• Utilization Management Nurse

    Humana (Annapolis, MD)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Utilization Management Nurse

    Humana (Annapolis, MD)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/16/25)
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  • Utilization Management Nurse

    Humana (Annapolis, MD)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/13/25)
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  • Utilization Management Nurse

    Humana (Annapolis, MD)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/18/25)
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  • SNF Utilization Management RN…

    Humana (Annapolis, MD)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Clinical Registered Nurse

    Cognizant (Annapolis, MD)
    …background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (11/15/25)
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  • UM Behavioral Health Nurse

    Humana (Annapolis, MD)
    **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work… more
    Humana (11/15/25)
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  • Utilization Management Specialist…

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... Preferred **Experience:** 5 years Clinical nursing experience. 2 years Care Management and/or Utilization Management . **Preferred Qualifications:** +… more
    CareFirst (10/29/25)
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  • Utilization Management RN Traveler

    Ascension Health (Baltimore, MD)
    …time of hire. **Additional Preferences** + One year of **recent** experience in Utilization Management required. + Local and national travel options are ... for post-discharge care. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer date required. +… more
    Ascension Health (10/17/25)
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  • Disease Management Nurse - Remote

    Sharecare (Annapolis, MD)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
    Sharecare (10/22/25)
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  • Nurse Practitioner (Radiation Oncology…

    Johns Hopkins University (Baltimore, MD)
    …guidelines of the department and institution and in accordance with the Nurse Practitioner-Physician Written Agreement required and approved by the State of Maryland ... and the Nurse Practice Act of the State of Maryland. Is...long-term effects of radiation and provides accurate and timely management for such side effects. + Provides education to… more
    Johns Hopkins University (11/04/25)
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  • Registered Nurse - Cardiac…

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    …care. Responsibilities The Cardiac Catheterization/Electrophysiology Laboratory (CCL) Registered Nurse (RN) is responsible for providing competent, evidence-based ... of nursing education, orientation, competencies, and providing quality improvement and outcomes utilization . The CCL RN delivers and manages the care of patients… more
    Veterans Affairs, Veterans Health Administration (11/04/25)
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  • Sr. Nurse Practitioner (Emergency Medicine)…

    Johns Hopkins University (Baltimore, MD)
    The Department of Emergency Medicine is seeking a **_Sr. Nurse Practitioner_** to work collaboratively within a multidisciplinary health care team. Responsible for ... to obtain informed consent from study participants. + Remain proficient in the utilization of commonly used clinical protocols and guidelines. + Remain abreast of… more
    Johns Hopkins University (11/04/25)
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  • Nurse Practitioner (Emergency Medicine)…

    Johns Hopkins University (Baltimore, MD)
    …to obtain informed consent from study participants. + Remain proficient in the utilization of commonly used clinical protocols and guidelines. + Remain abreast of ... procedures and practices necessary to facilitate safe and effective management of acute and chronic illness in patients presenting...**Minimum Qualifications** + Master's Degree in Nursing. + Registered Nurse license and Certified as a Nurse more
    Johns Hopkins University (11/04/25)
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  • Sr Nurse Practitioner (Emergency Medicine…

    Johns Hopkins University (Baltimore, MD)
    The Department of Emergency Medicine is seeking a **_Sr. Nurse Practitioner_** to work collaboratively within a multidisciplinary health care team. Responsible for ... to obtain informed consent from study participants. + Remain proficient in the utilization of commonly used clinical protocols and guidelines. + Remain abreast of… more
    Johns Hopkins University (11/04/25)
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  • Transplant Care Nurse (Remote)

    Highmark Health (Annapolis, MD)
    …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... within the first 6 months of employment. **Preferred** + Certification in utilization management or a related field + Certification in Case Management more
    Highmark Health (11/06/25)
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  • Nurse Supervisor-IMC Unit

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Nurse Supervisor- IMC **Employment** **Type:** Full time / Day Shift ... Program + **Location:** Holy Cross Health, Silver Spring, MD **Description:** The Nurse Supervisor is a designated clinical leader for a patient care area… more
    Trinity Health (10/16/25)
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  • Nurse Supervisor - Dialysis

    Trinity Health (Silver Spring, MD)
    …high-quality care to patients with complex renal needs. As the designated Nurse Supervisor, you'll coordinate staffing, resource management , and clinical ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Clinical Nurse Supervisor - Dialysis** **Location: Holy Cross Hospital** **Employment Type:… more
    Trinity Health (10/02/25)
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  • Full-Time Home Health Registered Nurse (RN)

    Trinity Health (Silver Spring, MD)
    …Sign-on Bonus & More** **Position Overview** As a Home Health Registered Nurse , you'll provide in-home skilled nursing care to patients by developing personalized ... exceptional coverage and real savings that make a difference. + **Supportive Leadership** Our management team is here to help you succeed every step of the way. +… more
    Trinity Health (08/26/25)
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  • Dialysis Clinical Manager Registered Nurse

    Fresenius Medical Center (Towson, MD)
    …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
    Fresenius Medical Center (10/22/25)
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