• Clinical Case Manager

    Open Systems Healthcare (Washington, DC)
    Clinical Case Manager - Open Systems Healthcare At Open Systems Healthcare, our mission is to provide exceptional care to those who need it the most. As a ... assessments, and performance check-ins. + Develop and implement policies for case assignments and quality care management. + Coordinate client cases, maintain… more
    Open Systems Healthcare (12/11/24)
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  • Clinical Nurse Case Manager

    Johns Hopkins University (Baltimore, MD)
    …desired. Classified Title: Clinical Nurse Job Posting Title (Working Title): Clinical Nurse Case Manager Role/Level/Range: ACRP/03/ME Starting Salary ... Under the supervision of the Clinical Nurse Manager , we are seeking a **_Clinical Nurse Case Manager_** who will perform duties related to medical case more
    Johns Hopkins University (12/11/24)
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  • FML Claims Case Manager II

    Guardian Life (Annapolis, MD)
    …to be the best at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing Leave of Absence programs and ... Nurse and Disability Case Managers, Risk Management. The FML Claims Case Manager II recognizes the importance of compliance and regulatory adherence,… more
    Guardian Life (12/06/24)
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  • Complex Case Manager RN Pediatric…

    Highmark Health (Annapolis, MD)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel… more
    Highmark Health (10/25/24)
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  • Case Manager Supervisor

    Johns Hopkins University (Baltimore, MD)
    …test kit distribution, and basic needs services (laundry, showers, clothing, food, etc.). The Case Manager Supervisor will interact with a wide range of center ... Title: Sr. Research Program Supervisor Job Posting Title (Working Title): Case Manager Supervisor Role/Level/Range: ACRP/03/MC Starting Salary Range: $48,000… more
    Johns Hopkins University (12/17/24)
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  • Medical Case Manager - Hybrid

    Crawford & Company (Baltimore, MD)
    …diverse clinical experience and one of the below: + Certification as a case manager from the URAC-approved list of certifications (preferred); + A registered ... Excellence In Everything We Touch Position Summary To provide effective case management services in an appropriate, cost effective manner. Provides medical case more
    Crawford & Company (12/09/24)
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  • Lead RN Case Manager (UM)

    Trinity Health (Silver Spring, MD)
    …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Lead RN Case Manager **Employment Type:** Full Time **Shift:** Day **Position ... competency development, and the continuous documentation improvement program (CDIP). The Lead Case Manager is responsible for assisting with the daily operations… more
    Trinity Health (12/18/24)
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  • RN Case Manager - Care Management

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager **Employment Type:** Full Time **Position Highlights:** + ... work schedules + **Advancement:** Opportunities to advance through the Clinical Advancement Program + **Location:** Holy Cross Health has...+ Reporting to the Director of Care Management + Case Managers works with a high degree of autonomy,… more
    Trinity Health (12/05/24)
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  • RN Hospice Case Manager

    Amergis (Columbia, MD)
    The Registered Nurse- Hospice Case Manager is responsible for providing care, comfort and supportto terminally ill patients. The Registered Nurse - Hospice ... others in the managementof patient care. Position Details: + Position: RN Hospice Case Manager (Facility-Based) + Location: Howard County & South Carroll County… more
    Amergis (12/30/24)
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  • Social Work Case Manager -Licensed…

    Elevance Health (Washington, DC)
    Social Work Case Manager (licensed clinician) JR130923 **Location** : Must reside within 50 miles (and 1 hour commute) of our Washington DC office, located at ... days in our local DC office. The **Social Work Case Manager ** is responsible for ensuring effective...Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions.… more
    Elevance Health (12/17/24)
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  • RN Case Manager

    Erickson Living (Silver Spring, MD)
    …rating for the fifth consecutive year!_** Join our 5-star rated team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior ... patient + Through risk stratification, high-risk members will be identified, and a case opened for members who meet the criteria for care coordination services. +… more
    Erickson Living (10/15/24)
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  • Telephonic Case Manager

    Sedgwick (Annapolis, MD)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
    Sedgwick (12/10/24)
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  • RN Case Manager

    Tribute Home Care (Baltimore, MD)
    …year | Baltimore, MD, USA | Salary | Full Time Become a Registered Nurse ( RN ) Case Manager with Tribute Home Care and play an important role in setting a new ... care and administrative skills that is looking for a non- clinical , case management role with the opportunity...deserve. A day in the life of an RN Case Manager In this role you will… more
    Tribute Home Care (12/21/24)
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  • RN- Case Manager , Post Acute

    Ascension Health (Baltimore, MD)
    …+ BLS Provider preferred. American Heart Association or American Red Cross accepted. + Case Manager credentialed from the Commission for Case Manager ... in understanding medical necessity for level of care** + **Knowledge of Case management and previous experience in skilled nursing facilities** + **Possesses a… more
    Ascension Health (11/05/24)
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  • Sr Coordinator, Individualized Care ( Case

    Cardinal Health (Annapolis, MD)
    …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… more
    Cardinal Health (12/25/24)
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  • Clinical Manager / RN - Home Health

    BrightSpring Health Services (Upper Marlboro, MD)
    Our Company Revival Home Care Agency Overview The Clinical Manager is responsible for the quality of care provided for patients in their area of responsibility. ... met and drives efficiency in care delivery processes. The Clinical Manager is accountable for overseeing the...related to patient care and the organization + Holds case conferences to ensure oversight of care, coordination of… more
    BrightSpring Health Services (11/15/24)
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  • Associate Director, Postmarketing PV Case

    United Therapeutics (Annapolis, MD)
    …successfully gained FDA approval for five medicines, we are always conducting new clinical trials, and we are working to create an unlimited supply of manufactured ... orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management...Act as the main point of contact and functional manager for day-to-day questions or issue escalation regarding PM… more
    United Therapeutics (12/14/24)
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  • Clinical Appeals Manager - RN…

    CareFirst (Baltimore, MD)
    …State Licensure And/or Compact State Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred **Experience:** 5 years' Experience in a ... including (EGWP, DSNP, MAPD). Ensures quality management of the clinical appeal process to reduce the risk of State...of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to… more
    CareFirst (11/09/24)
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  • Program Manager - Clinical Support…

    CareFirst (Baltimore, MD)
    …hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Support Services **Equal Employment Opportunity** CareFirst BlueCross BlueShield… more
    CareFirst (11/21/24)
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  • Clinical Appeals Nurse (Remote)

    CareFirst (Baltimore, MD)
    …- State Licensure And/or Compact State Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified ... and Federal regulations and mandates. + Organizes the appeal case for physician review by compiling clinical ,...appeal case for physician review by compiling clinical , contractual, medical policy and claims information along with… more
    CareFirst (11/09/24)
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