• Medical Case Manager

    Crawford & Company (Baltimore, MD)
    case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and ... medical status, identifies needs and obstacles to medical case resolution and RTW by providing...and one of the below: + Certification as a case manager from the URAC-approved list of… more
    Crawford & Company (12/09/24)
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  • Bilingual Case Manager (Community…

    University of Maryland, Baltimore (Baltimore, MD)
    …Center for Human Trafficking Survivors is seeking a Spanish speaking Anti-Trafficking Case Manager (Community Program Specialist).*The Human Trafficking Case ... located in*College Park, Maryland*, offering the flexibility of a hybrid /remote work arrangement. Candidates will be required to complete...includes after- hours response and the weekend. If the case manager is called out to respond,… more
    University of Maryland, Baltimore (10/26/24)
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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 ... commute of our DC office. **Washington, DC residents preferred.** The **Behavioral Health Case Manager ll** is responsible for performing case management… more
    Elevance Health (11/09/24)
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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 ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...based on the member's health benefit contract and CareFirst Medical Policy and are compliant with State, Federal and… more
    CareFirst (11/09/24)
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  • Pharmacy Medicaid Manager ( Hybrid )

    CareFirst (Owings Mills, MD)
    …of the Director of Government Programs Pharmacy Services. The Medicaid Pharmacy Manager is also responsible for providing clinical expertise relative to the pharmacy ... activities, and leads/supports quality initiatives to improve patient outcomes. The Manager is expected to assist department leadership with development and… more
    CareFirst (12/21/24)
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  • Clinical Appeals Supervisor ( Hybrid )

    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, ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...or similar clinical experience OR 5 years' experience in Medical Review, Utilization Management or Case Management… more
    CareFirst (12/10/24)
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  • HIV/AIDS Program Manager

    Johns Hopkins University (Baltimore, MD)
    …White Service and the Director of Bartlett Social Work, the HIV/AIDS Program Manager will oversee and manage programmatic activities of Ryan White sponsored projects ... John G. Bartlett Specialty Practice. Primary responsibilities include the provision of case management services to clients at increased risk for HIV infection and… more
    Johns Hopkins University (10/18/24)
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  • Telephonic Behavior Health Care Manager

    Humana (Annapolis, MD)
    …Monitor/have awareness of utilization, conduct outreaches based on acuity to assess medical /social/BH needs and address gaps in case ; participate in all ... community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic...is best for your schedule. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided… more
    Humana (12/19/24)
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  • Sr. Industrial Water/Wastewater Project…

    CDM Smith (Towson, MD)
    …offices CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Food & Beverage, Mining and Manufacturing. This position is hybrid with a minimum of two days in the...by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior… more
    CDM Smith (11/21/24)
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  • SalesForce CRM Product Line Manager

    Ford Motor Company (Annapolis, MD)
    …MI area in a hybrid work schedule. The SalesForce CRM Product Line Manager will work EST hours with expected travel to the Dearborn area approximately 4-6X/ year ... **In this position ** The SalesForce CRM Product Line Manager will work with individual product team managers to...50 miles of Dearborn, MI, then if may require hybrid onsite schedule, up to 60% of the time.… more
    Ford Motor Company (11/19/24)
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  • Enterprise Account Manager - Northeast

    Trellix (Annapolis, MD)
    **_Job Title:_** Enterprise Account Manager - Northeast **About Skyhigh Security:** Skyhigh Security is a dynamic, fast-paced, cloud company that is a leader in the ... invest your career with us, we commit to investing in you. We embrace a hybrid work model, creating the flexibility and freedom you need from your work environment… more
    Trellix (12/20/24)
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  • Project Manager (Special Projects)

    BioLife Plasma Services (Annapolis, MD)
    …position is currently classified as "remote" in accordance with Takeda's Hybrid and Remote Work policy. **_OBJECTIVES/PURPOSE_** + Directly manage the Personalized ... BioLife's Portfolio. + Continuously review and update the business case for the device management and assess the impact...US based employees may be eligible to participate in medical , dental, vision insurance, a 401(k) plan and company… more
    BioLife Plasma Services (12/22/24)
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  • Clin Ops Associate Medical Director

    Elevance Health (Hanover, MD)
    medical necessity decisions. + Brings to their supervisor's attention, any case review decisions that require Medical Director review or policy ... **Clinical Ops Associate Medical Director** **Location:** **This is a virtual position....make an impact:** + Ensures timely completion of clinical case reviews for their board-certified specialty. + Makes physician… more
    Elevance Health (12/10/24)
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  • Medical Office Coordinator

    Johns Hopkins University (Baltimore, MD)
    …Work with others in a team environment. Provide administrative support for medical matters on behalf of physicians, as well as general academic/general ... rescheduling of clinics for providers who have a non-schegistrar as their Medical Office Coordinator. + Collect insurance information, and complete registration in… more
    Johns Hopkins University (12/20/24)
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  • Senior Medical Office Coordinator

    Johns Hopkins University (Baltimore, MD)
    The Department of Surgery is seeking a **_Senior Medical Office Coordinator_** to assist in the coordination of activities and provide secretarial support for a ... Work with others in a team environment. Provide administrative support for medical matters on behalf of physicians, as well as general academic/general… more
    Johns Hopkins University (11/30/24)
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  • First Party Medical -Claim Rep Trainee

    Travelers Insurance Company (Hunt Valley, MD)
    …mechanism of injury, type of treatment received or anticipated, and wage loss through case management and use of medical resources as needed. Proactively manages ... to advance to Claim Representative - Auto First Party Medical position. This position is intended to develop skills...is deemed appropriate for further consideration. Travelers offers a hybrid work location model that is designed to support… more
    Travelers Insurance Company (12/10/24)
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  • Clinical Ops Associate Medical

    Elevance Health (Hanover, MD)
    **Clinical Ops Associate Medical Director - Ortho** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse ... analytics to improve the delivery of care. The **Clinical Ops Associate Medical Director - Ortho** is responsible for performing pre-authorizations and providing… more
    Elevance Health (12/17/24)
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  • Senior Caseworker, HSPRS

    International Rescue Committee (Baltimore, MD)
    …to help unaccompanied children and sponsors meet their presenting needs. The Senior Case Manager (Level 2 ) is responsible for assessing safety, developing ... 27.10 - 34.50 Hourly Location: Baltimore, MD USA Work Arrangement: Hybrid Job Description SCOPE OF WORK: The IRC's Home...custody into a sponsor's care (Home Study) + Provide case management support via remote and / or conducting… more
    International Rescue Committee (10/10/24)
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  • ACE Program Coordinator

    Johns Hopkins University (Baltimore, MD)
    …who miss appointments to reschedule provider appointments and link to Peer Navigator, case manager , nurse, or research coordinator when appropriate. + Electronic ... Bartlett Specialty Practice. Overall duties include program coordination, electronic medical record report monitoring, clinical and operations office oversight; work… more
    Johns Hopkins University (10/25/24)
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  • Senior Global Financial Crimes Investigator…

    Bank of America (Hunt Valley, MD)
    …Job expectations include providing coaching and inputs to investigators to improve case quality, ensure all cases are sufficiently investigated and findings are ... for delivering coaching and inputs to investigators to improve case quality, ensure all cases are sufficiently investigated and...360 degree coaching to all levels from associate to manager + Demonstrated strong leadership and coaching skills +… more
    Bank of America (11/28/24)
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