- Trinity Health (Silver Spring, MD)
- …/supervision/leadership experience in an acute healthcare setting required, preferably with case management , utilization review or closely related ... **Employment Type:** Full time **Shift:** **Description:** The Manager -Care Management & Utilization ...RN with BSN or RN with > 10 years case management experience. Masters Degree preferred. **Minimum… more
- Trinity Health (Silver Spring, MD)
- …BSN required; MSN Degree preferred. + At least 3 years of experience in hospital case management or related activity. + Minimum of 1-3 years management ... - 4:30pm + Reporting to the Director of Care Management + The RN Manager is responsible...required. + Extensive knowledge of payer mechanisms and clinical utilization management is required **Preferred:** + At… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:**… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Nurse Case Manager **Employment Type:** Full Time **Position Highlights:** + ... in Nursing?** Maybe you should consider becoming a Nurse Case Manager ! You will have shorter hours,...disease management and expected outcomes + Implements case management activities for all age groups… more
- Sunrun (Annapolis, MD)
- …our commitment to diversity, inclusion and belonging. **Overview** The Field Service Case Manager is responsible for coordinating effective execution of field ... relevant work experience including customer service experience, scheduling, coordination or case management . + Basic knowledge of solar installation,… more
- Elevance Health (Hanover, MD)
- …in multiple states. + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. Participation in the American Association of Managed Care ... management plan and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates in or leads… more
- CareFirst (Baltimore, MD)
- …Registered Nurse in MD, VA or Washington, DC **Upon Hire Required** + Accredited Case Manager (ACM) Must have CCM/ACM or other RN Board Certified certification ... in case management . Incumbents not certified at the...employment. **Upon Hire Preferred or** + CCM - Certified Case Manager Must have CCM/ACM or other… more
- Humana (Annapolis, MD)
- …**Preferred Qualifications** + Three (3) or more years of professional experience in Case Management , in Medicaid and/or Medicare, specifically in the delivery ... first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead...sciences, or health related field. + Previous experience in utilization management , discharge planning and/or home health… more
- CenterWell (Annapolis, MD)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- CareFirst (Baltimore, MD)
- …VA, or Washington, DC Upon Hire Required Must have CCM Board Certified certification in case management . Incumbents not certified at the time of hire must have ... **Experience:** 5 years clinically related experience working in Care Management , Discharge Planning, Care Coordination, Home Health, Utilization...two years of case management experience and meet requirements to… more
- CareFirst (Baltimore, MD)
- …focused. **Preferred Qualifications:** + Bachelor's degree in nursing. + CCM certification in case management . Must have CCM. Incumbents not certified at the ... : 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review,...time of hire must have two years of case management experience and meet requirements to… more
- Abbott (Baltimore, MD)
- …Our 114,000 colleagues serve people in more than 160 countries. **Clinical Sales Manager , CPT - Baltimore, MD/Washington, DC** **Working at Abbott** At Abbott, you ... patients throughout the pain continuum. **The Opportunity** The **Clinical Sales Manager , CPT** will partner and collaborate with key stakeholders within Commercial… more
- Talen Energy (Baltimore, MD)
- **Job Posting Details** This position is for the Engineering and Maintenance Manager at the Brandon Shores and HA Wagner power plant Complex that supports engineer ... and I&E). **Job Summary** The purpose of the Engineering and Maintenance Manager position is to oversee all engineering, capital and maintenance projects as… more
- Confluent (Annapolis, MD)
- …targeting and program performance measurement. + Build, evangelize, and drive utilization of campaign briefs as well as detailed, integrated campaign playbooks, ... proposition, pre/during/post promotional strategies/tactics, long form assets (white papers, case studies, webinars), short form/promotional assets (blogs), down funnel… more
- Guardian Life (Annapolis, MD)
- …certification in profession, such as Certified Rehabilitation Counselor (CRC),Certified Disability Management Specialist (CDMS), Certified Case Manager ... a positive attitude. You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:**… more
- Prime Therapeutics (Annapolis, MD)
- …post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria. ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...appeals program. + Participates in meetings and consults with management on regular basis to discuss member interaction and… more
- Sharecare, Inc. (Annapolis, MD)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include… more
- Deloitte (Baltimore, MD)
- …improve traceability through digital platforms and partnerships, and leverage waste management opportunities to improve asset utilization and meet emissions ... understand how emerging legislation and executive orders are driving the case for change within organizations and have quality professional relationships within… more
- J&J Family of Companies (Baltimore, MD)
- …product indications to grow and develop the companys product and technology utilization . The ULS CAS directly partners with a Regional Business Director, Territory ... Managers, EP CAS, Field Service Engineers and Field Management to ensure alignment and coordination of activities to...CARTOSOUND , CARTOMERGE and the Stockert RF generator) during case procedures within an assigned geography, and in a… more
- SitusAMC (Annapolis, MD)
- …and utilization + Liaise and communicate progress between sr. management and other internal team members and stakeholders + Promotes products, services, ... SitusAMC. This role will work with other Client Service Manager ("CSM") team members across the organization to support...is a highly visible role reporting to internal Sr. Management and Business Leaders that will engage with clients… more