- Trinity Health (Silver Spring, MD)
- …acute healthcare setting required. + Extensive knowledge of payer mechanisms and clinical utilization management is required **Preferred:** + At least 5-7 years ... - 4:30pm + Reporting to the Director of Care Management + The RN Manager is responsible...status and insurance. **Responsibilities:** + Works collaboratively with the Nursing Director and Sr. Director of Care Management… more
- Elevance Health (Washington, DC)
- …**Schedule:** 8:30 AM - 5:00 PM. Monday through Friday. The ** Nurse Case Manager I** is responsible for performing care management within the scope of ... **Anticipated End Date:** 2024-09-14 **Position Title:** Nurse Case Manager I **Job Description:**...criteria used to determine medical necessity strongly preferred. + Utilization management experience is preferred but not… more
- Fresenius Medical Center (Silver Spring, MD)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- BAYADA Home Health Care (Falls Church, VA)
- The **Program Manager ** will be a highly motivated, relationship-focused Registered Nurse , PT, OT, COTA, PTA or SLP who will guide a team of nurses and ... skills with experience in both the home care and outpatient setting. Management experience, strong interpersonal skills and experience working in or with senior… more
- Elevance Health (Ashburn, VA)
- …equivalent and a minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or any combination ... **Anticipated End Date:** 2024-12-27 **Position Title:** Nurse Medical Management II **Job Description:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Trinity Health (Silver Spring, MD)
- …Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have a minimum of one (1) ... & More ** **Position Purpose:** Our Home Care RNs (Primary Care Nurses) provides primary nursing care to home based care patients as ordered by the physician, and in… more
- Sunrise Senior Living (Chevy Chase, MD)
- …Sunrise Leader_** The Executive Director is responsible for overall leadership, management , and success of their community. These responsibilities include but are ... not limited to financial management , hiring, supervising, training, team member relations and recognition, communication, family services, resident well-being,… more
- Highmark Health (Washington, DC)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- Leidos (Mclean, VA)
- **Description** The Leidos National Security Sector has an opening for a cleared Registered Nurse with Case Manager Experience who is seeking a rewarding and ... and maintain a nationally recognized current board-certification as a Certified Case Manager (CCM) from the Commission for Case Management Certification.… more
- The Arora Group (Washington, DC)
- …leave and 11 paid Federal holidays. DUTIES OF THE SOCIAL WORKER CASE MANAGER : + Provides case management , care coordination and discharge/disposition planning ... and guidelines; established principles, ethics and standards of practice of professional nursing ; the Case Management Society of America (CMSA); American… more
- Trinity Health (Silver Spring, MD)
- …a new career opportunity in Nursing ?** Maybe you should consider becoming a Nurse Case Manager ! You will have shorter hours, advocate for your patients ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Nurse Case Manager **Employment Type:** Full Time **Position Highlights:** +… more
- EAB (Washington, DC)
- …For more information, visit our Careers page. The Role in Brief: Collections Manager The Collections Manager will manage the daily operations and strategic ... customer collections process through the design, implementation, maintenance and management of accounts receivable business functions, including collections, loss… more
- Huron Consulting Group (Washington, DC)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Elevance Health (Washington, DC)
- …Level:** Non- Management Exempt **Workshift:** **Job Family:** MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation ... responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment… more
- Elevance Health (Ashburn, VA)
- …Level:** Non- Management Non-Exempt **Workshift:** **Job Family:** MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for ... VA. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and… more
- Elevance Health (Arlington, VA)
- …contract. **Preferred Skills, Knowledge, and Experience:** + Previous experience with Utilization Management preferred. + Computer experience and experience ... with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social… more