• Complex Case Manager

    Highmark Health (Annapolis, MD)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (09/07/24)
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  • Family Clinical Advocate, Registered

    Sharecare, Inc. (Annapolis, MD)
    …clinical analytics and clinical team to identify at risk members and provide Complex Case Management and strategies for health self-management through the ... in influencing patient and provider outcomes **Qualifications:** + Current multi-state/compact Registered Nurse licensure in state of residence is required,… more
    Sharecare, Inc. (08/10/24)
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  • RN Nurse Case Mgr I

    Elevance Health (Hanover, MD)
    …Occasional visits to the office may be required for team meetings or training.** The Nurse Case Manager I is responsible for performing care management ... within the scope of licensure for members with complex and chronic care. Responsible for those members at...must for this role! + Previous experience as a case manager is strongly preferred. + Previous… more
    Elevance Health (09/11/24)
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  • Nurse Case Manager I

    Elevance Health (Hanover, MD)
    …Monday - Friday; 9:00am - 5:30pm ET; Must be able to work some evenings The ** Nurse Case Manager I** is responsible for performing care management within the ... scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,...**Preferred skills, capabilities, and experiences:** + Certification as a Case Manager is preferred. + Oncology or… more
    Elevance Health (09/11/24)
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  • Telephonic Case Manager

    Sedgwick (Baltimore, MD)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **This position is a hybrid role that will work ... partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to… more
    Sedgwick (09/12/24)
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  • Obstetric Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …standards. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or ... Compact State Licensure RN - Registered Nurse in MD, VA or Washington,...DC **Upon Hire Required** + Accredited Case Manager (ACM) Must have CCM/ACM or other RN more
    CareFirst (08/16/24)
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  • Nurse Case Manager II-2

    Elevance Health (Hanover, MD)
    …for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, ... and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure is required… more
    Elevance Health (09/11/24)
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  • Care Manager (MD-DC-Northern VA) (Remote)

    CareFirst (Baltimore, MD)
    …standards. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED. **Licenses/Certifications** RN - Registered Nurse - State Licensure ... & Qualifications** **PURPOSE** : Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral...and/or Compact State Licensure RN - Registered Nurse in MD or VA and… more
    CareFirst (06/28/24)
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  • Clinical Appeals Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …work experience is required in addition to the required work experience. **Licenses/Certifications:** RN - Registered Nurse - State Licensure And/or Compact ... experience. Master's in Science Nursing or related field, Legal Nurse Consultant, Certified Case Manager ....appeals process and ability to work independently in researching complex issues. + Ability to mentor and coach associates… more
    CareFirst (08/20/24)
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  • Nurse Care Manager

    Intermountain Health (Annapolis, MD)
    Registered /Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ) or Compact license **Preferred ... Qualifications:** + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined...- Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This… more
    Intermountain Health (09/11/24)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Annapolis, MD)
    …this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. ... - Nursing Education - Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State and/or Compact State… more
    Prime Therapeutics (09/15/24)
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  • Clinical Research Coordinator III

    Alaka'ina Foundation Family of Companies (Silver Spring, MD)
    …+ Other duties as assigned. REQUIRED DEGREE/EDUCATION/CERTIFICATION: + Required to be a Registered Nurse licensed to practice in the state of Maryland, who ... Advanced Cardiac Life Support (ACLS) certification encouraged. + Commission for Case Manager Certification (CCMC) certification preferred. REQUIRED CITIZENSHIP… more
    Alaka'ina Foundation Family of Companies (07/17/24)
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  • Nurse Medical Management Sr

    Elevance Health (Hanover, MD)
    …benefits, and to promote effective use of resources for the most complex or elevated medical issues.** **Ensures medically appropriate, high quality, cost effective ... as representative on enterprise initiatives. **Requirements:** + current active valid unrestricted RN license to practice as a health professional within the scope… more
    Elevance Health (09/11/24)
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  • Nurse Medical Mgmt II (US)

    Elevance Health (Woodlawn, MD)
    ** Nurse Medical Management II** **Location: multiple states: Texas, Florida,** or **Maryland.** The ideal candidate will live within 50 miles of one of our ... locations. **Hours: Monday - Friday, Includes weekends and Holidays.** The ** Nurse Medical Management II** is responsible to collaborate with healthcare providers… more
    Elevance Health (09/11/24)
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