- Elevance Health (Washington, DC)
- The Utilization Management Nurse is responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member ... and minimum of 2 years acute care clinical experience. + Minimum 1 year Utilization Management experience preferred. For candidates working in person or remotely… more
- Lincoln Financial Group (Washington, DC)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Trinity Health (Silver Spring, MD)
- …closely related area. + Extensive knowledge of payer mechanisms and clinical utilization management is required. + Knowledge of pertinent regulatory, ... Full time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review, under the supervision...applicable):** + State of Maryland license as a Registered Nurse + RN with BSN or RN with >… more
- 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 and accountable...RN Case Managers for in inpatient care coordination and utilization review. Oversees interactions of staff with outside activities… more
- Johns Hopkins University (Washington, DC)
- The Department of Emergency Medicine is seeking a **_Sr. Nurse Practitioner_** to work collaboratively within a multidisciplinary health care team. Responsible for ... to obtain informed consent from study participants. + Remain proficient in the utilization of commonly used clinical protocols and guidelines. + Remain abreast of… more
- Trinity Health (Germantown, MD)
- …Full time **Shift:** 12 Hour Night Shift **Description:** **Job Title:** Nurse In Charge/ Nurse Supervisor **Unit:** Med/Surg/Tele **Employment Type:** Full ... + **Advancement:** Opportunities to advance within the organization **Description:** The Nurse in Charge (NIC)/ Nurse Supervisor is a designated clinical… more
- Prime Therapeutics (Washington, DC)
- …post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria. ... and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision, is responsible for performing… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Part time **Shift:** Weekend Shift **Description:** **Job Title:** Nurse In Charge position for the Operating Room **Employment Type:** ... Advancement Program + **Location:** Holy Cross Health, Silver Spring, MD **Description:** The Nurse in Charge (NIC) is a designated clinical leader for a patient… more
- Erickson Living (Silver Spring, MD)
- Location: Riderwood Village by Erickson Senior Living The Nurse Practitioner, Employee Health and Well-Being, under general supervision from the National Medical ... health, provides high quality, efficient and cost-effective acute care, injury management , community outbreak management , new hire assessments, immunizations,… more
- Actalent (Rockville, MD)
- …Experience with electronic health records and discharge planning. + Knowledge of utilization management and prior authorization processes. + Experience in acute ... and IV therapeutic medications in accordance with LPN/LVN state nurse practice act. Essential Skills + High school graduate...Minimum of 3 years of experience as a practical nurse . + Current LPN state license and registration with… more
- Trinity Health (Silver Spring, MD)
- …and accountable for: + Cost effective decision-making regarding operations including utilization and application of resources. (ie, human resources, patient care ... including orientation and training. + Participating in performance evaluation and management including verbal coaching and counseling. + Participating in the… more
- Trinity Health (Silver Spring, MD)
- …Type:** Full time **Shift:** 12 Hour Night Shift **Description:** **General Summary:** The Nurse Supervisor - NICU is a designated clinical leader for a patient care ... and accountable for: + Cost effective decision-making regarding operations including utilization and application of resources. (ie, human resources, patient care… more
- Trinity Health (Silver Spring, MD)
- …Type:** Full time **Shift:** 12 Hour Day Shift **Description:** **Job Title:** Nurse Supervisor - Labor and Delivery **Employment Type:** Full Time **Shift:** Days ... + Full-Time/Days + Reporting to the Director of Labor and Delivery + The Nurse in Charge (NIC) is a designated clinical leader for a patient care area… more
- LifePoint Health (Warrenton, VA)
- …Experience* *Required*- Three years of nursing experience. *Preferred*- Experience in utilization review, case management , discharge planning, and clinical ... basis protected by applicable federal, state or local law./ **Job:** **Nursing Management * **Organization:** ** **Title:** *Registered Nurse (RN) Case Manager*… more
- Trinity Health (Silver Spring, MD)
- …Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction. ... active involvement in quality improvement activities. + Provides ongoing care management oversight/activities to assigned patients to achieve high quality care,… more
- Fresenius Medical Center (Washington, DC)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …an Associate's Degree and a minimum of 2 years of experience in Utilization Management , Referral Management , Authorization/Denials, or Medical Claims ... Team Ivyhill is currently seeking to hire Referral Management (Non- Nurse ) Reviewers to support its contract with the Integrated Referral Management and… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …nursing program. Must have three (3) years of clinical nursing experience. Referral Management (RM) and Utilization Management (UM) experience is preferred. ... Ivyhill has an immediate need for Referral Management (RN) Training Manager for its Call Center...all the duties and requirements of the Referral Registered Nurse Requirements The qualified candidate must be a Licensed… more
- Trinity Health (Silver Spring, MD)
- …position requires a minimum of two years of experience in Social Work Case Management within an acute care facility. Additional training to learn the role will not ... be provided.** **Are you an experienced Social Worker Case Management LMSW looking for premium compensation and maximum flexibility? Explore FirstChoice - Trinity… more
- Trinity Health (Silver Spring, MD)
- …protocols. + Demonstrate a high level of patient satisfaction and effective resource utilization . + Collaborate with certified nurse midwives, nurse ... 2 years of supervisory experience. + Demonstrated experience in the development and management of quality, risk, and utilization review processes. + Strong… more