- 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
- 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
- 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
- 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
- Elevance Health (Ashburn, VA)
- …work-life integration, and ensures essential face-to-face onboarding and skill development._ **The Nurse Case Manager I** is responsible for performing ... for new care management staff. + Works on special projects as assigned by manager . + Other duties as assigned. **Required Qualifications** + Requires 3 years of… more
- 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
- 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
- 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 (Washington, DC)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case management, and… more
- 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
- 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 (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
- 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