• Complex Case Manager

    Highmark Health (Annapolis, MD)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (10/25/24)
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  • Registered Nurse - Mental Health…

    Veterans Affairs, Veterans Health Administration (Camp Springs, MD)
    …creative approaches to management of complex patient care in the assigned area. The Registered Nurse will be required to work at both the Camp Spring, MD ... Summary The primary purpose of CBOC Nurse Manager position is to execute...VA CBOC. Responsibilities The Community Based Outpatient Clinic (CBOC) Registered Nurse (Camp Spring, MD and Ft.… more
    Veterans Affairs, Veterans Health Administration (12/18/24)
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  • Registered Nurse - Pediatrics…

    The Arora Group (Bethesda, MD)
    Registered Nurse - Pediatrics (Nights) Nurse Currently recruiting a Registered Nurse ( RN ) - Pediatrics in Bethesda, Maryland, to work in the ... Chemotherapy Biotherapy course will be completed individually by contract Registered Nurse , while clinical experience in chemotherapy...accordance with unit guidelines. + Will report to the Nurse Manager . Will take direction from charge… more
    The Arora Group (10/14/24)
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  • Registered Nurse (Emergency…

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    …every 30 days following. This announcement may close without prior notification. Duties: The Registered Nurse ( RN ) in the Emergency Department (ED) is ... (may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons...(NIH Stroke scale) certification highly preferred. Physical Requirements: The Registered Nurse ( RN ) position requires… more
    Veterans Affairs, Veterans Health Administration (12/04/24)
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  • RN Case Manager LTSS

    Molina Healthcare (Arlington, VA)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case ... remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically...+ Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing… more
    Molina Healthcare (12/20/24)
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  • Case Manager RN - Field

    CVS Health (Arlington, VA)
    …Annandale, McLean, Vienna, Falls Church, Springfield.** **Monday-Friday Standard Business Hours.** Nurse Case Manager is responsible for telephonically ... current unrestricted Virginia state licensure required -3+ years clinical experience as a Registered Nurse (ie med surg, behavioral health, acute care) -Must be… more
    CVS Health (12/13/24)
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  • Care Manager II, RN /LICSW (DC Metro…

    AmeriHealth Caritas (Washington, DC)
    …is eligible for a $4,000.00 sign on bonus.;** **Responsibilities:** The Care Manager II ( Registered Nurse /Licensed Independent Clinical Social Worker) ... complex medical needs appropriate for care coordination and case management services in achieving their optimal level of...Required for RN candidates: Current and unrestricted Registered Nurse licensure in the District of… more
    AmeriHealth Caritas (12/24/24)
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  • Case Manager

    Leidos (Mclean, VA)
    …The Leidos National Security Sector has an opening for a cleared Registered Nurse with Case Manager Experience who is seeking a rewarding and ... care, and/or mental health facilities. + Must be a Registered Nurse , Board-Certified Nurse Practitioner...maintain a nationally recognized current board-certification as a Certified Case Manager (CCM) from the Commission for… more
    Leidos (12/11/24)
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  • Clinical Nurse Case Manager

    Johns Hopkins University (Baltimore, MD)
    …Classified Title: Clinical Nurse Job Posting Title (Working Title): Clinical Nurse Case Manager Role/Level/Range: ACRP/03/ME Starting Salary Range: ... Manager , we are seeking a **_Clinical Nurse Case Manager_** who will perform duties...necessary. **Minimum Qualifications** + The individual must be a registered nurse , licensed in the State of… more
    Johns Hopkins University (12/11/24)
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  • 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 ... State Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred **Experience:** 5...+ Master's in Science Nursing or related field, Legal Nurse Consultant, Utilization Management, and Government Program experience with… 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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  • Behavioral Health Case Manager ll…

    Elevance Health (Beltsville, MD)
    Behavioral Health Case Manager ll - Clinical License (JR132209) **Location:** This position requires work in our Washington, DC, 609 H Street NE office up to 4 ... DC office. **Washington, DC residents preferred.** The **Behavioral Health Case Manager ll** is responsible for performing...but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate… more
    Elevance Health (11/09/24)
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  • Telephonic Case Manager

    Sedgwick (Annapolis, MD)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
    Sedgwick (12/10/24)
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  • RN Supervisor, Integrated Care Management…

    AmeriHealth Caritas (Washington, DC)
    …Street SW.;** + Bachelor's Degree required. BSN preferred. + A current and unrestricted Registered Nurse license in the District of Columbia is required in ... us at www.amerihealthcaritas.com . **Responsibilities:** Under the supervision of the Manager , Integrated Care Management (ICM), the Supervisor, ICM is responsible… more
    AmeriHealth Caritas (12/05/24)
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  • Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact ... State Licensure RN - Registered Nurse in MD, VA or Washington,...+ Bachelors degree in nursing. + CCM/ACM or other RN Board Certified certification in case management.… more
    CareFirst (11/22/24)
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  • Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED. **Licenses/Certifications:** + **Upon Hire Required:** RN - Registered Nurse - Compact State Licensure ... Qualifications** **MD/DC/Northern VA** **PURPOSE:** Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral...RN - Registered Nurse in MD, VA, and/or State Licensure in Washington,… more
    CareFirst (12/19/24)
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  • Care Manager , Telephonic Nurse 2

    Humana (Annapolis, MD)
    …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety... RN Care Managers. Day In The Life RN SNP Care Manager - YouTube (https://www.youtube.com/watch?v=0jjvY9dTpCg)… more
    Humana (12/24/24)
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  • Clinical Care Manager , Behavioral Health

    Evolent (Annapolis, MD)
    …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
    Evolent (11/05/24)
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  • Care Manager - Remote

    Sharecare (Annapolis, MD)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
    Sharecare (12/04/24)
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  • Clinical Appeals Nurse (Remote)

    CareFirst (Baltimore, MD)
    …complications. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure ... 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:** 2 years… more
    CareFirst (11/09/24)
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