- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Medical Review **Equal Employment Opportunity**… more
- Johns Hopkins University (Lutherville, MD)
- … Nurse Manager for Medical Oncology at Green Spring Station. The Sr. Clinical Nurse is a member of the multidisciplinary team that specializes in oncology ... an educator for the patient and family. The Sr. Clinical Nurse reports to nursing leadership. **Specific...data to deliver and evaluate care. + Triage and review incoming phone messages, Epic InBasket and communications with… more
- Fresenius Medical Center (Baltimore, MD)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Johns Hopkins University (Baltimore, MD)
- …skills. + Proficiency in medical and conversational Spanish desired. Classified Title: Clinical Nurse Job Posting Title (Working Title): Clinical ... Under the supervision of the Clinical Nurse Manager, we are seeking... Case Manager_** who will perform duties related to medical case management and non- medical case management… more
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and… more
- Elevance Health (Hanover, MD)
- ** Nurse and CPC - Clinical Fraud...opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical ... locations. **Hybrid Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Ascension Health (Baltimore, MD)
- …range at the time of the offer._ **Responsibilities** Lead staff in performing clinical or patient care activities. + Lead or coordinate daily operations of assigned ... functional resource and performs similar duties with staff. + Assign, monitor and review progress of work and compliance with policies and/or procedures. + Oversee… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …This announcement may close without prior notification. The Inpatient Medical -Surgical/Telemetry Unit Registered Nurse (RN) demonstrates leadership and ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...mastery of practice in delivering/providing medical surgical/telemetry nursing care to wide assortment with … more
- Johns Hopkins University (Baltimore, MD)
- …prioritization of protocols. + Meet regularly with Oncology Financial Administration to review clinical trial billing and staff effort distribution. + Supervise ... Upper Aerodigestive Cancer (UAD) Program and the Director of Clinical Research Administration. The Research Nurse Manager...Excellent attention to detail skills required. + Knowledge of medical terminology required. + Familiar with medical … more
- Johns Hopkins University (Baltimore, MD)
- …Type 1 (NF1), NF2-related schwannomatosis and other forms of schwannomatosis. The Nurse Practitioner will divide their time between clinical and research ... JHCNC is a specialty care center that provides a medical home for people of all ages living with...Ability to move standard equipment through a hospital or clinical environment Classified Title: Nurse Practitioner Role/Level/Range:… more
- Johns Hopkins University (Baltimore, MD)
- …routine health maintenance for patients with sickle cell disease. This includes a review of the patient chart and diagnostic information to assess that labs and ... as per protocol. + See and assist the primary medical team on sickle cell patients admitted to the...as a sub-investigator in phase II, III, and IV clinical trials. This includes preparing and submitting forms to… more
- Gentiva (Windsor Mill, MD)
- …regulatory time frames established by CMS + Provides clinical findings, including review of the medical treatment plans, diagnostic tests, lab results, and ... care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join… more
- Johns Hopkins University (Baltimore, MD)
- …or arm(s). Ability to move standard equipment through a hospital or clinical environment Classified Title: Sr. Nurse Practitioner Role/Level/Range: ACRP/04/MG ... The Department of Neurology is seeking a **_Sr. Nurse Practitioner_** for the Cerebrospinal Fluid Disorders Center Clinic. The Sr. NP in this position sees patients… more
- Kennedy Krieger Institute (Baltimore, MD)
- …begin the visit. + * Relay messages and questions the family might have to the clinical nurse coordinator for that patient or directly to the MDs prior to them ... + * Bonus incentive for nursing certification + * Medical , Dental, Vision (active the month after you attend...patients comfortable and safe, and assisting the doctors and clinical nurse coordinators with coordinating patient care,… more
- BioLife Plasma Services (Towson, MD)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife ... results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works...Medical Support Specialist + Two years in a clinical or hospital setting **What Takeda can offer you:**… more
- Johns Hopkins University (Baltimore, MD)
- …protocols. **Specific Duties & Responsibilities** + Interview patients and compile patient medical histories to assist in determination of health status. + Perform ... findings and laboratory values, and makes preliminary diagnosis of patients for review by physician. + Develop care/treatment plan for patient according to… more
- Johns Hopkins University (Columbia, MD)
- …protocols. **Specific Duties & Responsibilities** + Interview patients and compile patient medical histories to assist in determination of health status. + Perform ... findings and laboratory values, and makes preliminary diagnosis of patients for review by physician. + Develop care/treatment plan for patient according to… more
- Elevance Health (Hanover, MD)
- …+ Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. ... + Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request...meets medical necessity criteria or requires additional medical necessity review . + Conducts initial … more
- Elevance Health (Hanover, MD)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- The Cigna Group (Baltimore, MD)
- …about their care options and make specific recommendations based on their goals 4. Review paperwork for patients to ensure it meets all requirements 5. Explain test ... results, diagnoses and other medical outcomes 6. Cover any additional triage and transition...triage immediate health concerns transferred to nursing team by clinical support staff. 2. Provide telephonic nursing assessment and… more