- MEDSTAR HEALTH (Washington, DC)
- …Experience Prior clinical nursing experience preferred Licenses and CertificationsRN - Registered Nurse - State Licensure and/or Compact State Licensure in ... needs range from uncomplicated to highly complex. Receives supervision from the Nurse Leader and functional supervision from the clinical coach/designee. May… more
- MEDSTAR HEALTH (Washington, DC)
- …required Leadership and management experience preferred Licenses and CertificationsRN - Registered Nurse - State Licensure and/or Compact State Licensure ... General Summary of PositionThe Clinical Administrator is a member of MedStar Health...administration as well as senior medical staff and other Nurse Leaders concerning any operational issues or matters pertaining… more
- MEDSTAR HEALTH (Washington, DC)
- …required 1-2 years case management experience preferred Licenses and CertificationsRN - Registered Nurse - State Licensure and/or Compact State Licensure in ... member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and...utilization of resources, and works to achieve optimal clinical and resource outcomes for the acute, and post-hospital… more
- MEDSTAR HEALTH (Clinton, MD)
- …participates in committees as requested. Develops strategies to market and maximize utilization of the Wound, Ostomy, Continence Nurse .Performs other duties and ... Master's degree in Nursing preferred.CWOCN - Certified Wound, Ostomy, Continence Nurse by the Wound, Ostomy and Continence Nursing Certification Board. Will… more
- MEDSTAR HEALTH (Clinton, MD)
- …and participates in committeesas requested.Develops strategies to market and maximize utilization of the Wound, Ostomy, Continence Nurse .Performs other duties ... Master's degree in Nursing preferred.CWOCN - Certified Wound, Ostomy, Continence Nurse by the Wound, Ostomy and Continence Nursing Certification Board. Will… more
- Mary Washington Healthcare (Woodbridge, VA)
- …and provides guidance and mentorship to colleagues.Performs other duties as assigned.Qualifications: Registered Nurse (RN) with an active, unencumbered license ... administration, Quality Improvement, or related discipline preferred.A minimum of five years of clinical nurse experience required; with at least two years in… more
- Cognizant (Washington, DC)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Annapolis, MD)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- Fresenius Medical Center (Clinton, MD)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …Community Living Center (Freedom Way East) Post-Acute Rehabilitation and Long Term Care Registered Nurse provides care and counseling of persons of health and ... Center (CLC) (Freedom Way East) Post-Acute Rehabilitation/Polytrauma and Long Term Care (LTC) Registered Nurse (RN) provides care and counseling of persons or in… more
- CVS Health (Washington, DC)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Ivyhill Technologies LLC (Bethesda, MD)
- Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center ... and referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of… more
- AmeriHealth Caritas (Washington, DC)
- …standards in a fast-paced, high-volume environment. **Licensure:** + An active and unencumbered Registered Nurse license in the District of Columbia is required. ... SIGN ON BONUS** **Role Overview:** Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for… more
- Trinity Health (Silver Spring, MD)
- …1 Benefits, 10k Sign-on Bonus & More** **Position Overview** As a Home Health Registered Nurse , you'll provide in-home skilled nursing care to patients by ... this role offers a rewarding opportunity to apply your clinical expertise in a more independent, patient-focused environment. **Why...an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of… more
- Centene Corporation (Annapolis, MD)
- …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + For ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- CenterWell (Washington, DC)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Sharecare (Washington, DC)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- KBR (Arlington, VA)
- …and self-care. + Current licens ur e ; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker in one of any US ... Title: Special Operations Nurse Case Manager / Case Manager Part-Time (National...of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope… more
- Trinity Health (Silver Spring, MD)
- …licensure by the Maryland State Board of Nursing or Compact State as a Registered Nurse . + BLS certification (American Heart Association) + Department specific ... Advancement Program + **Location:** Holy Cross Health, Silver Spring, MD **Description:** The Nurse Supervisor is a designated clinical leader for a patient care… more
