- Elevance Health (Hanover, MD)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- Johns Hopkins University (Lutherville, MD)
- We are seeking a **_Clinical Practice Nurse (Ambulatory)_** who will work under the Nurse Manager for Medical Oncology at Green Spring Station. The Sr. Clinical ... Nurse is a member of the multidisciplinary team that...data to deliver and evaluate care. + Triage and review incoming phone messages, Epic InBasket and communications with… more
- BrightSpring Health Services (Greenbelt, MD)
- …dedicated team + Drive and deliver profitable growth Essential Job Responsibilities + Review daily appointment needs: packets completed and available to staff + ... Review daily nursing calendar, schedule, attend if possible. Ensure...accredited school of nursing OR License as a Registered Nurse , current and in good standing + Valid driver's… more
- Highmark Health (Annapolis, MD)
- …Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, implements and evaluates nursing care ... for individuals or families for whom the nurse is responsible. The Registered Nurse is...in on-going interdisciplinary communication specific to each patient with review of patient status and plan of care. +… more
- BioLife Plasma Services (Towson, MD)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma Services is a subsidiary ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- Johns Hopkins University (Columbia, MD)
- …findings and laboratory values, and makes preliminary diagnosis of patients for review by physician. + Develop care/treatment plan for patient according to ... bylaws. **Minimum Qualifications** + Master's Degree in Nursing. + Registered Nurse license and Certified as a Nurse Practitioner. + Must be licensed as an NP in… more
- Lincoln Financial Group (Annapolis, MD)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for ... for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- Elevance Health (Hanover, MD)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make… more
- Elevance Health (Hanover, MD)
- ** Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Fresenius Medical Center (Lanham, MD)
- …to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. + Delivers safe, effective care in a ... May be assigned to in-center patient care on an as needed basis + Review and comply with the Code of Business Conduct and all applicable company policies… more
- BrightSpring Health Services (Upper Marlboro, MD)
- …needs in patients' homes. + Administer medications and monitor their effects. + Review and adjust care plans and medications as needed. + Evaluate and support ... + Graduate of an accredited school of Nursing + Current Registered Nurse licensure in State and American Heart Association CPR certification required; CPR… more
- Humana (Annapolis, MD)
- …community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
- Cardinal Health (Annapolis, MD)
- …and other global competent authorities and regulators. + Serve as expert reviewer for European and Canadian Medical Device Regulation documents. + Participate in ... Procedures. **Qualifications:** + Bachelor's degree in nursing required, Advanced Practice Nurse , master's level degree preferred. + Active nursing license. + CPPS… more
- Fresenius Medical Center (Pasadena, MD)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- Amergis (Hunt Valley, MD)
- The Registered Nurse - Hospice Case Manager is responsible for providing care, comfort and support to terminally ill patients. The Registered Nurse - Hospice ... of hospice patient care in various settings. The Registered Nurse demonstrates the ability to make clinical judgments in...this position, press "apply" and submit your resume. We'll review your resume and reach out to you to… more
- United Therapeutics (Annapolis, MD)
- …reimbursement support, patient support programs, field reimbursement managers, patient navigators and nurse educators + Review Needs Assessment Forms related to ... + Serve as Legal representative on the Company's promotional review committee, including review of promotional and sales training materials + Support the… more
- Amergis (Columbia, MD)
- …performs direct patient care under the directsupervision of a Registered Nurse . TheGeriatric Nursing Assistant performs a variety of individualized patient ... not limited to universal precautions + Notifies the supervising nurse of any abnormal findings or conditions + Cleans...this position, press "apply" and submit your resume. We'll review your resume and reach out to you to… more
- Gentiva (Beltsville, MD)
- …care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join ... Group (IDG), as assigned, including presiding over IDG, presentation of patients for review , coordination of minutes, review of patient charts to note and… more
- Evolent (Annapolis, MD)
- …be the single point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work can be divided into ... made by all clinical staff + Ensures consistent clinical decision making by nurse and physician reviewers to maximize clinical outcomes and to ensure adherence to… more