• Telephonic Utilization…

    Humana (Washington, DC)
    **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
    Humana (09/26/24)
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  • Obstetric Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …the Obstetric specialty. Within that specialty performed the duties of Care Management , Discharge Coordination, Home Health, Utilization Review, Disease ... **Resp & Qualifications** **PURPOSE:** Under minimal supervision, the Obstetric Nurse Care Manager researches and analyzes an Obstetric member's medical and… more
    CareFirst (08/16/24)
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  • Care Manager (MD-DC-Northern VA) (Remote)

    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 (09/27/24)
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