• Care Manager Behavioral

    Highmark Health (Annapolis, MD)
    …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical, Case Management and/or Condition Management + Experience ... High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional **Substitutions** + None **Preferred** + Bachelor's degree… more
    Highmark Health (12/12/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Annapolis, MD)
    …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
    Highmark Health (11/20/24)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Annapolis, MD)
    …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
    Highmark Health (01/07/25)
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  • Site Activation CAR-T Senior Manager , Cell…

    J&J Family of Companies (Annapolis, MD)
    Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
    J&J Family of Companies (12/18/24)
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  • Area Business Development Manager

    Maxim Healthcare Services (Columbia, MD)
    Maxim Healthcare Services is hiring for an Area Business Development Manager This position will encompass the forging of new relationships, expand on existing ... programs, local insurance payers, physician groups, government entities, and case management groups. Why Join Maxim: + Competitive pay...Join Maxim: + Competitive pay & weekly paychecks + Health , dental, vision, and life insurance + 401(k) savings… more
    Maxim Healthcare Services (01/10/25)
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  • Medicare Medical Director

    Elevance Health (Hanover, MD)
    …The **Medicare Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (01/11/25)
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  • Associate Medical Director - Orthopedic Surgery

    Elevance Health (Hanover, MD)
    …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location. **Work schedule:** Monday - Friday 8:00am to 5:00pm depending… more
    Elevance Health (12/17/24)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Linthicum Heights, MD)
    …conditions. Our more than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated and ... working with the CBO cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and others. The… more
    CommuniCare Health Services Corporate (12/21/24)
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