• Clinical Medical Review

    System One (Baltimore, MD)
    …requirements. + Medical Record Retrieval, Abstraction and Research during the Medical Record Review Project + Medical Record Retrieval for ... ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include conducting… more
    System One (11/14/24)
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  • CO Clinical Nurse Manager

    Johns Hopkins University (Lutherville, MD)
    …is seeking a **_CO_** **_Clinical Nurse Manager_** the Clinical Nurse Manager collaborates with the Medical Director and Clinic Supervisor in a ... may substitute for up to two years of required nursing experience. Classified Title: Clinical Nurse Manager Job Posting Title (Working Title): CO Clinical more
    Johns Hopkins University (10/31/24)
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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...psychiatric setting. **Preferred Qualifications:** + 2 years' experience in Medical Review , Utilization Management or Case Management… more
    CareFirst (11/09/24)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Towson, 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 (09/24/24)
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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 (09/25/24)
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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 (11/08/24)
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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 (10/01/24)
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  • Registered Nurse (RN)- Clinical Lead…

    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 (11/02/24)
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  • Supervisor Clinical Pharmacist…

    Prime Therapeutics (Annapolis, MD)
    clinical oversight of the Clinical Pharmacist and Registered Nurse Review Team, playing a key role in medical and pharmacy management. Leads and ... drives every decision we make. **Job Posting Title** Supervisor Clinical Pharmacist Review - Remote in California...the clinical performance of a team of Clinical Pharmacist and Nurse Reviewers while supporting… more
    Prime Therapeutics (10/22/24)
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  • CRNA - Certified Registered Nurse

    Fresenius Medical Center (Baltimore, MD)
    medical executive meetings and other management meetings upon request from the Medical Director. + Review and comply with the Code of Business Conduct ... pre anesthesia assessment and evaluation of the patient. + Review , request, and order (as permitted by state law),...by the National Board of Certification and Recertification for Nurse Anesthetists. + Insurable by an appropriate medical more
    Fresenius Medical Center (10/10/24)
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  • Research Nurse

    Johns Hopkins University (Baltimore, MD)
    …schedule participants for screening visit. + Conduct informed consent process. + Review medical records for basic inclusion/exclusion eligibility and assist in ... nurse will be responsible for the recruitment and clinical nursing care of healthy pediatric volunteers in intensive,...+ Meet regularly (phone or in-person) with Sr. Research Nurse for review of data accuracy and… more
    Johns Hopkins University (11/01/24)
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  • Supervisory Nurse

    National Institutes of Health (Montgomery County, MD)
    …making. Ability to establish and maintain effective working relationships with medical and clinical staff, institute stakeholders and research participants. ... Nurse ( Nurse Manager) positions are open in the following clinical specialty areas: 3NE Hematology, Oncology and Transplant 3NW Medical -Surgical Oncology… more
    National Institutes of Health (11/14/24)
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  • Nurse Auditor 2

    Humana (Annapolis, MD)
    …and independent determination of the appropriate courses of action. The SIU clinical review team is seeking a Nurse Auditor 2. The Nurse Auditor ... health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical ...+ CPC or other coding certification + Auditing or medical record review experience **Additional Information** **Work… more
    Humana (11/19/24)
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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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  • 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 ... proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills **Application… more
    Lincoln Financial Group (10/16/24)
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  • Nurse Practitioner - Hospice - PRN

    Gentiva (Beltsville, MD)
    …regulatory time frames established by CMS + Provides clinical findings, including review of the medical treatment plans, diagnostic tests, lab results, and ... care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join… more
    Gentiva (11/18/24)
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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 (09/05/24)
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  • Licensed Practical Nurse - LPN - Home…

    CareerStaff Unlimited (Glen Burnie, MD)
    Licensed Practical Nurse - LPN - Home Health Invest in your future by discovering a facility in Glen Burnie, MD with resources, technology, and opportunities that ... impact the rest of your healthcare career. Licensed Practical Nurse 's are valued members of the care team that...: * Flexible Day, Night, or Weekend Schedule * Medical , Vision, Dental, and 401(k) * Guaranteed Weekly Direct… more
    CareerStaff Unlimited (11/15/24)
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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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  • 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 (11/16/24)
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