- AmeriHealth Caritas (Washington, DC)
- …www.amerihealthcaritas.com . **$5,000.00 Sign On Bonus** **Responsibilities:** The Care Manager II (Registered Nurse /Licensed Independent Clinical Social Worker) ... with complex medical needs appropriate for care coordination and case management services in achieving their optimal level of health through self-management.… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare ... provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The...the continuity, access, and provision of care services for complex and defined patients, to include catastrophic and end-of-life… more
- Johns Hopkins University (Baltimore, MD)
- …Title: Sr. Clinical Nurse Job Posting Title (Working Title): Sr. Clinical Nurse Case Manager Role/Level/Range: ACRP/04/MF Starting Salary Range: $75,100 ... Manager , we are seeking a **_Sr. Clinical Nurse Case Manager_** who will perform duties...the ordering clinician or medical director for patients with complex medical conditions or any medical decision-making that is… more
- Elevance Health (Silver Spring, MD)
- RN Nurse Case Manager l - Medicaid (JR152160) **Location** : This role requires associates to be **in-office 4 days per week** , fostering collaboration and ... person visits to members in facilities as needed. The ** Nurse Case Manager l** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- KBR (Washington, DC)
- …certifying organization, ie Commission for Case Management Certification, American Case Manager Association, or American Nurse Credentialing Center, ... Title: *SKILLBRIDGE* Special Operations Case Manager Belong. Connect. Grow. with...licensure; full, active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker in one of… more
- KBR (Washington, DC)
- …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 in one of… more
- Sharecare (Washington, DC)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- Immigration and Customs Enforcement (Washington, DC)
- … management board certification through the American Nurses Credentialing Center ANCC or a Certified Case Manager through the Commission for Case Manager ... (IHSC). The incumbent will report directly to the Medical Case Management Program Manager (MCMPM). This is...be a Registered Nurse , Advanced Practice Registered Nurse or Physician Assistant/Associate with clinical and case… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …when functioning as team leader or charge nurse under the supervision of the Nurse Manager or designee. The nurse collaborates with other members of the ... and their family. The position is accountable to the Nurse Manager . VA offers a comprehensive total...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Elevance Health (Washington, DC)
- …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations… more
- The Arora Group (Bethesda, MD)
- …and competency verification programs in accordance with unit guidelines. + Will report to the Nurse Manager . Will take direction from charge nurse and house ... Registered Nurse - Pediatrics (Days) Nurse Currently...about adverse reactions and institute appropriate measures in the case of adverse reactions, and document patient response to… more
- Travelers Insurance Company (Washington, DC)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim… more
- Highmark Health (Washington, DC)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Travelers Insurance Company (Washington, DC)
- …evaluate, reserve, negotiate and resolve the company's most severe and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury ... **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe/ complex Life Science medical products, clinical trial and pharmaceutical bodily injury… more
- CareFirst (Baltimore, MD)
- …progressive leadership experience. Master's in Science Nursing or related field, Legal Nurse Consultant, Certified Case Manager . **Knowledge, Skills and ... the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon...State Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred or +… more
- AmeriHealth Caritas (Washington, DC)
- …. **$5,000.00 Sign On Bonus** **Responsibilities:** The Care Manager Early Intervention/Pediatrics (RN/LICSW) assists members appropriate for care ... achieving their optimal level of health through self-management. The Care Manager Early Intervention/Pediatrics (RN/LICSW) is responsible for engaging the member,… more
- Johns Hopkins University (Baltimore, MD)
- …and HIV PrEP care, totaling approximately 8 clinicians (5-10 FTE). Support the nurse manager who oversees registered nurses, approximately 4-8 nurses (6-8 FTE). ... manager . 8. Supervises the clinical care of the nurse practitioners and physician assistants to ensure care is...the sexual health clinical services. 17. Participates in multidisciplinary case management meetings focusing on complex HIV… more
- Travelers Insurance Company (Hunt Valley, MD)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engages in the identification, selection and direction… more
- Chenega Corporation (Rockville, MD)
- …closely with the Government and Contractor team trainers, physicians, and nurse practitioners. + Support management, administration, data, communication, and other ... project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide...practice in the US as a physician's assistant or nurse practitioner. + Licensure: Must possess a current, active,… more