FULL_TIME

FEED

UNKNOWN

Conduct comprehensive occupational health evaluations, including DOT exams (FMCSA-certified Medical Examiner required), pre-placement assessments, firefighter and safety-sensitive exams, and specialized evaluations (e.g., ordnance, biological, field/at-sea). Have demonstrated ability to partner effectively with occupational health nursing staff in a collaborative, team-based care model, fostering mutual respect, shared clinical decision-making, and coordinated delivery of occupational health services.

YEAR

Johns Hopkins Applied Physics Laboratory

Nurse Practitioner

[AW]-iCims

Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Shady Grove Adventist Hospital

Nurse Manager, Day Shift, Transfer Center

Conflict Management - Legal Professionals address problems openly and objectively and bring substantial conflicts and disagreements into the open with the intention of resolving issues in an unemotional and constructive manner. The Nurse Paralegal supports attorneys by reviewing and organizing medical records, preparing detailed chronologies, conducting medical research, and analyzing treatment data to support case strategy.

Chartwell Law Offices LLP

Nurse Paralegal

Essential Tasks: Review and process referrals for administrative and clinical completeness and appropriateness, completing disposition within 24 hours of referral date Collaborate with appointing centers, case managers, product line nurses, providers, clinics, managed care contractors, and other healthcare team members to ensure appropriate use of Direct Care and civilian network resources Ensure patients are scheduled with the right provider, at the right time and place Review compliance with Specialty Referral Guidelines (SRGs) per IRMAC protocols Complete and return Clear Legible Reports (CLR) to ordering civilian providers within required Return of Favorable Response (ROFR) timelines Manage telephone, written, and electronic communications regarding specialty appointments and referrals Monitor and process referral management worklists (e.g., Genesis Work Lists) to ensure timely consult processing Communicate referral status to patients, including benefit counseling and advocacy resources as needed Reschedule or redirect patients within 3 days when referrals are disapproved or invalid, advising on other care options and Line-of-Duty issues Receive and enter ROFR referrals in MHS-GENESIS from Military Contractor Support Centers (MCSC) portals for assigned specialties/product lines, adhering to all timelines and business rules Verify patient eligibility and update demographics in MHS-GENESIS Document patient interactions, especially when appointments are refused, and coordinate with Beneficiary Counselor and Assistance Coordinator as appropriate Coordinate with product line nurses and clinics for special accommodations Interface with MCSC and multidisciplinary teams to ensure referral appropriateness Submit referrals to non-network providers for TRICARE Service Center medical necessity reviews Monitor referral management voicemail and return patient calls within established guidelines Provide External Provider Referral Online (EPRO) information as requested Close unused referrals following DHA IPM and NCR Medical Directorate policies, notifying ordering providers accordingly Orient and train new IRMAC staff on referral processes and timelines Perform other duties as assigned. Zimmerman Associates, Inc. (ZAI) is seeking to hire multiple Referral Management (Non-Nurse) Reviewers to support our contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Region's premier authority for appointment coordination and referral management services for beneficiaries within the Defense Health Network.

HOUR

Zimmerman Associates Inc

Referral Management (Non-Nurse) Reviewer

Nurse Manager, Day Shift, Emergency Department

OTHER

Applies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.

TriWest Healthcare Alliance

Utilization Management Clinical Reviewer

equestftpin

Review Nurse Jobs in Towson, MD

Review Nurse Jobs in Towson, MD

Nurse Practitioner Johns Hopkins Applied Physics Laboratory

Nurse Manager, Day Shift, Transfer Center Shady Grove Adventist Hospital

Nurse Paralegal Chartwell Law Offices LLP

Referral Management (Non-Nurse) Reviewer Zimmerman Associates Inc

Nurse Manager, Day Shift, Emergency Department Shady Grove Adventist Hospital

Utilization Management Clinical Reviewer TriWest Healthcare Alliance

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