• Consultant , Nurse Disability

    Lincoln Financial Group (Washington, DC)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information… more
    Lincoln Financial Group (05/29/24)
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  • Registered Nurse Case Manager

    The Arora Group (Bethesda, MD)
    …Certified Care Managers: Care Manager Certified (CMC) + Experience: + Referral Management / Utilization Management (RM/UM) experience. + Clinical subspecialty ... case-managed patients, throughout the continuum of care. + Conduct training in nurse case management for professional and paraprofessionals personnel, within the… more
    The Arora Group (04/16/24)
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  • Registered Nurse Case Manager

    The Arora Group (Annapolis, MD)
    …algorithms, CM software, databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case management with ... Registered Nurse Case Manager Nurse Currently recruiting...meet the health care needs, including medical and/or psychosocial management , of specified patients + Serve as consultant more
    The Arora Group (05/09/24)
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  • Medical Review & Appeals Director (Hybrid)

    CareFirst (Baltimore, MD)
    …**Knowledge, Skills and Abilities (KSAs)** + Knowledge of NCQA requirements of utilization review, Case Management standards and guidelines, appeal rights and ... multiple strategic clinical projects that span organizational boundaries, responsible for management of corporate care cost directives and goals. + Oversees the… more
    CareFirst (05/07/24)
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