• RN Case Manager

    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
    Trinity Health (05/13/25)
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  • Case Manager / PRN ( RN / RT…

    Select Medical (Alexandria, VA)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/331267/ case - manager prn %28- rn rt sw… more
    Select Medical (06/04/25)
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  • RN Case Manager - Care…

    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
    Trinity Health (04/24/25)
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  • RN Nurse Case Manager

    Elevance Health (Ashburn, VA)
    …supports work-life integration, and ensures essential face-to-face onboarding and skill development._ The Nurse Case Manager I (Transition of Care) is ... which would provide an equivalent background. + Current, unrestricted RN license from the Commonwealth of Virginia is required....nursing home is strongly preferred. + Certification as a Case Manager is preferred. Please be advised… more
    Elevance Health (07/10/25)
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  • Case Manager RN - Bilingual

    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
    Somatus (07/02/25)
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  • Care Manager RN (Delaware)

    Highmark Health (Washington, DC)
    …+ 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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  • WFH Maternal Health Care Manager RN

    Baylor Scott & White Health (Washington, DC)
    …Should have a minimum of (2) two years relevant work experience. + Hold a valid Registered Nurse license ( RN ) As a health care system committed to improving ... on position type and/or level **Job Summary** As Care Manager RN 1, you oversee patient care,...and justify service necessity. This role combines healthcare practitioner, case manager , and educator duties to achieve… more
    Baylor Scott & White Health (07/09/25)
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  • Case Manager - Oncology, Transplant…

    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
    CVS Health (06/21/25)
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  • Part-Time (24 Hours) Home Care RN

    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
    Trinity Health (06/16/25)
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  • LTSS Service Coordinator - RN Clinician

    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 (06/21/25)
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  • LTSS Service Coordinator-Clinician

    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
    Elevance Health (07/08/25)
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  • Associate Director-Outpatient Dialysis

    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
    Somatus (06/27/25)
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