• Clinical Appeals Manager - RN

    CareFirst (Baltimore, MD)
    …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... of members for Maryland Medicaid, Maryland Medicare including (EGWP, DSNP , MAPD). Ensures quality management of the clinical appeal...State Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred **Experience:** 5… more
    CareFirst (11/09/24)
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  • Clinical Appeals Supervisor - RN (Hybrid)

    CareFirst (Baltimore, MD)
    …people. **QUAIFICATIONS:** **Education Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or ... State Licensure Upon Hire Required. + CCM - Certified Case Manager Upon Hire Preferred. + LNCC...Manager Upon Hire Preferred. + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred. **Experience:** + 5… more
    CareFirst (11/09/24)
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