- STG International (Rockville, MD)
- …of the agreement and coordinating service delivery with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case ... to cost recover on all exams according to the Interagency Agreement (IAA). The Registered Nurse Case Review Specialist will ensure that complete exams… more
- CVS Health (Annapolis, MD)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Baileys Crossroads, VA)
- …or Surrounding Areas. Monday-Friday Standard Business Hours. **Roles and Responsibilities** Nurse Case Manager is responsible for telephonically and/or face ... to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical...licensure required - 3+ years clinical experience as a Registered Nurse (ie med surg, behavioral health,… more
- Battelle Memorial Institute (Arlington, VA)
- …Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government ... ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to...+ Current, full, active, and unrestricted license as a Registered Nurse in any US State, the… more
- Cayuse Holdings (Washington, DC)
- **Overview** **The Work:** The Registered Nurse provides occupational health services to support the Clients Health Unit (HU). The Registered Nurse (RN) ... and Core Values of Cayuse. **Responsibilities** **Key Responsibilities:** The Registered Nurse (RN) assists with operation and...nursing care with limited supervision + Act as the nurse case manager for workers' compensation cases.… more
- Alaka'ina Foundation Family of Companies (Silver Spring, MD)
- Clinical Research Coordinator III ( Registered Nurse ) Location MD - Silver Spring Job Code 13347 # of openings 1 Apply Now ... Family of Companies is potentially looking for a Clinical Research Coordinator III ( Registered Nurse ) to support our government customer in Silver Spring, MD.… more
- Cayuse Holdings (Washington, DC)
- **Overview** The Registered Nurse provides occupational health services to support the Health Unit (HU). The Registered Nurse (RN) assists with operation ... the Mission, Vision, and Core Values of Cayuse. **Responsibilities** + Act as the nurse case manager for workers' compensation cases. + Provide all other… more
- Immigration and Customs Enforcement (Washington, DC)
- …ensuring needed interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code of Ethics for ... and Certifications Required: a. Nursing License- Must be a Registered Nurse (RN).i. Maintains current/documented professional licensure. (It… more
- Datavant (Annapolis, MD)
- …experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification ... understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. +… more
- Chenega Corporation (Rockville, MD)
- …possess a current, active, full, and unrestricted license or registration as a professional nurse and Advance Practice Registered Nurse from a State, the ... Professional Services Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health… more
- CenterWell (Towson, MD)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case ...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Deloitte (Washington, DC)
- …as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, ... degree in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist… more
- Intermountain Health (Annapolis, MD)
- …Health, and abide by service behavior standards. **Minimum Qualifications** + Current Registered Nurse (RN) license in state of practice. + Bachelor ... accredited institution. + Care Management Certification + Demonstrated experience in case management, utilization review , or discharge planning. +… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …an onsite employment opportunity. Duties and Responsibilities + Perform referral review duties, collaborating with team leads, Product Line Leaders, Appointing ... the date referral was written. Collaborates with appointing center, case managers, product line nurses, providers, clinics, manage care...in MHS-GENESIS. If a patient is not showing as registered in MHS Genesis and eligible for care, the… more
- Humana (Annapolis, MD)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin, including compact license. + Two ... to improve the lives of others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient… more
- Sunrise Senior Living (Arlington, VA)
- …accredited college/school of nursing. + Maintains a current state/province license as a Registered Nurse (RN) per state/province regulations. + One (1) year ... Assessment Instrument (RAI) process. + Reviews and assists in case management of both Medicare & non-Medicare guests/residents. +...supervisory and nurse management experience including hiring staff, coaching, performance management,… more