- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- Advanced Practice Provider ( Nurse Practitioner) Job ID: 250879 Location: MD-Metro Bldg New Carrollton Full/Part Time: Full-Time Posting Open-Close 10/03/2025 - ... Wellness (OHAW) Department is seeking an experienced Advanced Practice Provider Nurse Practitioner to support both clinical and administrative functions within the… more
- Elevance Health (Hanover, MD)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Chenega Corporation (Rockville, MD)
- …**Chenega Professional Services Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department ... closely with the Government and Contractor team trainers, physicians, and nurse practitioners. + Support management, administration, data, communication, and other… more
- Evolent (Annapolis, MD)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks ... cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- Chenega Corporation (Rockville, MD)
- …Services Strategic Business Unit** company, is looking for a Physician- Contract Medical Reviewer (CMR) to support the Department of Health and Human Services (HHS), ... closely with the Government and Contractor team trainers, physicians, and nurse practitioners. + Support management, administration, data, communication, and other… more
- Humana (Annapolis, MD)
- …and help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical ... is complete, compliant and accurate to support optimal reimbursement. The Manager, Nurse Audit/ Review works within specific guidelines and procedures; applies… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …and proactive care. Responsibilities The Infection Preventionist (IP) Registered Nurse (RN) is responsible for providing competent, evidence-based infection control ... projects and completes random walk-throughs of construction projects to inspect/ review practices. The IP implements and maintains a system for analyzing,… more
- Johns Hopkins University (Baltimore, MD)
- …study-related activities for one or more studies. We are seeking a Sr. Research Nurse that will report to the Principal Investigator(s), Research Nurse Manager, ... applicable) + Assures receipt of protocol by pharmacy for review & input as appropriate. + Assures compliance with...assigned. **Minimum Qualifications** + Individual must be a registered nurse , licensed in the State of Maryland or state… more
- Gentiva (Beltsville, MD)
- …Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice ... per hospice policy and regulatory requirements. + Communicate clinical findings, review treatment plans, lab results, diagnostics, and medications with certifying… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding ... adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills and knowledge of all applicable State and Federal rules and regulations… more
