• Complex Case Manager

    Highmark Health (Annapolis, MD)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (11/20/24)
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  • Registered Nurse Program…

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    …and initiatives as well as customer service programs. The Registered Nurse ( RN ) Program Manager executes position responsibilities that demonstrates ... Summary The Risk Manager (RM) is responsible for the day-to-day operational...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (01/19/25)
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  • Registered Nurse (Emergency…

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    …every 30 days following. This announcement may close without prior notification. Duties: The Registered Nurse ( RN ) in the Emergency Department (ED) is ... (may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons...(NIH Stroke scale) certification highly preferred. Physical Requirements: The Registered Nurse ( RN ) position requires… more
    Veterans Affairs, Veterans Health Administration (12/04/24)
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  • Clinical Appeals Manager - RN

    CareFirst (Baltimore, MD)
    …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... State Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred **Experience:** 5...+ Master's in Science Nursing or related field, Legal Nurse Consultant, Utilization Management, and Government Program experience with… more
    CareFirst (11/09/24)
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  • Clinical Nurse Case Manager

    Johns Hopkins University (Baltimore, MD)
    …Classified Title: Clinical Nurse Job Posting Title (Working Title): Clinical Nurse Case Manager Role/Level/Range: ACRP/03/ME Starting Salary Range: ... Manager , we are seeking a **_Clinical Nurse Case Manager_** who will perform duties...necessary. **Minimum Qualifications** + The individual must be a registered nurse , licensed in the State of… more
    Johns Hopkins University (12/11/24)
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  • Clinical Appeals Supervisor - RN (Hybrid)

    CareFirst (Baltimore, MD)
    …people. **QUAIFICATIONS:** **Education Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or ... State Licensure Upon Hire Required. + CCM - Certified Case Manager Upon Hire Preferred. + LNCC...Manager Upon Hire Preferred. + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred. **Experience:** + 5… more
    CareFirst (11/09/24)
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  • Care Manager , Telephonic Behavioral Health

    Humana (Annapolis, MD)
    …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for assigned beneficiaries… more
    Humana (01/16/25)
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  • Care Manager - Remote

    Sharecare (Annapolis, MD)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
    Sharecare (01/17/25)
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  • Clinical Appeals Nurse (Remote)

    CareFirst (Baltimore, MD)
    …clinical experience OR 3 years' experience in mental health, psychiatric setting. **Licenses/Certifications** RN - Registered Nurse - State Licensure And/or ... other initiators. Responds to such requests with original letters, complex and technical in nature, upholding corporate policies and...Upon Hire Required CCM - Certified Case Manager Upon Hire Preferred LNCC - Legal Nurse more
    CareFirst (01/15/25)
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  • Nurse Care Manager Senior - LGBTIA+/…

    Elevance Health (Hanover, MD)
    ** Nurse Care Manager Senior - LGBTIA+/ Transgender...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...activities within the scope of licensure for members with complex and chronic care needs. **How you will make… more
    Elevance Health (01/03/25)
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  • Sr. Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Baltimore, MD)
    …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
    Gilead Sciences, Inc. (12/21/24)
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  • Health Coach

    CVS Health (Annapolis, MD)
    …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution… more
    CVS Health (01/16/25)
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