- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- The Arora Group (Annapolis, MD)
- …algorithms, CM software, databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case management with ... Registered Nurse Case Manager Nurse Currently recruiting...INCLUDE: + Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets… more
- Marriott (Annapolis, MD)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely, ... associates is a foremost concern in this position. **SCOPE** + Provides telephonic case management of associates with occupational illness/injuries to coordinate… more
- Evolent Health (Annapolis, MD)
- …direct oversight of centralized telephonic review process of all necessary utilization management components. + Partner with leadership to mentor staff. ... the mission. Stay for the culture. **What You'll Be Doing:** As a Director, Utilization Management , you'll work with your managers, front line clinical team, and… more
- CareFirst (Baltimore, MD)
- …Required. **Experience** : 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review, Disease ... **Education Level:** High School Diploma or GED. **Licenses/Certifications** RN - Registered Nurse - State Licensure and/or Compact State Licensure RN- Registered … more
- CareFirst (Baltimore, MD)
- …years clinically related experience working in the specialty of Pediatric Care Management , Discharge Coordination, Home Health, Utilization Review, Disease ... Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- Registered Nurse… more