• Clinical UM Nurse 2

    CenterWell (Washington, DC)
    …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
    CenterWell (06/13/25)
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  • Registered Nurse Case Manager

    The Arora Group (Bethesda, MD)
    …+ Experience: + Referral Management/Utilization Management (RM/ UM ) experience. + Clinical subspecialty experience in Behavioral Health ( 2 -5 years current ... Registered Nurse Case Manager Nurse Currently recruiting...across the continuum of care. + Serves as a clinical case manager and patient advocate, providing advanced practice… more
    The Arora Group (03/27/25)
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  • National Utilization Management Director,…

    Humana (Washington, DC)
    …+ Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 2 -5 yrs of previous senior leadership experience ... and help us put health first** The Utilization Management ( UM ) Director, Clinical Strategy and Practice for...to work effectively in a cross-functional, matrixed environment. + 2 + yrs Payer experience with responsibility for the creation… more
    Humana (06/06/25)
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  • Certified Nurse Midwife

    University of Maryland, Baltimore (Baltimore, MD)
    …*medschool.umaryland.edu**.* **Job:** **Faculty* **Organization:** **School of Medicine - Clinical Departments* **Title:** *Certified Nurse Midwife* ... (SOM) in Baltimore is looking for a full-time Certified Nurse -Midwife (CNM) to join its Division of Midwifery. The...our CNM team offers 24/7/365 coverage. In addition to clinical duties, the successful candidate will participate in educational… more
    University of Maryland, Baltimore (04/12/25)
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  • Pediatrics Neonatology

    University of Maryland, Baltimore (Baltimore, MD)
    …1. Provides leadership and oversight of the delivery of medical care by clinical staff through direct supervision and audits. 2 . Directs activities related ... Neonatal Intensive Care Unit* *University of Maryland St Joseph's Medical Center ( UM -SJMC) * *I. GENERAL SUMMARY* The Department of Pediatrics, University of… more
    University of Maryland, Baltimore (04/16/25)
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  • Strategy Advancement Advisor

    Humana (Washington, DC)
    …+ Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 5+ years of previous clinical experience in ... Establish standardized protocols and workflows across the enterprise. + Lead activities regarding UM annual evaluation + Lead activities related to UM Program… more
    Humana (06/06/25)
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  • Care Management Supervisor - (Hybrid)

    CareFirst (Baltimore, MD)
    …care and manage health care costs. We are looking for an experienced Registered Nurse and people leader with UM /CM experience living within the greater Baltimore ... Supervisor supervises, directs and coordinates the activities of Inpatient Management Clinical Navigator RNs. Utilizes Milliman Care Guidelines (MCG) to act as… more
    CareFirst (04/17/25)
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  • Academic Angio/Interventional Radiologist

    University of Maryland, Baltimore (Baltimore, MD)
    …HIFU research/ clinical unit. Multi-disciplinary research collaborations across the UMB, UM College Park and with our basic science faculty is highly encouraged. ... integrated and independent IR residencies, and three full-time IR nurse practitioners. Our Baltimore IR practice is out of...Zeego units, and a Canon Hybrid Angio/CT suite, and 2 additional Bi-plane Siemens suites are shared. The Division… more
    University of Maryland, Baltimore (04/16/25)
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