• Onsite Clinical Navigator (Hybrid)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Onsite Clinical Navigator (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of ... in both care management and utilization management, the Onsite Clinical Navigator will leverage proficiency in established MCG, in addition to… more
    CareFirst (10/14/25)
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  • Clinical Navigator (Onsite)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The On-Site Clinical Navigator (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of ... skills in both case management and utilization management, the Onsite Clinical Navigator will leverage proficiency in established guidelines (MCG) in addition to… more
    CareFirst (08/14/25)
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  • Clinical Navigator (Remote)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Inpatient Management Post Acute Clinical Navigator (RN) manages the timely and smooth transition from inpatient care to ... level of care, and case management to engage members, their families and other support systems in discharge planning. The role will function as a liaison with the… more
    CareFirst (10/11/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Annapolis, MD)
    …and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key Responsibilities** + This ... Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with… more
    CVS Health (10/15/25)
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