- Fresenius Medical Center (Lanham Seabrook, MD)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Elevance Health (Hanover, MD)
- **Anticipated End Date:** **Position Title:** Nurse Case Manager II-2 **Job Description:** **Location:** This is a virtual position. **Schedule:** Monday-Friday ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Requirements:** + BA/BS in a… more
- Elevance Health (Hanover, MD)
- …equivalent and a minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or any combination ... **Anticipated End Date:** 2024-08-28 **Position Title:** Nurse Medical Management Sr **Job Description:**...work EST) **Responsible to serves as team lead for nursing staff who collaborate with healthcare providers and members… more
- Elevance Health (Hanover, MD)
- …**Minimum requirements:** + Requires minimum of 3 years acute care clinical experience, utilization management or managed care experience; or any combination of ... Nurse Medical Mgmt Sr (US) **Job Description:** ** Nurse Medical Management Sr.** **Location:** **multiple states:...Sr.** is responsible to serve as a leader for nursing staff who collaborate with healthcare providers and members… more
- Johns Hopkins University (Lutherville, MD)
- …PSC. + Secure and coordinate training of employees as needed in conjunction with the Nurse Manager , clinical trainer, and educator for PSC, CMA, and RNs. + ... appropriate processes to ensure all facets of clinic practice management are effective. This may include scheduling efficiency, complete...evaluations of PSC staff members. + Collaborate with the Nurse Manager and Clinical Director on clinical… more
- CenterWell (Annapolis, MD)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Highmark Health (Annapolis, MD)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- Elevance Health (Hanover, MD)
- …Level:** Non- Management Exempt **Workshift:** **Job Family:** MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation ... responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment… more