- STG International (Rockville, MD)
- …of the agreement and coordinating service delivery with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case ... to cost recover on all exams according to the Interagency Agreement (IAA). The Registered Nurse Case Review Specialist will ensure that complete exams… more
- University of Maryland, Baltimore (Baltimore, MD)
- …research studies or clinical trial protocols requiring the expertise and care of a Registered Nurse . * Manages the collection of complex research study or ... such as protocol worksheets, procedural manuals, adverse event reports, case report forms, and institutional review board...the Maryland Board of Nursing to practice as a registered nurse or a multistate licensure privilege… more
- Chenega Corporation (Rockville, MD)
- …possess a current, active, full, and unrestricted license or registration as a professional nurse and Advance Practice Registered Nurse from a State, the ... Professional Services Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health… more
- Parexel (Baltimore, MD)
- …a hospital or clinical setting + BSN preferred or relevant work experience. + Active Registered Nurse License in the state of Maryland + Current Basic Life ... appropriate physician. + Collect and prepare data. Organize and enter data into case report forms. + Enter data into databases when required. Assist physicians in… more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- ... determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical... Registered Nurse in MD, VA or Washington,… 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 - ... (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely... Registered Nurse in MD, VA or Washington,… more
- CareFirst (Baltimore, MD)
- …individual and team-based performance as needed. **Licenses/Certifications** : + RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon ... and External review requests. Accountable for quality review and interpretation of the appeal case ... Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred Salary Range: $78,696… more
- CareFirst (Baltimore, MD)
- …required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon ... benefit application. Applies sound clinical knowledge and judgment throughout the review process. Coordinates non-par provider/facility case rate negotiations… more
- Deloitte (Baltimore, MD)
- …as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, ... degree in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist… more
- Ascension Health (Baltimore, MD)
- …Association (AHA) obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to ... performs similar duties with staff. + Assign, monitor and review progress of work and compliance with policies and/or...Requires a minimum 1 year work experience as a Registered Nurse . **Why Join Our Team** Ascension… more
- CareFirst (Baltimore, MD)
- …High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- ... determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical...Registered Nurse in MD, VA or Washington.… more
- CareFirst (Baltimore, MD)
- …change based on evolving business needs. **Licenses/Certifications** : Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure ... activities of Onsite Care Management staff, Onsite Clinical Navigators and/or other Registered Nursing roles embedded at a partnering hospital. This role will assist… more
- CareFirst (Baltimore, MD)
- …the required work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure. ... to Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:**… more
- CareFirst (Baltimore, MD)
- …Microsoft Word, Excel, Access, PowerPoint and Outlook. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon ... using adult learning principles. Uses instructional design principles to scope, review , modify, and redesign training materials to reflect current research and… more