• Luminis Health (Annapolis, MD)
    …Bachelors Nursing Degree. Required - Cardiopulmonary Resuscitation Required - ACLS Required - Registered Nurse Preferred: CNOR certification Pay Range $40 - $60 ... supports succession planning for additional roles, such as clinical supervisor and nurse educator. Essential Job Duties: 1. Work collaboratively with the Surgeon… more
    Joboru (12/05/25)
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  • Registered Nurse - Case

    STG International (Rockville, MD)
    …of the agreement and coordinating service delivery with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case ... to cost recover on all exams according to the Interagency Agreement (IAA). The Registered Nurse Case Review Specialist will ensure that complete exams… more
    STG International (11/19/25)
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  • Registered Nurse - Collaborative…

    Veterans Affairs, Veterans Health Administration (Gaithersburg, MD)
    …Montgomery County VA Clinic Collaborative Care Manager, Mental Health Outpatient Clinic Registered Nurse considers all characteristics of the individual in order ... and procedures. Major duties/functions include, but are not limited to: The Registered Nurse (RN) is to demonstrate integration of biopsychosocial concepts,… more
    Veterans Affairs, Veterans Health Administration (12/04/25)
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  • Registered Nurse - Wound Care

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... process when providing and/or supervising direct patient care. The BT Wound Care Nurse (WCN) reviews inpatient wound consults and wound care nursing notes in the… more
    Veterans Affairs, Veterans Health Administration (12/02/25)
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  • Clinical Research Coordinator III…

    Alaka'ina Foundation Family of Companies (Silver Spring, MD)
    Clinical Research Coordinator III ( Registered Nurse ) Location MD - Silver Spring Job Code 13347 # of openings 1 Apply Now ... Family of Companies is potentially looking for a Clinical Research Coordinator III ( Registered Nurse ) to support our government customer in Silver Spring, MD.… more
    Alaka'ina Foundation Family of Companies (12/07/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Annapolis, MD)
    …experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification ... understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. +… more
    Datavant (11/11/25)
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  • Nurse Practitioner-Contract Medical…

    Chenega Corporation (Rockville, MD)
    …possess a current, active, full, and unrestricted license or registration as a professional nurse and Advance Practice Registered Nurse from a State, the ... Professional Services Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health… more
    Chenega Corporation (10/31/25)
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  • Clinical Research Nurse (Day Shift)

    Parexel (Baltimore, MD)
    …a hospital or clinical setting + BSN preferred or relevant work experience. + Active Registered Nurse License in the state of Maryland + Current Basic Life ... appropriate physician. + Collect and prepare data. Organize and enter data into case report forms. + Enter data into databases when required. Assist physicians in… more
    Parexel (11/09/25)
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  • Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- ... determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical... Registered Nurse in MD, VA or Washington,… more
    CareFirst (11/19/25)
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  • Sexual Health Medical Director - #Faculty

    Johns Hopkins University (Baltimore, MD)
    …and HIV PrEP care, totaling approximately 8 clinicians (5-10 FTE). Support the nurse manager who oversees registered nurses, approximately 4-8 nurses (6-8 FTE). ... position. Managerial Duties and Responsibilities: 1. Directly supervises the nurse practitioners and physician assistants who provide sexually transmitted infection,… more
    Johns Hopkins University (12/04/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Annapolis, MD)
    …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
    Datavant (11/12/25)
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  • Onsite Clinical Navigator (Hybrid)

    CareFirst (Baltimore, MD)
    …subject to change based on evolving business needs. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact State Licensure: RN - ... (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely... Registered Nurse in MD, VA or Washington,… more
    CareFirst (10/14/25)
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  • Clinical Appeals Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …individual and team-based performance as needed. **Licenses/Certifications** : + RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon ... and External review requests. Accountable for quality review and interpretation of the appeal case ... Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred Salary Range: $78,696… more
    CareFirst (10/15/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Baltimore, MD)
    …as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, ... degree in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist… more
    Deloitte (11/21/25)
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  • Utilization Management Specialist (Remote)

    CareFirst (Baltimore, MD)
    …required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon ... benefit application. Applies sound clinical knowledge and judgment throughout the review process. Coordinates non-par provider/facility case rate negotiations… more
    CareFirst (10/29/25)
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  • Onsite Care Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …change based on evolving business needs. **Licenses/Certifications** : Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure ... activities of Onsite Care Management staff, Onsite Clinical Navigators and/or other Registered Nursing roles embedded at a partnering hospital. This role will assist… more
    CareFirst (10/14/25)
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  • Utilization Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …the required work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure. ... to Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:**… more
    CareFirst (11/22/25)
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  • Senior Social Worker

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    …home, through an interdisciplinary team approach composed of physicians, nurse practitioners, registered nurses, social workers, kinesiotherapist, dietitian, ... worsen over time. The HBPC social worker manages their case load and provides intensive case management...for all title 38 hybrid qualification standards. Please carefully review the qualification standard to determine the specific education… more
    Veterans Affairs, Veterans Health Administration (12/05/25)
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  • RN Clinical Lead - Labor & Delivery (Weekend…

    Ascension Health (Baltimore, MD)
    …Association (AHA) obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to ... performs similar duties with staff. + Assign, monitor and review progress of work and compliance with policies and/or...hire date or job transfer date required. + Case Manager credentialed from the Commission for Case more
    Ascension Health (11/08/25)
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  • LPN Referral Reviewers (Bethesda, MD)

    Ivyhill Technologies LLC (Bethesda, MD)
    …an onsite employment opportunity. Duties and Responsibilities + Perform referral review duties, collaborating with team leads, Product Line Leaders, Appointing ... the date referral was written. Collaborates with appointing center, case managers, product line nurses, providers, clinics, manage care...in MHS-GENESIS. If a patient is not showing as registered in MHS Genesis and eligible for care, the… more
    Ivyhill Technologies LLC (12/08/25)
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