• Clinical Medical Review

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Medical Review **Equal Employment Opportunity**… more
    CareFirst (01/15/25)
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  • Clinical Appeals Nurse (Remote)

    CareFirst (Baltimore, MD)
    …State and Federal regulations and mandates. + Organizes the appeal case for physician review by compiling clinical , contractual, medical policy and claims ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic...Hire Preferred **Preferred Qualifications:** + 2 years' experience in Medical Review , Utilization Management or Case Management… more
    CareFirst (01/15/25)
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  • Clinical Practice Nurse (Ambulatory)

    Johns Hopkins University (Lutherville, MD)
    Nurse Manager for Medical Oncology at Green Spring Station. The Sr. Clinical Nurse is a member of the multidisciplinary team that specializes in oncology ... an educator for the patient and family. The Sr. Clinical Nurse reports to nursing leadership. **Specific...data to deliver and evaluate care. + Triage and review incoming phone messages, Epic InBasket and communications with… more
    Johns Hopkins University (01/07/25)
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  • Clinical Research Nurse

    University of Maryland, Baltimore (Baltimore, MD)
    …of Maryland School of Medicine, Department of Neurology, is seeking a Clinical Research Nurse . *The Department of Neurology provides evaluation, treatment, ... CII Exempt Staff* **Organization:** **School of Medicine - Neurology* **Title:** * Clinical Research Nurse * **Location:** *null* **Requisition ID:** *240001RU* more
    University of Maryland, Baltimore (12/10/24)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Baltimore, MD)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
    Fresenius Medical Center (12/31/24)
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  • Clinical Nurse Case Manager

    Johns Hopkins University (Baltimore, MD)
    …skills. + Proficiency in medical and conversational Spanish desired. Classified Title: Clinical Nurse Job Posting Title (Working Title): Clinical ... Under the supervision of the Clinical Nurse Manager, we are seeking... Case Manager_** who will perform duties related to medical case management and non- medical case management… more
    Johns Hopkins University (12/11/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Hanover, MD)
    **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and… more
    Elevance Health (01/01/25)
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  • Nurse and CPC - Clinical Fraud…

    Elevance Health (Hanover, MD)
    ** Nurse and CPC - Clinical Fraud...opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical ... locations. **Hybrid Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
    Elevance Health (12/31/24)
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  • Registered Nurse Clinical Lead - ICU

    Ascension Health (Baltimore, MD)
    …Talent Advisor for additional specifics._ **Responsibilities** Lead staff in performing clinical or patient care activities. + Lead or coordinate daily operations ... functional resource and performs similar duties with staff. + Assign, monitor and review progress of work and compliance with policies and/or procedures. + Oversee… more
    Ascension Health (12/26/24)
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  • Registered Nurse ( Medical Surgical…

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    …This announcement may close without prior notification. The Inpatient Medical -Surgical/Telemetry Unit Registered Nurse (RN) demonstrates leadership and ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...mastery of practice in delivering/providing medical surgical/telemetry nursing care to wide assortment with … more
    Veterans Affairs, Veterans Health Administration (12/04/24)
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  • CO Research Nurse Manager

    Johns Hopkins University (Baltimore, MD)
    …prioritization of protocols. + Meet regularly with Oncology Financial Administration to review clinical trial billing and staff effort distribution. + Supervise ... Upper Aerodigestive Cancer (UAD) Program and the Director of Clinical Research Administration. The Research Nurse Manager...Excellent attention to detail skills required. + Knowledge of medical terminology required. + Familiar with medical more
    Johns Hopkins University (12/19/24)
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  • Nurse Practitioner

    Johns Hopkins University (Baltimore, MD)
    …Type 1 (NF1), NF2-related schwannomatosis and other forms of schwannomatosis. The Nurse Practitioner will divide their time between clinical and research ... JHCNC is a specialty care center that provides a medical home for people of all ages living with...Ability to move standard equipment through a hospital or clinical environment Classified Title: Nurse Practitioner Role/Level/Range:… more
    Johns Hopkins University (10/29/24)
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  • Sr. Nurse Practitioner

    Johns Hopkins University (Baltimore, MD)
    …or arm(s). Ability to move standard equipment through a hospital or clinical environment Classified Title: Sr. Nurse Practitioner Role/Level/Range: ACRP/04/MG ... The Department of Neurology is seeking a **_Sr. Nurse Practitioner_** for the Cerebrospinal Fluid Disorders Center Clinic. The Sr. NP in this position sees patients… more
    Johns Hopkins University (12/05/24)
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  • Consultant, Nurse Disability

    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 reviewing, analyzing, and interpreting medical information available for disability claims. In this role...claims. In this role you will act as a clinical resource for Group Protection benefit specialists and claim… more
    Lincoln Financial Group (01/03/25)
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  • Acute Inpatient Registered Nurse - RN

    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
    Fresenius Medical Center (12/31/24)
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  • Registered Nurse -Outpatient Float ($5,000…

    Kennedy Krieger Institute (Baltimore, MD)
    …begin the visit. + * Relay messages and questions the family might have to the clinical nurse coordinator for that patient or directly to the MDs prior to them ... + * Bonus incentive for nursing certification + * Medical , Dental, Vision (active the month after you attend...patients comfortable and safe, and assisting the doctors and clinical nurse coordinators with coordinating patient care,… more
    Kennedy Krieger Institute (11/09/24)
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  • Contingent Hospice Nurse Practitioner

    Trinity Health (Silver Spring, MD)
    …primary level care provider under the clinical supervision of the Hospice Medical Director. The NP ( Nurse Practitioner) will make face-to-face assessments of ... Part time **Shift:** **Description:** **Contingent - As Needed Basis** **Hospice Nurse Practitioner Position Purpose:** The Hospice Nurse Practitioner serves… more
    Trinity Health (12/18/24)
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  • Licensed Practical Nurse (LPN) - Part-Time

    Erickson Living (Silver Spring, MD)
    …resident's clinical condition, document findings in the resident electronic medical record, and notify the provider and/or RN when necessary. + Updating ... Living Join our Riderwood team as a Licensed Practical Nurse (LPN)! As a LPN you are responsible for...a timely and professional manner + Participating in the review of clinical indicator reviews - falls,… more
    Erickson Living (01/11/25)
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  • Registered Nurse (BSN)

    BioLife Plasma Services (Towson, MD)
    …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife ... results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works...Medical Support Specialist + Two years in a clinical or hospital setting **What Takeda can offer you:**… more
    BioLife Plasma Services (01/02/25)
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  • Nurse Practitioner

    Johns Hopkins University (Baltimore, MD)
    …protocols. **Specific Duties & Responsibilities** + Interview patients and compile patient medical histories to assist in determination of health status. + Perform ... findings and laboratory values, and makes preliminary diagnosis of patients for review by physician. + Develop care/treatment plan for patient according to… more
    Johns Hopkins University (11/19/24)
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