• Complex Case Manager

    Highmark Health (Annapolis, MD)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (10/25/24)
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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 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 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 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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  • Behavioral Health Case Manager ll…

    Elevance Health (Beltsville, MD)
    Behavioral Health Case Manager ll - Clinical License (JR132209) **Location:** This position requires work in our Washington, DC, 609 H Street NE office up to 4 ... DC office. **Washington, DC residents preferred.** The **Behavioral Health Case Manager ll** is responsible for performing...but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate… more
    Elevance Health (11/09/24)
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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 successful return to work through… more
    Sedgwick (12/10/24)
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  • Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact ... State Licensure RN - Registered Nurse in MD, VA or Washington,...+ Bachelors degree in nursing. + CCM/ACM or other RN Board Certified certification in case management.… more
    CareFirst (11/22/24)
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  • Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED. **Licenses/Certifications:** + **Upon Hire Required:** RN - Registered Nurse - Compact State Licensure ... Qualifications** **MD/DC/Northern VA** **PURPOSE:** Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral...RN - Registered Nurse in MD, VA, and/or State Licensure in Washington,… more
    CareFirst (12/19/24)
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  • Care Manager , Telephonic Nurse 2

    Humana (Annapolis, MD)
    …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety... RN Care Managers. Day In The Life RN SNP Care Manager - YouTube (https://www.youtube.com/watch?v=0jjvY9dTpCg)… more
    Humana (12/24/24)
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  • Clinical Care Manager , Behavioral Health

    Evolent (Annapolis, MD)
    …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
    Evolent (11/05/24)
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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 (12/04/24)
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  • Clinical Appeals Nurse (Remote)

    CareFirst (Baltimore, MD)
    …complications. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure ... 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:** 2 years… more
    CareFirst (11/09/24)
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  • Site Activation CAR-T Senior Manager , Cell…

    J&J Family of Companies (Annapolis, MD)
    …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
    J&J Family of Companies (12/18/24)
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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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  • CO Clinical Nurse

    Johns Hopkins University (Timonium, MD)
    …of clinical care. + Function as liaison between dermatologists, primary care providers, nurse case manager , inpatient personnel and health care professions ... protocol. + Provides crisis intervention as needed and triages complex cases; practices case management to ensure...site standards. **Minimum Qualifications** + Individual must be a registered nurse , licensed in the State of… more
    Johns Hopkins University (10/26/24)
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