- Evolent Health (Washington, DC)
- …results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- Trinity Health (Silver Spring, MD)
- …Qualifications:** + Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have ... the physician, and in accordance to the organization's policies and procedures. The RN is responsible for the initial assessment and care plan development in… more
- Fresenius Medical Center (Silver Spring, MD)
- …As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our employees are our ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- Trinity Health (Silver Spring, MD)
- …and Holy Cross Hospital. **What you will need:** + State of Maryland license as a Registered Nurse + BSN required; MSN Degree preferred. + At least 3 years of ... - 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
- Trinity Health (Silver Spring, MD)
- …travel paid._** **Minimum Licensure/Certification Required (if applicable):** + State of Maryland license as a Registered Nurse + RN with BSN or RN with ... closely related area. + Extensive knowledge of payer mechanisms and clinical utilization management is required. + Knowledge of pertinent regulatory,… more
- Elevance Health (Washington, DC)
- ** RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** RN Hospital Audit/Appeal Lead ** is responsible for leading a team… 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:** + ... - 4:30pm + Reporting to the Director of Care Management + **Have you thought about a new career...opportunity in Nursing?** Maybe you should consider becoming a Nurse Case Manager! You will have shorter hours, advocate… more
- Elevance Health (Washington, DC)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead ** is responsible for leading a team of… more
- BAYADA Home Health Care (Gaithersburg, MD)
- **BAYADA Home Health Care** is seeking a full-time ** Registered Nurse ( RN ),** **Physical Therapist (PT), Occupational Therapist (OT) or Speech Language ... Manager** in our **Gaithersburg, MD** office. As Rehab Manager you will lead the field staff in providing superior quality client service, clinical excellence,… more
- Trinity Health (Silver Spring, MD)
- …in Radiography and Interventional Radiology or equivalent + For nursing professionals, Registered Nurse license in the State of MarylandAmerican Heart ... Trinity Health and Holy Cross Hospital. **Responsibilities:** + Leadership and Management + Supervise and manage the IR team, including recruitment, training,… more
- VHC Health (Arlington, VA)
- …Certification/Licensure: Certification in Infection Control (CIC) Preferred Licensed as a Registered Nurse by the Virginia Department of Health Professions ... or prevention of nosocomial infections and exposure to communicable diseases, through utilization of OSHA standards and CDC guidelines. This role involves developing… more
- Trinity Health (Germantown, MD)
- …you will need:** + Current licensure by the Maryland State Board as a Registered Nurse + BLS certification (issued through the American Heart Association) + ... Full time **Shift:** 12 Hour Night Shift **Description:** **Job Title:** Nurse In Charge/ Nurse Supervisor **Unit:** Med/Surg/Tele **Employment Type:** Full… more
- Trinity Health (Silver Spring, MD)
- …by the Maryland State Board of Nursing or Compact State as a Registered Nurse . BLS & ACLS certified. Department specific specialty certification required ... 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)
- …applicable):** Current licensure by the Maryland State Board of Nursing as a Registered Nurse . BLS certified, additional Life Support training as applicable to ... Type:** Full time **Shift:** 12 Hour Night Shift **Description:** **General Summary:** The Nurse Supervisor - NICU is a designated clinical leader for a patient care… more
- Trinity Health (Silver Spring, MD)
- …licensure by the Maryland State Board of Nursing or Compact State as a Registered Nurse . + BLS certification (American Heart Association) + Department specific ... **Employment Type:** Part time **Shift:** Weekend Shift **Description:** **Job Title:** Nurse In Charge position for the Operating Room **Employment Type:**… more
- Elevance Health (Arlington, VA)
- …contract. **Preferred Skills, Knowledge, and Experience:** + Previous experience with Utilization Management preferred. + Computer experience and experience ... **LTSS Service Coordinator - Clinician** working under the direction/supervision of an RN , with overall responsibility for the member's case, as required by… more
- Somatus (Mclean, VA)
- …Physician's clinical supervision. + Partner with a multidisciplinary team, including RN case managers, social workers, clinical pharmacists, registered ... for diagnostics. + Maintain an up-to-date, evidence-based clinical practice focused on management of CKD and ESKD, delaying kidney disease progression, comorbidity … more