- 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
- 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
- Select Medical (Alexandria, VA)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Alexandria, VA)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
- Erickson Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living Join our team as the Nurse Manager , RN also known as the Clinical Manager ! The Clinical ... (skilled nursing, long term care, assisted living or hospital) is required. + Current Registered Nurse license for the state in which they operate. + Current… 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 (Arlington, 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
- 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
- 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
- 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
- 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 (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
- Deloitte (Washington, DC)
- …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
- 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