• 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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  • RN Case Manager

    Erickson Living (Silver Spring, MD)
    …rating for the fifth consecutive year!_** Join our 5-star rated team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior ... Erickson Senior Living **This is NOT a remote or hybrid opportunity** **_The Centers for Medicare and Medicaid Services...which builds on our mission, vision and values + Medical , dental and vision packages, including an annual reimbursement… more
    Erickson Living (10/15/24)
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  • Social Work Case Manager -Licensed…

    Elevance Health (Washington, DC)
    Social Work Case Manager (licensed clinician) JR130923 **Location** : Must reside within 50 miles (and 1 hour commute) of our Washington DC office, located at ... days in our local DC office. The **Social Work Case Manager ** is responsible for ensuring effective...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
    Elevance Health (12/17/24)
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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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  • Nurse Practitioner- Case Manager

    Chenega Corporation (Rockville, MD)
    …innovative solutions for our clients. **Responsibilities** + Serve as Contract Medical Reviewers, to write medical eligibility determination recommendations via ... Contribute to the enhancement of all work provided in medical eligibility and medical report writing. +...project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide… more
    Chenega Corporation (01/01/25)
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  • Sr. Project Manager ( Hybrid

    UMB Bank (Annapolis, MD)
    …supporting each other to achieve this goal. As a **Senior Project Manager ** , you will lead multiple enterprise projects interacting with cross-functional teams ... we want to talk with you! **This role is hybrid (Tue through Thu on-site) for candidates in the...our core banking and/or payments portfolio. + Developing business case for executive review and approval of new projects.… more
    UMB Bank (12/28/24)
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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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  • TSS Appian Test Advisor - Hybrid

    General Dynamics Information Technology (Rockville, MD)
    …**,** you will be trusted **to perform testing of Appian software.** **Position is Hybrid ** 2x per month in Rockville, MD. Position is moving to Gaithersburg, MD at ... + May serve as a team or task leader (not a people manager ) + Participate in Agile software development initiatives (standup, planning, grooming, estimation) to… more
    General Dynamics Information Technology (11/10/24)
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  • Care Manager II, RN/LICSW (DC Metro area)

    AmeriHealth Caritas (Washington, DC)
    …(Registered Nurse/Licensed Independent Clinical Social Worker) assists members with complex medical needs appropriate for care coordination and case management ... Discover more about us at; www.amerihealthcaritas.com . **NOTE:;;AmeriHealth Caritas utilizes a hybrid work environment with associates working from home two days a… more
    AmeriHealth Caritas (12/24/24)
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  • Nurse Care Manager Senior - LGBTIA+/…

    Elevance Health (Hanover, MD)
    …is strongly preferred. + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the American Association of Managed ... **Nurse Care Manager Senior - LGBTIA+/ Transgender Community** **Location:** The...disease processes strongly preferred. + Prior managed care and case management experience preferred. Knowledge of medical more
    Elevance Health (01/03/25)
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  • Sr. Industrial Water/Wastewater Project…

    CDM Smith (Bowie, 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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  • Payment Innovation Manager

    Elevance Health (Washington, DC)
    **This position is hybrid and will require the associate to report to the office at least 1-2 times per week.** The ideal candidate will live within 50 miles of one ... of our Elevance Health PulsePoint locations. **Payment Innovation Manager ** The **Payment Innovation Manager ** will be responsible for Payment Innovation/payment… more
    Elevance Health (12/07/24)
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  • Senior Manager , Global Customer Experience…

    Amgen (Washington, DC)
    …and transform the lives of patients while transforming your career. **Senior Manager , Global Customer Experience Business Product Management** **What you will do** ... Let's do this! Let's change the world! The Sr. Manager will lead the Business Product Management vertical within...business strategy and fulfills customer needs, and create business case for investment decisions + Drive product engagement and… more
    Amgen (12/14/24)
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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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  • Customer Support Manager

    IBM (Washington, DC)
    …the globe. You'll work with visionaries across multiple industries to improve the hybrid cloud and AI journey for the most innovative and valuable companies in ... skills and experience. Your Role and Responsibilities As a Customer Support Manager , you will be responsible for delivery and overseeing the day-to-day operations… more
    IBM (12/04/24)
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  • FLEX Manager - Loyalty Program Risk

    Marriott (Bethesda, MD)
    …Remotely?** Y **Position Type** Management This is a temporary position. The Manager , Loyalty Program Risk, supports the broader Loyalty Program Risk team which ... programs by identifying, preventing and remediating fraudulent activities. The manager will support workload allocation, process enhancement, customer reported… more
    Marriott (11/12/24)
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  • RN Manager , Bright Start (Maternity)…

    AmeriHealth Caritas (Washington, DC)
    …Under the supervision of the Market Clinical Director, Population Health, the Manager of Integrated Case Management (ICM) is responsible for the ... Plans, organizes and directs the development and implementation of Case Management of our maternity and children with special...**Education/ Experience:** + **The selected candidate will have a hybrid work schedule working 4 days a week at… more
    AmeriHealth Caritas (12/05/24)
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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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