• RN Case Manager

    Trinity Health (Silver Spring, MD)
    …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management,...resource for navigating post-acute care services. **Minimum Qualifications:** + RN licensed by the State of Maryland or Compact… more
    Trinity Health (05/13/25)
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  • Case Manager / PRN ( RN / RT…

    Select Medical (Alexandria, VA)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/331267/ case - manager prn %28- rn rt sw… more
    Select Medical (06/04/25)
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  • Registered Nurse , Case

    CVS Health (Washington, DC)
    …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year… more
    CVS Health (06/19/25)
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  • Case Manager Registered

    CVS Health (Washington, DC)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year… more
    CVS Health (06/19/25)
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  • Registered Nurse - Patient Flow…

    Veterans Affairs, Veterans Health Administration (Washington, DC)
    …conditions and treatment are normally of a noncritical nature. Responsibilities The Registered Nurse - Patient Flow Clinical Coordinator provides care and ... Expedites the coordination of patient's transfer with physicians, staff RN 's and other departments while meeting the utilization...level of care, using established criteria. Collaborates with the Nurse Manager using proper chain of command… more
    Veterans Affairs, Veterans Health Administration (07/01/25)
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  • RN Hospice Case Manager (Home…

    Amergis (Columbia, MD)
    Salary: $53 / Hour The Registered Nurse - Hospice Case Manager is responsible for providing care, comfort and supportto terminally ill patients. The ... Registered Nurse - Hospice assumesthe responsibility and...in the managementof patient care. Position Details: + Position: RN Hospice Case Manager (Home… more
    Amergis (06/05/25)
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  • RN Case Manager - Care…

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Nurse Case Manager **Employment Type:** Full Time **Shift:** Day **Position ... accurate clinical documentation, and supports post-hospital planning. The Case Manager also monitors and manages clinical resource utilization , working to… more
    Trinity Health (04/24/25)
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  • Case Manager RN - Bilingual

    Somatus (Mclean, VA)
    …can leverage existing high-speed internet service Preferred Qualifications: + BSN + Certified Case Manager (CCM) + Diabetic educator experience + ICU, Cardiology ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management… more
    Somatus (07/02/25)
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  • Telephonic Nurse Case Manager

    Humana (Annapolis, MD)
    **Become a part of our caring community and help us put health first** The **Telephonic Nurse Case Manager ** will be a member of the Case Management ... case management throughout the continuum of care. The case manager will offer guidance. support, and...+ A current, valid and unrestricted license as a Registered Nurse ( RN ) + Minimum… more
    Humana (07/01/25)
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  • Special Operations Case Manager

    KBR (Arlington, VA)
    …certifying organization, ie Commission for Case Management Certification , American Case Manager Association, or American Nurse Credentialing Center, or ... Title: Special Operations Case Manager Part-Time (National Capital Region)...; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker… more
    KBR (05/15/25)
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  • Part-Time (24 Hours) Home Care RN

    Trinity Health (Silver Spring, MD)
    …assessment and care plan development in collaboration with the Population Health Case Manager . Provides functional support/supervision to Home Healthcare Aides ... Qualifications:** + Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have… more
    Trinity Health (06/16/25)
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  • LTSS Service Coordinator - RN Clinician

    Elevance Health (Arlington, VA)
    case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... responsiveness to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's… more
    Elevance Health (06/21/25)
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  • Compliance Nurse 2

    CenterWell (Washington, DC)
    …of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence ... RN license in the state(s) in which the nurse is required to practice + Ability to be...Previous Medicare/Medicaid experience a plus + Previous experience in utilization management, case management, discharge planning and/or… more
    CenterWell (07/01/25)
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  • Associate Director-Outpatient Dialysis

    Somatus (Falls Church, VA)
    …collection and auditing + Ability to work closely with the Director and Clinical Nurse Manager to manage the day-to-day activities and workload of the facility ... Coordinators and acts on the feedback as appropriate. Collaborates with the Clinical Nurse Manager , Clinical Coordinators, and SVP of Operations to set annual… more
    Somatus (06/27/25)
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