- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Medical Review **Equal Employment Opportunity**… more
- Johns Hopkins University (Lutherville, MD)
- …is seeking a **_CO_** **_Clinical Nurse Manager_** the Clinical Nurse Manager collaborates with the Medical Director and Clinic Supervisor in a ... may substitute for up to two years of required nursing experience. Classified Title: Clinical Nurse Manager Job Posting Title (Working Title): CO Clinical … more
- CareFirst (Baltimore, MD)
- …State and Federal regulations and mandates. + Organizes the appeal case for physician review by compiling clinical , contractual, medical policy and claims ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic...Hire Preferred **Preferred Qualifications:** + 2 years' experience in Medical Review , Utilization Management or Case Management… more
- Johns Hopkins University (Lutherville, MD)
- … Nurse Manager for Medical Oncology at Green Spring Station. The Sr. Clinical Nurse is a member of the multidisciplinary team that specializes in oncology ... an educator for the patient and family. The Sr. Clinical Nurse reports to nursing leadership. **Specific...data to deliver and evaluate care. + Triage and review incoming phone messages, Epic InBasket and communications with… more
- University of Maryland, Baltimore (Baltimore, MD)
- …of Maryland School of Medicine, Department of Neurology, is seeking a Clinical Research Nurse . *The Department of Neurology provides evaluation, treatment, ... CII Exempt Staff* **Organization:** **School of Medicine - Neurology* **Title:** * Clinical Research Nurse * **Location:** *null* **Requisition ID:** *240001RU* more
- Fresenius Medical Center (Baltimore, MD)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Johns Hopkins University (Baltimore, MD)
- …skills. + Proficiency in medical and conversational Spanish desired. Classified Title: Clinical Nurse Job Posting Title (Working Title): Clinical ... Under the supervision of the Clinical Nurse Manager, we are seeking... Case Manager_** who will perform duties related to medical case management and non- medical case management… more
- Ascension Health (Baltimore, MD)
- …Talent Advisor for additional specifics._ **Responsibilities** Lead staff in performing clinical or patient care activities. + Lead or coordinate daily operations ... functional resource and performs similar duties with staff. + Assign, monitor and review progress of work and compliance with policies and/or procedures. + Oversee… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …This announcement may close without prior notification. The Inpatient Medical -Surgical/Telemetry Unit Registered Nurse (RN) demonstrates leadership and ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...mastery of practice in delivering/providing medical surgical/telemetry nursing care to wide assortment with … more
- Johns Hopkins University (Baltimore, MD)
- …prioritization of protocols. + Meet regularly with Oncology Financial Administration to review clinical trial billing and staff effort distribution. + Supervise ... Upper Aerodigestive Cancer (UAD) Program and the Director of Clinical Research Administration. The Research Nurse Manager...Excellent attention to detail skills required. + Knowledge of medical terminology required. + Familiar with medical … more
- Johns Hopkins University (Baltimore, MD)
- …Type 1 (NF1), NF2-related schwannomatosis and other forms of schwannomatosis. The Nurse Practitioner will divide their time between clinical and research ... JHCNC is a specialty care center that provides a medical home for people of all ages living with...Ability to move standard equipment through a hospital or clinical environment Classified Title: Nurse Practitioner Role/Level/Range:… more
- Johns Hopkins University (Baltimore, MD)
- …or arm(s). Ability to move standard equipment through a hospital or clinical environment Classified Title: Sr. Nurse Practitioner Role/Level/Range: ACRP/04/MG ... The Department of Neurology is seeking a **_Sr. Nurse Practitioner_** for the Cerebrospinal Fluid Disorders Center Clinic. The Sr. NP in this position sees patients… more
- Kennedy Krieger Institute (Baltimore, MD)
- …begin the visit. + * Relay messages and questions the family might have to the clinical nurse coordinator for that patient or directly to the MDs prior to them ... + * Bonus incentive for nursing certification + * Medical , Dental, Vision (active the month after you attend...patients comfortable and safe, and assisting the doctors and clinical nurse coordinators with coordinating patient care,… more
- BioLife Plasma Services (Towson, MD)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife ... results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works...Medical Support Specialist + Two years in a clinical or hospital setting **What Takeda can offer you:**… more
- Johns Hopkins University (Baltimore, MD)
- …protocols. **Specific Duties & Responsibilities** + Interview patients and compile patient medical histories to assist in determination of health status. + Perform ... findings and laboratory values, and makes preliminary diagnosis of patients for review by physician. + Develop care/treatment plan for patient according to… more
- Quarryville Presbyterian Retirement Community (Quarryville, PA)
- …then we have the job for you! We have an excellent opportunity for Registered Nurse Supervisors to join our 5-STAR Nursing Team! Our ideal candidate will have both ... + Conduct daily rounds on each unit and ensure clinical issues are monitored and documented + Provides RN...as Command Post Operator for the entire community + Review Nursing documentation to ensure completion and accuracy +… more
- The Cigna Group (Baltimore, MD)
- …about their care options and make specific recommendations based on their goals 4. Review paperwork for patients to ensure it meets all requirements 5. Explain test ... results, diagnoses and other medical outcomes 6. Cover any additional triage and transition...triage immediate health concerns transferred to nursing team by clinical support staff. 2. Provide telephonic nursing assessment and… more
- CareFirst (Baltimore, MD)
- …-surgical or similar clinical experience OR 5 years' experience in Medical Review , Utilization Management or Case Management at CareFirst BlueCross ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate...of appeals and reconsiderations, including Regulatory complaints and External review requests. Accountable for quality review and… more
- CareFirst (Baltimore, MD)
- … clinical expertise and critical thinking skills to analyze available clinical information, electronic medical records (EMRs), benefit contracts, mandates, ... management. To include proficiency in established guidelines to determine medical necessity, appropriate level of care, referrals to case...course of action and level of care. Applies sound clinical knowledge and judgment throughout the review … more
- CareFirst (Baltimore, MD)
- …Maryland Medicare including (EGWP, DSNP, MAPD). Ensures quality management of the clinical appeal process to reduce the risk of State and Federal Regulatory ... support NCQA accreditation and the Divisional Goals for the Clinical Appeals and Grievance department. We are looking for...with dynamic goals resulting in the full and fair review of appeals and designed to achieve corporate objectives… more