- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Quality Review Nurse (RN) is to evaluate clinical quality and procedures within the Clinical ... Management, Case Management, Claims, Quality Management and Compliance. The Nurse , Quality Review position develops procedures and reinforce quality … more
- BrightSpring Health Services (Greenbelt, MD)
- …prevention. Provide case management. Core Requirements + Deliver quality results through operational excellence, meeting daily/weekly/monthly/quarterly and annual ... Drive and deliver profitable growth Essential Job Responsibilities + Review daily appointment needs: packets completed and available to...accredited school of nursing OR License as a Registered Nurse , current and in good standing + Valid driver's… more
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model ( remote and office). Ideal ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make… more
- GE Aerospace (Baltimore, MD)
- **Job Description Summary** Drive quality for assigned suppliers, including quality plan implementation. Select suppliers through qualification processes. Own ... market **Job Description** **Roles and Responsibilities** + Includes both Supplier Quality Assurance and Supplier Quality Development. Includes supplier… more
- United Therapeutics (Annapolis, MD)
- …and collaborate with high level site staff with minimal supervision/escalation needed + Review the quality and integrity of clinical data via Source Document ... + Provide training to site staff as needed via onsite/ remote (phone or teleconference/web meeting) on protocol, study/vendor technology,... Review /Source Data Verification (SDR/SDV) to ensure assigned study sites'… more
- Evolent (Annapolis, MD)
- …more than 70 plans and risk-bearing provider groups to better manage both the quality and cost of care. Through a comprehensive suite of resources-such as high-value ... rising cost of health care is unsustainable, and we believe every patient deserves higher quality care at lower costs. Founded in 2011, Evolent is a fast paced, high… more