- Humana (Annapolis, MD)
- …our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
- CVS Health (Annapolis, MD)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Part time **Shift:** **Description:** Are you an experienced Registered Nurse looking for premium compensation and maximum flexibility? ... specialties including Critical Care, Surgical Services, Maternal Services, Emergency Department and Behavioral Health . + Required to have and maintain the… more
- Sevita (Rockville, MD)
- …Every Day** Sevita is excited to announce we are hiring a **dynamic Registered Nurse ** to join our Adult Day Health team! We are looking for a **reliable ... MENTOR Adult Day Health , a member of the Sevita family, provides...individual assistance to each person we serve. **Korean Speaking Registered Nurse ** **Location:** Rockville, MD **Schedule:** Monday-Friday… more
- Howard University Hospital (Washington, DC)
- …care technicians, etc., and implements care/treatment plan while tracking the progress of Behavioral Health and the Joint Program and identifies areas requiring ... requirements Three Years of supervisory experience Current District of Columbia Registered Nurse license Current Basic Life Support (BLS) certificate… more
- CVS Health (Annapolis, MD)
- …advanced clinical judgment and critical thinking, the RN coordinates physical and behavioral health services, collaborates with providers, and ensures access to ... At CVS Health , we're building a world of health...+ **Diabetes education experience** is required. + Current, unrestricted ** Registered Nurse (RN) license** ; multi-state licensure… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …have multiple complex medical and or emotional conditions under the supervision of the Registered Nurse (RN) or the Licensed Practical Nurse (LPN)/Licensed ... Nursing Assistant or in another medical field (licensed practical nurse , health technician, hospital corpsman, etc.), performing...care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse… more
- Somatus (Rockville, MD)
- …/ positive personality Preferred + Experience working with patients with chronic and behavioral health needs. + Demonstrated success in working as part of ... + Works under the guidance of physicians and/or a nurse care manager. + Follow-up with health ...Utilize motivational interviewing techniques to encourage patients to make behavioral changes. Measures of Success + Patient Engagement +… more
- Trinity Health (Silver Spring, MD)
- … diagnosis (such as psychiatric conditions and suicidal ideology), as well as behavioral health issues. Assists in providing a safe environment for cognitively ... out under the direction, discretion, and supervision of the Registered Nurse . Other duties may be assigned...experience and the ability to relate to individuals with behavioral or mental health disorders. Ability to… more
- Ascension Health (Washington, DC)
- …the offer._ **Responsibilities** Provide care to patients under the direction of a registered nurse or physician, functioning within scope of license. + ... opportunities for caregivers specializing in geriatrics, chronic disease management, and behavioral health within skilled nursing facilities, urgent and primary… more
- CVS Health (Annapolis, MD)
- …utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health cases, applying established medical necessity criteria ... At CVS Health , we're building a world of health...good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC… more
- CareFirst (Baltimore, MD)
- …minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works ... **ESSENTIAL FUNCTIONS:** + Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with… more
- AmeriHealth Caritas (Washington, DC)
- …determinants of health , and supportive needs + Coordinates physical, behavioral health , and social services + Provides medication management, including ... Experience** + Required for RN candidates: Current and unrestricted Registered Nurse licensure in the District of...LICSW working with pediatric populations with complex medical and behavioral health diagnoses in acute care, home… more
- AmeriHealth Caritas (Washington, DC)
- **Responsibilities:** The Bilingual (Spanish or Amharic) Care Manager II ( Registered Nurse /Licensed Independent Clinical Social Worker) assists members with ... care coordination and appropriate care management interventions. + Coordinates physical, behavioral health and social services. + Provides medication management,… more
- Ascension Health (Washington, DC)
- …+ Assist with treatments ordered by provider as supervised by provider or registered nurse . Perform select clinical duties. + Interview patients, measure vital ... opportunities for caregivers specializing in geriatrics, chronic disease management, and behavioral health within skilled nursing facilities, urgent and primary… more
- Highmark Health (Annapolis, MD)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Maxim Healthcare (Lutherville Timonium, MD)
- … (RN) License for the state in which the nurse practices. + Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation). ... BLS card. + One year prior Registered Nurse (RN) experience preferred. Maxim Benefits: Health ...skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses… more
- CareFirst (Baltimore, MD)
- …**ESSENTIAL FUNCTIONS:** + Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with ... to identify key strategic interventions to address member?s medical, behavioral and/or social determinant of health needs....or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact… more
- AmeriHealth Caritas (Washington, DC)
- …Medical Director for further review. The reviewer independently applies medical and behavioral health guidelines to authorize services, ensuring they meet the ... of 3 years of diverse clinical experience as a Registered Nurse in an Intensive Care Unit...care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- CareFirst (Baltimore, MD)
- …subject to change based on evolving business needs. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact State Licensure: RN - ... interventions, discharge planning and coordination to address members medical, behavioral and/or social determinant of health needs... Registered Nurse in MD, VA or Washington,… more