health (Washington, DC)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care… more
- KBR (Arlington, VA)
- …certifying organization, ie Commission for Case Management Certification , American Case Manager Association, or American Nurse Credentialing Center, or ... Title: Special Operations Case Manager Part-Time (National Capital Region)...; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker… more
- Trinity Health (Silver Spring, MD)
- …assessment and care plan development in collaboration with the Population Health Case Manager . Provides functional support/supervision to Home Healthcare Aides ... Qualifications:** + Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have… more
- Elevance Health (Arlington, VA)
- … case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... responsiveness to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's… more
- Elevance Health (Arlington, VA)
- …Service** **Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case . As ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
- Somatus (Falls Church, VA)
- …collection and auditing + Ability to work closely with the Director and Clinical Nurse Manager to manage the day-to-day activities and workload of the facility ... Coordinators and acts on the feedback as appropriate. Collaborates with the Clinical Nurse Manager , Clinical Coordinators, and SVP of Operations to set annual… more