• University of Maryland Medical System (Baltimore, MD)
    …within an assigned case load for care coordination, discharge planning, and utilization management services Facilitates early referral to high risk case ... lapses in standards of care to appropriate parties. Creates case management care plans for assigned patients....required. A health related Master's degree and certification as case manager are both preferred. One year… more
    JobGet (10/03/24)
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  • University of Maryland Medical System (Baltimore, MD)
    … strategies which s support clinical pathways, discharge planning and case management . Qualifications Education and Experience Licensure Currently licensed ... diseases. Job Description Under general administrative direction of the Clinical Nurse Manager , the Assistant Nurse Manager is accountable for the delivery… more
    JobGet (10/03/24)
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  • University of Maryland Medical System (Bel Air, MD)
    …Bel Air, MD The Senator Bob Hooper House, Forest Hill, MD Job Description Manager of Case Management Full-time, Days, 8am-5:30pm JOB SUMMARY: Supervises ... preferred. Work Orientation & Experience: Three to five years' experience in Case Management and understanding of Utilization Management . Acute care… more
    JobGet (10/03/24)
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  • Manager - Case Management

    Trinity Health (Silver Spring, MD)
    …/supervision/leadership experience in an acute healthcare setting required, preferably with case management , utilization review or closely related ... **Employment Type:** Full time **Shift:** **Description:** The Manager -Care Management & Utilization ...RN with BSN or RN with > 10 years case management experience. Masters Degree preferred. **Minimum… more
    Trinity Health (10/02/24)
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  • RN Manager - Care Management

    Trinity Health (Silver Spring, MD)
    …BSN required; MSN Degree preferred. + At least 3 years of experience in hospital case management or related activity. + Minimum of 1-3 years management ... - 4:30pm + Reporting to the Director of Care Management + The RN Manager is responsible...required. + Extensive knowledge of payer mechanisms and clinical utilization management is required **Preferred:** + At… more
    Trinity Health (08/29/24)
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  • Registered Nurse - Case Manager

    WellSpan Health (York, PA)
    …Time (80 Hours Biweekly) General Summary Performs a variety of duties and applies utilization and case management techniques to determine the most efficient ... Registered Nurse - Case Manager - Days Location: WellSpan...patient discharge needs. Provides leadership in the integration of utilization and case management principles.… more
    WellSpan Health (08/22/24)
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  • Utilization Management Supervisor…

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:**… more
    CareFirst (07/18/24)
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  • Case Manager - RN - Weekend Option

    WellSpan Health (Gettysburg, PA)
    Case Manager - RN - Weekend Option...General Summary Performs a variety of duties and applies utilization and case management techniques to ... patient discharge needs. Provides leadership in the integration of utilization and case management principles.... of resources to the attention of the appropriate manager (s). Common Expectations: + Demonstrate knowledge of the principles… more
    WellSpan Health (09/12/24)
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  • Supervisor - Case Management

    WellSpan Health (York, PA)
    …the provision of appropriate, cost effective and quality health care. Assists the Manager - Case Management in the provision of leadership and integration ... Hospital. Duties and Responsibilities Essential Functions: + Informs the Manager - Case Management of any payer...including, Utilization Review, Social Services and Clinical Case Management . + Identifies conditions that require… more
    WellSpan Health (10/01/24)
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  • Case Manager

    BriteLife Recovery (Hanover, PA)
    CASE MANAGER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where collaborating ... place to work. What you will be doing? The Case Manager is responsible for providing confidential...providers, community resources, and family members. + Documenting all case management service notes, assessments, reassessments, referrals… more
    BriteLife Recovery (09/22/24)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Hanover, MD)
    …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This is...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (10/04/24)
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  • RN Case Manager

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Nurse Case Manager **Employment Type:** Full Time **Position Highlights:** + ... in Nursing?** Maybe you should consider becoming a Nurse Case Manager ! You will have shorter hours,...disease management and expected outcomes + Implements case management activities for all age groups… more
    Trinity Health (07/16/24)
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  • O&M Case Manager

    Sunrun (Annapolis, MD)
    …our commitment to diversity, inclusion and belonging. **Overview** The Field Service Case Manager is responsible for coordinating effective execution of field ... relevant work experience including customer service experience, scheduling, coordination or case management . + Basic knowledge of solar installation,… more
    Sunrun (09/18/24)
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  • Nurse Case Manager II

    Elevance Health (Hanover, MD)
    …in multiple states. + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. Participation in the American Association of Managed Care ... management plan and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates in or leads… more
    Elevance Health (09/19/24)
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  • Obstetric Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …Registered Nurse in MD, VA or Washington, DC **Upon Hire Required** + Accredited Case Manager (ACM) Must have CCM/ACM or other RN Board Certified certification ... in case management . Incumbents not certified at the...employment. **Upon Hire Preferred or** + CCM - Certified Case Manager Must have CCM/ACM or other… more
    CareFirst (08/16/24)
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  • Manager , Care Management (Ltss/ABD)

    Humana (Annapolis, MD)
    …**Preferred Qualifications** + Three (3) or more years of professional experience in Case Management , in Medicaid and/or Medicare, specifically in the delivery ... first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead...sciences, or health related field. + Previous experience in utilization management , discharge planning and/or home health… more
    Humana (09/21/24)
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  • Clinical Manager Home Health Full Time

    CenterWell (Annapolis, MD)
    …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
    CenterWell (08/22/24)
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  • Care Manager (Remote DC-MD-VA)

    CareFirst (Baltimore, MD)
    …VA, or Washington, DC Upon Hire Required Must have CCM Board Certified certification in case management . Incumbents not certified at the time of hire must have ... **Experience:** 5 years clinically related experience working in Care Management , Discharge Planning, Care Coordination, Home Health, Utilization...two years of case management experience and meet requirements to… more
    CareFirst (10/01/24)
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  • Clinical Sales Manager , CPT - Baltimore,…

    Abbott (Baltimore, MD)
    …Our 114,000 colleagues serve people in more than 160 countries. **Clinical Sales Manager , CPT - Baltimore, MD/Washington, DC** **Working at Abbott** At Abbott, you ... patients throughout the pain continuum. **The Opportunity** The **Clinical Sales Manager , CPT** will partner and collaborate with key stakeholders within Commercial… more
    Abbott (07/10/24)
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  • Engineering & Maintenance Manager

    Talen Energy (Baltimore, MD)
    **Job Posting Details** This position is for the Engineering and Maintenance Manager at the Brandon Shores and HA Wagner power plant Complex that supports engineer ... and I&E). **Job Summary** The purpose of the Engineering and Maintenance Manager position is to oversee all engineering, capital and maintenance projects as… more
    Talen Energy (07/28/24)
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