- 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 (Washington, DC)
- **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 (Washington, DC)
- …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
- Somatus (Mclean, VA)
- …utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management ... the team members. + Uses protocols and pathways in line with established disease management and care management programs and approved by medical management … more
- Fresenius Medical Center (Arlington, VA)
- …care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques ... adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more
- Elevance Health (Vienna, VA)
- …an accommodation is granted as required by law._ The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case within ... the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable state law and… more
- Battelle Memorial Institute (Arlington, VA)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team...by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center… 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)
- …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
- Elevance Health (Ashburn, VA)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II** **Location:** This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum requirements:**… 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
- Deloitte (Mclean, VA)
- …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
- Hologic (Washington, DC)
- …+ Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are strongly ... Radiology Clinical Account Manager - Washington, DC Washington, DC, United States...use our biopsy products to drive conversions and increase utilization of all available products. + Build professional relationships… more
- Elevance Health (Ashburn, VA)
- …supervision.) **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... **Behavioral Health Care Manager I - Ameriben** **Location** : This role...a third-party administrator (TPA) of medical benefits, including medical management . **Hours: 8am-5pm (Local time)** The **Behavioral Health Care… more
- Trinity Health (Silver Spring, MD)
- …time **Shift:** Day Shift **Description:** **Job Title:** Clinical Business Manager , Neuroscience Programs **Schedule:** Full Time, Days **Department:** Neuroscience ... Description** Holy Cross Health is seeking an experienced and dynamic Clinical Business Manager to oversee our Neuroscience Program. The Manager is responsible… more
- Adecco US, Inc. (Dulles, VA)
- **Position Title:** Nurse Manager - Behavioral Health **Location:** 24440 Stone Springs Blvd, Dulles, VA 20166 **Facility:** StoneSprings Hospital Center ... and the community, fostering collaboration, compassion, and excellence in care. The Nurse Manager - Behavioral Health oversees the day-to-day operations of… 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 (Washington, DC)
- …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
- Organon & Co. (Washington, DC)
- …Structure and Function. **Preferred Education, Experience and Skills** + PharmD, APRN, RN , MBA preferred. + Previous large/strategic account management role. + ... as well as other extended account team members to maximize appropriate utilization of Organon products. Integrates Senior Leadership into the overall business… more