- CenterWell (Washington, DC)
- …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- The Arora Group (Bethesda, MD)
- …+ Experience: + Referral Management/Utilization Management (RM/ UM ) experience. + Clinical subspecialty experience in Behavioral Health ( 2 -5 years current ... Registered Nurse Case Manager Nurse Currently recruiting...across the continuum of care. + Serves as a clinical case manager and patient advocate, providing advanced practice… more
- Humana (Washington, DC)
- …QUALIFICATIONS:** + Bachelor's degree or equivalent experience + 5+ years of previous clinical experience in utilization management + 2 + years of indirect or ... + Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker (LCSW) + Master's degree + Knowledge of Medicaid regulatory… more
- Humana (Washington, DC)
- …+ Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 5+ years of previous clinical experience in ... Establish standardized protocols and workflows across the enterprise. + Lead activities regarding UM annual evaluation + Lead activities related to UM Program… more