• 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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  • Registered Nurse ( RN )…

    LifePoint Health (Warrenton, VA)
    …**Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ) - Case Manager * **Location:** *Virginia-Warrenton* **Requisition ID:** ... Sign On Bonus for experienced candidates (new hires)* The RN Case Manager monitors and...*Required*- Three years of nursing experience. *Preferred*- Experience in utilization review, case management, discharge planning, and… more
    LifePoint Health (07/10/25)
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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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