LifeBridge HealthNewUtilization Review Nurse RN - NE LifeBridge HealthUtilization Review Nurse RN - NERandallstown, MD$40.12–$62.19 / hourAssists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
TravelNurseSourceNewTravel Nurse RN - Utilization Review - $1,461 per week in Baltimore, MD TravelNurseSourceTravel Nurse RN - Utilization Review - $1,461 per week in Baltimore, MDBaltimore, MD$1,461–$1,461Benefits: Day 1 Insurance Cigna medical, MetLife dental and vision insurance License reimbursement for new licenses needed for each assignment Discounts with hotels and rental cars A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience Referral bonus up to $700 About the Company: As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership.
Homewood Living MinistriesNewRN House Supervisor - Night Shift Homewood Living MinistriesRN House Supervisor - Night ShiftMcSherrystown, PA$41–$45.50 / hourStanding and walking distances constantly throughout the campus would be required during the shift in evaluating residents and supporting line staff and (at applicable facilities) coordinates the response to emergency needs of the Retirement Community. Standing and walking distances constantly throughout the campus would be required during the shift in evaluating residents, supporting line staff, and responding to emergency needs of the Retirement Community.
AccentCare, Inc.Nurse Practitioner - Hiring Now AccentCare, Inc.Nurse Practitioner - Hiring NowColumbia, MD$50–$62We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Initiate communication with attending physicians, other Palliative Care staff members and other agencies as needed to coordinate optimal care and use of resources for patient/family.
AccentCare, Inc.Nurse Practitioner - Hospice AccentCare, Inc.Nurse Practitioner - HospiceColumbia, MD$50–$62We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Initiate communication with attending physicians, other Palliative Care staff members and other agencies as needed to coordinate optimal care and use of resources for patient/family.
AccentCare, Inc.Nurse Practitioner, Palliative Care PRN AccentCare, Inc.Nurse Practitioner, Palliative Care PRNColumbia, MD$50–$62We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Initiate communication with attending physicians, other Palliative Care staff members and other agencies as needed to coordinate optimal care and use of resources for patient/family.
MedStar HealthEmergency Department Nurse Manager - Relocation Offered! MedStar HealthEmergency Department Nurse Manager - Relocation Offered!Olney, MD$120,702–$238,222Maintains knowledge of current trends and developments in the fields of nursing and health care through a variety of professional activities including but not limited to reading the appropriate literature attending related seminars and conferences and maintaining membership in professional nursing associations. Engages in ongoing productivity monitoring adherence to prescribed annual budget and assurance of adequate availability of personnel and other necessary resources to support the delivery of safe patient care and realization of departmental goals.
Brightview Senior Living, LLCNewLPN/Wellness Nurse (Part Time) Brightview Senior Living, LLCLPN/Wellness Nurse (Part Time)Nottingham, MD$32.25–$38.754. Comprehensive Benefits: Enjoy competitive salaries, health, vision and dental insurance options, retirement plans, tuition reimbursement, employee assistance programs and many more benefits that prioritize your well-being. Compensation Disclosure: The salary range mentioned above reflects the potential pay for this role and does not include bonuses or additional incentives (if applicable), nor does it include the value of our benefit program.
Brightview Senior Living, LLCNewWellness Nurse/LPN (Part Time) Brightview Senior Living, LLCWellness Nurse/LPN (Part Time)Cockeysville, MD$32.25–$38.754. Comprehensive Benefits: Enjoy competitive salaries, health, vision and dental insurance options, retirement plans, tuition reimbursement, employee assistance programs and many more benefits that prioritize your well-being. Compensation Disclosure: The salary range mentioned above reflects the potential pay for this role and does not include bonuses or additional incentives (if applicable), nor does it include the value of our benefit program.
Brightview Senior Living, LLCNewLPN/Wellness Nurse (Full Time) Brightview Senior Living, LLCLPN/Wellness Nurse (Full Time)Timonium, MD$32.25–$38.754. Comprehensive Benefits: Enjoy competitive salaries, health, vision and dental insurance options, retirement plans, tuition reimbursement, employee assistance programs and many more benefits that prioritize your well-being. Compensation Disclosure: The salary range mentioned above reflects the potential pay for this role and does not include bonuses or additional incentives (if applicable), nor does it include the value of our benefit program.
Fusion Medical StaffingNewTravel Cath Lab RN Fusion Medical StaffingTravel Cath Lab RNBaltimore, MD$2,648–$3,044Assist in arterial and/or venous sheath removal using closure devices, manual pressure, or mechanical compression, and transport patients to the appropriate recovery area . Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment .
Brightview Senior Living, LLCNewWellness Nurse Brightview Senior Living, LLCWellness NurseCrofton, MD$32.25–$38.754. Comprehensive Benefits: Enjoy competitive salaries, health, vision and dental insurance options, retirement plans, tuition reimbursement, employee assistance programs and many more benefits that prioritize your well-being. Compensation Disclosure: The salary range mentioned above reflects the potential pay for this role and does not include bonuses or additional incentives (if applicable), nor does it include the value of our benefit program.
Fairland Nsg and Rehab RHSClinical Reimbursement Coordinator, RN Fairland Nsg and Rehab RHSClinical Reimbursement Coordinator, RNSilver Spring, MD$47–$50As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Overview: At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service.
Kaiser PermanentePatient Care Coordinator RN, Part Time, Holy Cross Hospital Kaiser PermanentePatient Care Coordinator RN, Part Time, Holy Cross HospitalSilver Spring, MDThe PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.
Kaiser PermanentePatient Care Coordinator RN, Holy Cross Hospital Kaiser PermanentePatient Care Coordinator RN, Holy Cross HospitalSilver Spring, MDThe PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.
MedStar HealthNewCTO Lead Care Manager RN - Relocation Offered! MedStar HealthCTO Lead Care Manager RN - Relocation Offered!Baltimore, MD$89,065–$162,801Attributed beneficiaries receive a follow up interaction from the practice within 2 days for hospital discharge and within one week for Emergency Department (ED) discharges; Coordinates referral management for attributed beneficiaries seeking care from high-volume and/or high-cost specialists as well as EDs and hospitals; Facilitates connection to services for patients who may benefit from behavioral health services including: patients with serious mental illness patients with substance use disorders' patients with depression anxiety or other mental health conditions patients with behavioral and social risk factors and BH issues patients with multiple co-morbidities and BH issues; Assists with identifying patients to participate in the Patient-Family/ Caregiver Advisory Council (PFAC) and help to organize and facilitate the PFAC annual meetings; Engages attributed beneficiaries and caregivers in a collaborative process for advance care planning (MOLST Advanced Directives Proxy). In collaboration with the interdisciplinary care team acts as primary care team agent for the coordination of care for a panel of attributed Medicare beneficiaries by ensuring the following: Ensures attributed beneficiaries have timely access to care (same day or next day access to the patient's own practitioner and/or care team for urgent care or transition management); Facilitates use of alternatives for care outside of the traditional office visit to increase access to the care team and the practitioner such as e-visits phone visits group visits home visits and visits in alternate locations (senior centers assisted living) captured in the medical record; Assists patients with scheduling appointments with providers including annual wellness visits.
Oak Crest Village by Erickson Senior LivingRN Supervisor (Full-Time) Oak Crest Village by Erickson Senior LivingRN Supervisor (Full-Time)Parkville, MD$42.50–$47 / hourLocation: Oak Crest Village by Erickson Senior LivingJoin our team as a Registered Nurse (RN) Nursing Supervisor who is responsible for the delivery of resident care by licensed and non-licensed staff in our Continuing Care Neighborhoods, which include skilled nursing, long-term care, assisted living, and memory care. Perform walking rounds through all Continuing Care neighborhoods (skilled nursing, long term care, assisted living, and memory care) to ensure nursing staff are providing the highest level of resident care possible.
LifeBridge HealthNewRegistered Nurse - Acute LifeBridge HealthRegistered Nurse - AcuteBaltimore, MD$35–$54.82 / hourAssesses and documents patient/family educational needs: to aid in informed decision making about healthcare treatment and to provide a successful transfer within the healthcare environment; coordinates with peers to establish educational resources as needed. Education: Required: * Associate's Degree in Nursing Preferred: * Bachelor of Science in Nursing Licenses And Certification: Required: * Basic Life Support * Registered Nurse License - Current Maryland license or eligibility to obtain Maryland license.
Sinai Hospital of BaltimoreNewUtilization Review Nurse RN Sinai Hospital of BaltimoreUtilization Review Nurse RNRandallstown, MDAssists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
Lumen Solutions Group IncUtilization Review Nurse Lumen Solutions Group IncUtilization Review NurseBaltimore, MDFull timeRole: Utilization Review Nurse Location: Baltimore MD(Remote) Type: Contract Job Description: We are seeking an experienced Utilization Review Nurse (LPN or RN) to support high-volume clinical reviews for commercial and FEP health plans. The ideal candidate will have strong utilization management and care management experience, expertise with MCG guidelines, and the ability to manage a fast-paced review environment while ensuring quality and compliance.
Lumen Solutions Group, Inc.Clinical Medical Review Nurse Lumen Solutions Group, Inc.Clinical Medical Review NurseBaltimore, MDWe provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation.
Ampcus IncorporatedClinical Medical Review Nurse Ampcus IncorporatedClinical Medical Review NurseOwings Mills, MD$40–$45 / hourThe Contingent RN supports CareFirst by analyzing high cost claimant and population health data to support utilization review, ad hoc requests, and client reports. Role Characteristics:Individual contributor who researches high cost claimants, populates slide decks, and responds to ad hoc requests.
Johns Hopkins HospitalNewUtilization Review Nurse - Managed Care Johns Hopkins HospitalUtilization Review Nurse - Managed CareHanover, MDRemoteAs a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members' lives. Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States.
TalteamHealth Services - Nurse, Clinical Medical Review TalteamHealth Services - Nurse, Clinical Medical ReviewBaltimore, MDESSENTIAL FUNCTIONS: 35% Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication, Performs high-level research on topics identified as actual or potential medical policies. The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication.
Lumen Solutions Group IncClinical Medical Review Nurse Lumen Solutions Group IncClinical Medical Review NurseBaltimore, MDFull timeRole: Clinical Medical Review Nurse Location: Canton, MD – Hybrid (2–3 days/week) Job Type: Contract Job Summary: We are seeking an experienced Clinical Medical Review Nurse to perform medical record reviews, data abstraction, and claims evaluation. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.
Baptist Health South Florida IncUtilization Review RN, Care Coordination, Bethesda West, FT, 8A-4:30P-159236 Baptist Health South Florida IncUtilization Review RN, Care Coordination, Bethesda West, FT, 8A-4:30P-159236Bethesda, MDOur approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support Comprehensive health and wellness resources that go beyond traditional benefits A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs Tuition reimbursement to support continued learning and advancement And so much more Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day. Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
MindlanceHealth Services - Nurse, Clinical Medical Review MindlanceHealth Services - Nurse, Clinical Medical ReviewBaltimore, MDESSENTIAL FUNCTIONS: 35% Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication, Performs high-level research on topics identified as actual or potential medical policies. Job Description:PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication.
State of MarylandNURSING PROGRAM CONSULTANT/ ADMINISTRATOR I (PREADMISSION SCREENING AND RESIDENT REVIEW (PASRR) SPECIALIST) State of MarylandNURSING PROGRAM CONSULTANT/ ADMINISTRATOR I (PREADMISSION SCREENING AND RESIDENT REVIEW (PASRR) SPECIALIST)Baltimore City, MDCandidates for positions in this classification must possess a current license as a Registered Nurse from the Maryland State Board of Nursing (4140 Patterson Avenue, Baltimore, MD 21215) or possess a current multi-state license in party states that candidates have declared as primary states of residence. Candidates may substitute the possession of a Bachelors degree in Nursing or health-related field from an accredited college or university and two years of experience as a Registered Nurse in an administrative, supervisory, consultative, or teaching capacity for the required education.
TriWest Healthcare AllianceClinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadBaltimore, MDRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Saratoga Medical CenterMedical Review Manager Saratoga Medical CenterMedical Review Managercatonsville, MDExperience in MR processes of Medicare Administrative Contractors (MACs), CERT, Supplemental Medical Review Contractor (SMRC), or Railroad Retirement Board (RRB) MAC is preferred. Saratoga Medical has an immediate opening for a Medical Review Manager for a program supporting the Centers for Medicare and Medicaid Services (CMS) in Catonsville, MD.
AerotekClaims Reviews Specialist (Workers Compensation) AerotekClaims Reviews Specialist (Workers Compensation)Hanover, MarylandPrepares for and attends Claim Review Conference with TPA to evaluate individual cases; reviews, and adjusts financial reserves of claims; negotiates with TPA the settlement of claims within established authority and work together to develop detailed and doable Plans of Actions. Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and administering of Aerotek's workers compensation program to ensure the maximum cost containment.
Sinai Hospital of BaltimoreNewCase Manager RN Sinai Hospital of BaltimoreCase Manager RNRandallstown, MDSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. The Care Manger strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimize denials of payment among a patient population with complex health needs.
Sandstone CareNewMental Health Nurse - RN / LPN Sandstone CareMental Health Nurse - RN / LPNCrownsville, MD$30–$45.50 / hourA valid driver's License and clean driving history are required – Staff are expected to drive a company 15 passenger van to transport clients to and from programming activities as needed. At Sandstone Care, we are committed to fostering a culture of diversity, equity, and inclusion that not only enriches the lives of our employees but also ensures the wellbeing and care of our clients, regardless of their race, ethnicity, gender identity, sexual orientation, socioeconomic status, age, ability, or background.
Sunrise Senior LivingWellness Nurse LPN LVN Sunrise Senior LivingWellness Nurse LPN LVNBethesda, MDUnderstand and practice the proper method of attending to and disposing of and the possibility of exposure to blood borne pathogens, bodily fluids, infectious waste, sharp sticks, and hazardous materials in compliance with universal care precautions. Transcribe physician orders Medication Administration Record Treatment Administration Record (MAR/TAR) to include initials, date and time ‘noted’, and date faxed to pharmacy accurately and promptly.
Sandstone Care - Crownsville, MarylandNewMental Health Nurse - RN / LPN Sandstone Care - Crownsville, MarylandMental Health Nurse - RN / LPNCrownsville, MD$30–$45.50 / hourA valid driver's License and clean driving history are required – Staff are expected to drive a company 15 passenger van to transport clients to and from programming activities as needed. At Sandstone Care, we are committed to fostering a culture of diversity, equity, and inclusion that not only enriches the lives of our employees but also ensures the wellbeing and care of our clients, regardless of their race, ethnicity, gender identity, sexual orientation, socioeconomic status, age, ability, or background.
Fresenius Medical Care AG & Co KGaALicensed Practical Nurse - LPN LVN Fresenius Medical Care AG & Co KGaALicensed Practical Nurse - LPN LVNBaltimore, MD$23–$37 / hourOur strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. Our career advantages include the following: Fresenius Medical Care is the nation"s largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country.
MedStar Health Research InstituteEmergency Department Nurse Manager MedStar Health Research InstituteEmergency Department Nurse ManagerOlney, MD$120,702–$238,222 / yearMaintains knowledge of current trends and developments in the fields of nursing and health care through a variety of professional activities including but not limited to reading the appropriate literature attending related seminars and conferences and maintaining membership in professional nursing associations. Engages in ongoing productivity monitoring adherence to prescribed annual budget and assurance of adequate availability of personnel and other necessary resources to support the delivery of safe patient care and realization of departmental goals.
MedStar Health Research InstituteRN Bilingual Case Manager - Breast & Cervical Cancer Outpatient Program MedStar Health Research InstituteRN Bilingual Case Manager - Breast & Cervical Cancer Outpatient ProgramBaltimore, MDManages patient care according to clinical pathways and/or multidisciplinary plan of care and/or management care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes. The RN Case Manager provides community-based care coordination and clinical support as a member of a small, collaborative team serving predominantly Spanish-speaking women age 40 and older residing in Baltimore City.
Mercy Medical Center IncRN Case Manager Mercy Medical Center IncRN Case ManagerBaltimore, MDThe RN Case Manager applies case management strategies to assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual's healthcare needs, through communication and the use of available resources to promote quality, cost effective outcomes. The RN Case Manager responsibilities include assessing clients needs, developing individualized care plans, coordinating with physicians, social workers and ancillary staff, and advocating for clients' rights and access to resources.
One Vision InternationalNurse Practitioner One Vision InternationalNurse PractitionerHanover, PA$85–$85As a Part-Time Family Nurse Practitioner in our on-site Health Center in Hanover, PA, you’ll work in a collaborative and supportive setting, providing care to client employees and their dependents ages 3 and up. This position offers the opportunity to step away from long hospital shifts and focus on quality, patient-centered care in an outpatient environment.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Baltimore, MDRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
MedStar HealthEmergency Department Nurse Manager MedStar HealthEmergency Department Nurse ManagerOlney, MD$120,702–$238,222 / yearMaintains knowledge of current trends and developments in the fields of nursing and health care through a variety of professional activities including but not limited to reading the appropriate literature attending related seminars and conferences and maintaining membership in professional nursing associations. Engages in ongoing productivity monitoring adherence to prescribed annual budget and assurance of adequate availability of personnel and other necessary resources to support the delivery of safe patient care and realization of departmental goals.
MedStar HealthRN Bilingual Case Manager - Breast & Cervical Cancer Outpatient Program MedStar HealthRN Bilingual Case Manager - Breast & Cervical Cancer Outpatient ProgramBaltimore, MarylandManages patient care according to clinical pathways and/or multidisciplinary plan of care and/or management care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes. The RN Case Manager provides community-based care coordination and clinical support as a member of a small, collaborative team serving predominantly Spanish-speaking women age 40 and older residing in Baltimore City.
Elevance Health IncNurse Case Mgr Sr Elevance Health IncNurse Case Mgr SrHanover, MD$83,748–$137,586 / yearThe Nurse Case Mgr Sr is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Assists with development of utilization/care management policies and procedures, chairs, and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and participates in interdepartmental and/or cross brand workgroups.
Sinai Hospital of BaltimoreNurse Manager- Pre-Op (Perioperative)/PACU Sinai Hospital of BaltimoreNurse Manager- Pre-Op (Perioperative)/PACUBaltimore, MDSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve."
Johns Hopkins HospitalNewQuality Improvement Specialist / Clinical Auditor (RN, PA, MD) Johns Hopkins HospitalQuality Improvement Specialist / Clinical Auditor (RN, PA, MD)Baltimore, MDPrefer a minimum of three years related experience in quality improvement or safety, collecting and analyzing data, preparing reports, identifying and solving problems and conducting educational programs with hospital staff, facilitating discussion with multidisciplinary team to recommend solutions etc. Responsibilities include medical record review, QI data analysis and reporting, conducting clinical audits and tracers, Physician Advisor interaction, and special projects which are coordinated and directed by the QI/UM Team Leader, Manager, or Director.
MedStar HealthRN Inpatient Case Manager Part-Time ( Emergency Dept ) MedStar HealthRN Inpatient Case Manager Part-Time ( Emergency Dept )Olney, Maryland$89,065–$162,801 / yearDemonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.
CVS Health CorpCase Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteMDRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Crisis24Medical Case Manager - Nurse Crisis24Medical Case Manager - NurseAnnapolis, MDFull timeWith a combined expertise covering 55 years we now offer the full spectrum of medical solutions from medical advice, 24/7 medical assistance and proactive case management, to medical evacuation and repatriation services through medical service solutions dedicated to customers - a truly combined medical and security risk management industry leader. Our client groups are located all round the world and as such we need to be prepared to interact with medical professionals from different countries to obtain medical information in a timely fashion to provide an effective response.
ComForCare Home Health Care - York PALicensed Practical Nurse (LPN) ComForCare Home Health Care - York PALicensed Practical Nurse (LPN)York, PABy selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. Providing skilled nursing visits for clients as defined in the nurse practice act and under the direction of a Registered Nurse.