- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact ... team, specifically the Medicare Advantage line of business. The Care Manager helps members, families, and caregivers...State Licensure RN - Registered Nurse in MD, VA or Washington.… more
- Highmark Health (Annapolis, MD)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Annapolis, MD)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- AccentCare, Inc. (Columbia, MD)
- …Location: Columbia, MD Position: After Hours Registered Nurse / RN , Hospice Position Type: Part Time Remote /Virtual Position: No Coverage Area: Baltimore ... Overview After Hours Registered Nurse / RN ,...Your Passion and Purpose as a Hospice After Hours Registered Nurse Salary: $43 - $46 /... transitions as directed. + If serving as a Care Manager , coordinates all aspects of patient… more
- CVS Health (Annapolis, MD)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Highmark Health (Annapolis, MD)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Banner Health (MD)
- …Requires a level of education as normally demonstrated by a Bachelor's degree. Requires Registered Nurse ( RN ) licensure in the state of practice. Requires ... work and receive care . As an Associate Manager of RN Denials Management, you will...The team is very independent and work remotely. **Location: Remote , Banner supplies equipment** **Schedule** **:** **Exempt, Mon-Fri** **8am-4:30pm… more
- Sharecare (Annapolis, MD)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- CareFirst (Baltimore, MD)
- …complications. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure ... - Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred **Experience:** + 2 years medical-surgical or similar… more
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