- Trinity Health (Silver Spring, MD)
- …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management,...resource for navigating post-acute care services. **Minimum Qualifications:** + RN licensed by the State of Maryland or Compact… more
- The Arora Group (Bethesda, MD)
- …for each two-week period will be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ): The contracted RN shall provide ... in Building 19. QUALIFICATIONS OF THE REGISTERED NURSE CASE MANAGER ( RN...-NCM) + National Academy of Certified Care Managers: Care Manager Certified (CMC) + Experience: + Referral Management/ Utilization… more
- Ascension Health (Baltimore, MD)
- …problems, and ensuring effective resolution to maintain smooth operations. ** Registered Nurse , Certified Case Manager (CCM, ACM, URAC) preferred or ... as content specialist for staff in the areas of utilization criteria, appeal and review process, and case...of staff **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date… more
- Amergis (Columbia, MD)
- Salary: $54 / Hour The Registered Nurse - Hospice Case Manager is responsible for providing care, comfort and supportto terminally ill patients. The ... Registered Nurse - Hospice assumesthe responsibility and...in the managementof patient care. Position Details: + Position: RN Hospice Case Manager (Facility-Based)… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Nurse Case Manager **Employment Type:** Full Time **Shift:** Day **Position ... accurate clinical documentation, and supports post-hospital planning. The Case Manager also monitors and manages clinical resource utilization , working to… more
- Amergis (Hagerstown, MD)
- Salary: $40 / Week $42 - $44 The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum ... utilization of resources, service delivery, and compliance with medical...and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one… more
- Ascension Health (Baltimore, MD)
- …performance and salary range at the time of the offer._ **Responsibilities** Manage assigned Registered Nurse ( RN ) case managers, related activities and ... case management issues. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing obtained… more
- Highmark Health (Annapolis, MD)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective ** utilization management** strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case management, and… more
- Trinity Health (Silver Spring, MD)
- …assessment and care plan development in collaboration with the Population Health Case Manager . Provides functional support/supervision to Home Healthcare Aides ... Qualifications:** + Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have… more
- Healthfirst (MD)
- …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification… more