- Fresenius Medical Center (Baltimore, MD)
- …renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company. Maintains ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Fresenius Medical Center (Lanham Seabrook, MD)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. STAFF: + Participates in the selection and hiring… more
- Ascension Health (Baltimore, MD)
- …job transfer date required. American Heart Association or American Red Cross accepted. + Registered Nurse obtained prior to hire date or job transfer date ... **Details** + **Department:** Ascension Interim Leadership Travel Program + **Schedule:** Monday - Friday, 8am-5pm,...CM as appropriate * Performs other duties as assigned Utilization Management: + Ensures integration of utilization … more
- CVS Health (Annapolis, MD)
- …state. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is...Required Qualifications: - Must have active, current and unrestricted RN state licensure in state of residence - 2+… more
- Aveanna (Westminster, MD)
- …in the clinical research organization line of business, is seeking nurses ie Registered Nurse and/or Licensed Practical/Vocational Nurse with at least ... Clinical Research Nurse ( RN ) ApplyRefer a FriendBack Job...Requirements: Active and in good standing nursing license ie Registered nurse , Licensed practical nurse ,… more
- Humana (Annapolis, MD)
- …skills to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management (Behavioral Health) who will utilize their clinical skills to support… more
- Ascension Health (Baltimore, MD)
- …Connect with your Talent Advisor for additional specifics._ **Responsibilities** Manage assigned Registered Nurse ( RN ) case managers, related activities and ... for complexcase management issues. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing… more
- Highmark Health (Annapolis, MD)
- …degree or RN diploma. **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse ( RN ) license in PA; additional states may be ... network providers to support key clinical transformation programs with a focus on utilization of appropriate care. The team member works with internal and external… more
- CareFirst (Baltimore, MD)
- …Health, Discharge Coordination and/or Utilization Review. **Licenses/Certifications Upon Hire Required:** RN - Registered Nurse - Active State Licensure ... utilizing experience and skills in both case management and utilization management including proficiency in established guidelines to determine...And/or Compact State Licensure RN - Registered Nurse in MD,… more
- Humana (Annapolis, MD)
- …_(Washington DC, MD, WV, KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional (LMHP) ... be screened for TB. + Must be able to travel throughout the Commonwealth of Virginia. + This role...sciences, or health related field. + Previous experience in utilization management, discharge planning and/or home health or rehabilitation.… more
- Humana (Annapolis, MD)
- …_(Washington DC, MD, WV, KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional (LMHP) ... policies regarding other departmental areas such as medical management, utilization management, population health and quality. + May require...be screened for TB. + Must be able to travel throughout the commonwealth of Virginia. + This role… more
- Humana (Annapolis, MD)
- …sciences, or health-related field. + Care Management certification (CCM). + Active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health ... role, you will be required to be screened for TB. + Must be able to travel throughout the Commonwealth of Virginia. + This role is part of Humana's driver safety… more
- YesCare Corp (Baltimore, MD)
- …if applicable. + Bachelor's degree in healthcare administration/related field required. Licensed or Registered Nurse required in lieu of degree. + Minimum of ... + Subject to initial and ongoing security clearance requirements. + Occasional travel required. + Must maintain a current CPR certification. _A background check,… more