Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNBaltimore, MDOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Dialysis Clinical manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical manager Registered Nurse - RNBaltimore, MDOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Clinical Director BCBA JobotClinical Director BCBABethesda, MD$100,000–$130,000 / yearWe are a rapidly growing, BCBA-founded ABA organization committed to delivering compassionate, outcomes-driven autism services across center-based, home-based, school, and community settings. The Clinical Director will partner closely with executive leadership to drive clinical excellence, improve operational outcomes, mentor BCBA Supervisors, and support the continued expansion of services to families across assigned regions.
NewPatient Care Manager RN UnitedHealth GroupPatient Care Manager RNSalisbury, MD$89,680–$134,520 / yearCoordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
NewCase Manager Social Worker (LBSW) - Grace Medical Center LifeBridge HealthCase Manager Social Worker (LBSW) - Grace Medical CenterBaltimore, MD$27.90–$41.85 / hourIncorporates social, cultural/ethnic, emotional and spiritual aspects of the patient and family into the discharge/psychosocial assessment and the plan of care; demonstrates competency in knowledge base of community resources to address identified needs. 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.
Program Manager - Partial Hospitalization Program Signet HealthProgram Manager - Partial Hospitalization ProgramClinton, MD$99,840–$104,000 / yearSignet Health, a national behavioral health management company, is seeking an experienced and compassionate Behavioral Health Partial Hospitalization Program (PHP) Manager to join our team at MedStar Southern Maryland Hospital Center in Clinton, Maryland. Reporting to the Director of Social Work Services, the PHP Manager provides clinical oversight and supervision while supporting individuals who require a higher level of care than traditional outpatient treatment can provide.
NewCase Manager Social Worker (LBSW ONLY) - Grace Medical Center LifeBridge HealthCase Manager Social Worker (LBSW ONLY) - Grace Medical CenterBaltimore, MD$27.90–$41.85 / hourIncorporates social, cultural/ethnic, emotional and spiritual aspects of the patient and family into the discharge/psychosocial assessment and the plan of care; demonstrates competency in knowledge base of community resources to address identified needs. 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.
NewProgram Manager or Director, Cancer Vaccines Foundation for the NIHProgram Manager or Director, Cancer VaccinesNorth Bethesda, MD$150,000–$225,000 / yearThis public–private partnership is designed to deliver near-term clinical proof-of-concept in high-risk, minimal residual disease (MRD) cancers while building a scalable, long-term ecosystem for antigen discovery, vaccine development, manufacturing, and data-driven innovation. The Program Manager or Director will oversee a coordinated portfolio spanning rapid demonstration trials, parallel development of multiple antigen classes and vaccine platforms, scalable GMP manufacturing, harmonized immune monitoring, and a centralized data architecture enabling AI-driven antigen prediction.
NewINPATIENT CASE MANAGER RN LifeBridge HealthINPATIENT CASE MANAGER RNBaltimore, MD$39.14–$58.71 / hourSupport: 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. Assessment & Planning: Conducts initial and ongoing assessments to determine patient needs for care coordination and discharge, then develops a focused discharge plan, especially for high-risk patients.
Registered Nurse Clinical Lead CVPCU AscensionRegistered Nurse Clinical Lead CVPCULaurel, MD$47.45–$66.99 / hourOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Registered Nurse Clinical Lead Labor and Delivery AscensionRegistered Nurse Clinical Lead Labor and DeliveryColumbia, MD$47.45–$66.99 / hourOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Registered Nurse Clinical Lead Mother Baby AscensionRegistered Nurse Clinical Lead Mother BabyColumbia, MD$47.45–$66.99 / hourLicensure / Certification / Registration: BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or job transfer date required. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
NewCase Manager RN LifeBridge HealthCase Manager RNRandallstown, MD$40.12–$62.19 / hourSupport: 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. Experience: Required: 5-7 years Education: Required: Nursing Degree Licenses And Certification: Required: Registered Nurse License - Current Maryland license or eligibility to obtain Maryland license Additional Information .
NewCase Manager Social Worker (LBSW) - Grace Medical Center ConfidentialCase Manager Social Worker (LBSW) - Grace Medical CenterBaltimore, MDCase Manager Social Worker (LBSW) - Grace Medical Center ~ GRACE MEDICAL CENTER ~Full-time - Day shift - 8:00am-4:30pm ~ALLIED HEALTH ~Provides leadership to the health care team in areas of coordination of post-acute care services and provision of psychosocial support services to patients and families. Incorporates social, cultural/ethnic, emotional and spiritual aspects of the patient and family into the discharge/psychosocial assessment and the plan of care; demonstrates competency in knowledge base of community resources to address identified needs.
NewAssistant Medical Director - Hospital Medicine - Holy Cross Hospital - Silver Spring VituityAssistant Medical Director - Hospital Medicine - Holy Cross Hospital - Silver SpringSilver Spring, MDStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Silver Spring, MD – Seeking Hospital Medicine Assistant Medical Director Join the Physician Partnership Where You Can Increase Your Impact Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.
NewAssistant Medical Director - Holy Cross Germantown Hospital VituityAssistant Medical Director - Holy Cross Germantown HospitalGermantown, MDStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Residents enjoy a variety of outdoor activities at local parks like Black Hill Regional Park and South Germantown Recreational Park, which features hiking trails, a splash park, and the expansive Maryland SoccerPlex.
NewNurse Navigator RN LifeBridge HealthNurse Navigator RNRandallstown, MD$40.12–$62.19 / hourSupport: 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. Monitors patient progress throughout the surgical pathway, manages patient portal communications, triages clinical questions, identifies barriers to care, and coordinates timely interventions to optimize patient outcomes.
NewAdvanced Practice Practitioner (NP/PA) CinqcareAdvanced Practice Practitioner (NP/PA)Baltimore, MDReporting to the Clinical Manager, the Advanced Practice Practitioner (NP/PA) is responsible for conducting patient visits, ensuring effective collaboration, proper clinical management, documentation of visits, and high-quality patient care delivery to Grace at Home family members. Deliver comprehensive and follow-up care through in-home and virtual visits, including AWVs, Comprehensive Assessments, Follow-up visits, and TOCs (Transitions of Care) in accordance with Medicare, Medicaid, and commercial plan requirements.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical Care AG & Co KGaADialysis Clinical Manager Registered Nurse - RNBaltimore, MDOther: Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Clinical Manager Kolmac Integrated Behavioral HealthClinical ManagerBrooklyn, MarylandThis is a high-impact leadership role for someone who wants to shape clinical quality, develop counselors, and directly influence patient outcomes — with real authority to make it happen. As Clinical Manager, you'll own the daily administration and clinical quality of CCG's services, partnering closely with the Executive Director to drive both team performance and patient outcomes.
RN Manager Occupational Health Clinical Operations MedStar Health Research InstituteRN Manager Occupational Health Clinical OperationsLeonardtown, MD$102,606–$196,996 / yearCollaborates with OH and outside medical providers to monitor the progress of case management in terms of established outcomes, which includes the length of disability, rates of injury and illness, and other specific indicators. Collaborates with OH AVP and OH Shared Services to identify, evaluate, and implement plans to improve operations and clinical practice in the OH department in collaboration with the department director and medical director.
Clinical Manager Home Health BrightSpring Health ServicesClinical Manager Home HealthWestminster, MD$43–$47 / hourAs a Home Health Clinical Manager, You will: Conducts/participates in quarterly quality improvement meetings, reviews pertinent available data, identifies trends, and oversees the implementation of improvement plans. Adoration Health, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need.
RN Clinical Manager Home Health $10k Sign on bonus BrightSpring Health ServicesRN Clinical Manager Home Health $10k Sign on bonusBALTIMORE, MD$90,000–$105,000 / yearAdoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Responsible for the oversight of and response to external and internal surveys and audits within the assigned area relating to the quality of care and clinically related KPIs in collaboration with operations leadership.
Registered Nurse - Clinical Manager Amedisys IncRegistered Nurse - Clinical ManagerRosedale, MD$99,000–$105,000 / yearJoin Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.
Clinical Manager Hospice RN Amedisys, Inc.Clinical Manager Hospice RNRosedale, Maryland$99,000–$105,000 / yearFull timeOverview: Registered Nurse - Hospice Clinical Manager Full Time - 1st Shift Sign on Bonus - $10,000.00 Make a difference every day as an Amedisys RN clinical manager Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.
Urgent Care Clinical Intake Manager AFFILIATED SANTE GROUPUrgent Care Clinical Intake ManagerMD$72,000–$75,000 / yearWe have a passion for providing empathetic and potentially life-saving care to help individuals heal, recover, and thrive, as well as live their lives in a manner that allows them to fully integrate in the community. What We're Looking For: Sante is seeking a Full-Time Crisis Clinical Intake Manager to work in our Urgent Care Center as part of the Baltimore County Crisis Response Systems (BCCRS) management team.
Clinical Manager United Surgical Partners International IncClinical ManagerMDVoluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.
Regional Clinical Manager - Pediatric Urgent Care (PA/NP) PM PediatricsRegional Clinical Manager - Pediatric Urgent Care (PA/NP)Laurel, MarylandThe Regional Clinical Manager will provide training and education for new providers, reinforce skill development among low-performing providers, assist in adjusting the provider schedule to match training needs, daily volume, and seasonality, as well as address quality and safety concerns. Clinical Documentation and Resource Utilization : Ensures appropriate provider documentation, collaborates with Clinical Excellence Team on chart review process; monitors and coaches providers on use of templates, proper coding, and resource utilization.
Registered Nurse RN Clinical Manager - Home Health Bayada Home Health Care, Inc.Registered Nurse RN Clinical Manager - Home HealthGaithersburg, MD$93,000–$102,000 / yearThis is an exciting opportunity to combine your clinical expertise, case management experience, and leadership skills while making a meaningful difference in the lives of patients and families throughout the Gaithersburg community. If you''re an experienced Registered Nurse (RN) with Home Health, OASIS, and case management experience who is ready to step into a rewarding clinical leadership role, we encourage you to apply today.
RN Clinical Manager - Lead Home Care Team | $10K Bonus Bayada Home Health Care, Inc.RN Clinical Manager - Lead Home Care Team | $10K BonusGaithersburg, MDWe're seeking a Clinical Nurse Manager (RN) to lead and grow our Assistive Care office in Gaithersburg, MD, serving adult clients across Montgomery County and parts of Frederick County. As a Clinical Nurse Manager, you'll be at the heart of both patient care and team leadership: Lead, mentor, and inspire field staff to deliver exceptional care.
Clinical Manager RN - $10K Bonus | Mon-Fri | Home Care Bayada Home Health Care, Inc.Clinical Manager RN - $10K Bonus | Mon-Fri | Home CareGaithersburg, MDWe want you to apply your energy and skills to this dynamic and entrepreneurial environment and become an integral part of a caring, professional team that is instrumental in providing the highest quality care to our clients. Provide clinical guidance and judgement to office colleagues to promote an understanding of client's needs and how to respond.
Clinical Manager - Maryland Medicaid & Pediatrics Kaiser PermanenteClinical Manager - Maryland Medicaid & PediatricsHyattsville, MDRegistered Nurse License (Maryland) within 6 months of hire AND Registered Nurse License (District of Columbia) within 6 months of hire AND Registered Nurse License (Virginia) within 6 months of hire OR + Speech-Language Pathologist License (District of Columbia) within 6 months of hire AND Speech Language Pathologist License (Maryland) within 6 months of hire AND Speech-Language Pathologist License (Virginia) within 6 months of hire OR + Pharmacist License (Virginia) within 6 months of hire AND Pharmacist License (Maryland) within 6 months of hire AND Pharmacist License (District of Columbia) within 6 months of hire OR + Physician Assistant License (Maryland) within 6 months of hire AND Physician Assistant License (Virginia) within 6 months of hire AND Physician Assistant License (District of Columbia) within 6 months of hire OR + Occupational Therapist License (District of Columbia) within 6 months of hire AND Occupational Therapist License (Virginia) within 6 months of hire AND Occupational Therapist License (Maryland) within 6 months of hire OR + Physical Therapist License (District of Columbia) within 6 months of hire AND Physical Therapist License (Virginia) within 6 months of hire AND Physical Therapist License (Maryland) within 6 months of hire OR + Licensed Clinical Social Worker (Virginia) within 6 months of hire AND Independent Clinical Social Worker License (District of Columbia) within 6 months of hire AND Licensed Certified Social Worker (Maryland) within 6 months of hire OR + Registered Nurse License (District of Columbia) within 6 months of hire AND Compact License: Registered Nurse within 6 months of hire OR + Dietitian License (District of Columbia) within 6 months of hire AND Registered Dietitian Nutritionist Certification required at hire AND Dietitian License - Nutritionist (Maryland) within 6 months of hire OR + Dietitian License - Nutritionist (Maryland) within 6 months of hire AND Registered Dietitian required at hire AND Dietitian License (District of Columbia) within 6 months of hire OR + Respiratory Care Practitioner License (District of Columbia) within 6 months of hire AND Respiratory Therapist License (Virginia) within 6 months of hire AND Respiratory Care Practitioner License (Maryland) within 6 months of hire OR + Compact License: Physical Therapist within 6 months of hire + Basic Life Support required at hire Preferred Qualifications: + Two (2) years of project/program management and/or implementation-related experience. + Manages improvements to operations and technology processes by: defining issues and overseeing the development of goals and priorities for strategic projects designed to remediate issues and improve quality, service, affordability, and/or operating efficiency; applying a structured approach for identifying root causes and implementing solutions to improve the performance of operations system processes; and ensuring performance metrics used to monitor the success of strategic improvement projects are tied to strategic department initiatives.
Senior Manager, Clinical Development Supernus Pharmaceuticals IncSenior Manager, Clinical DevelopmentRockville, MD$130,000–$155,000 / yearThe successful candidate will lead/co lead clinical research activities in support of three key initiatives: Clinical research supporting activities within the Clinical Development Group (phase I - III trials) and regulatory filing of pipeline products. Leads or Co-leads (with commercial colleagues) effort in determining and articulating the attributes related to safety, efficacy, unmet medical need, regulatory approval and successful commercialization of ongoing development and pipeline candidates.
Senior Product Manager, Clinical Execution & Team Catalyst Enara HealthSenior Product Manager, Clinical Execution & Team CatalystCalifornia, CaliforniaRemoteMentorship & Quality: Provide hands-on mentorship and support to engineering and product associates, helping the team connect their daily code to the broader clinical mission and ensuring the highest quality product delivery. Salary Specifics: Base salary: $155,000 + benefits + equity (could go up to $180,000) We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Assistant Clinical Manager - Brook Lane - Full Time - Nightshift Brook Lane Health Services IncAssistant Clinical Manager - Brook Lane - Full Time - NightshiftHagerstown, MDAbout the Role: As an Assistant Clinical Manager, you'll provide hands-on clinical leadership, supporting the Clinical Manager in the day-to-day operations of the unit. Join our Brook Lane team as an Assistant Clinical Manager and help lead a dedicated team of healthcare professionals focused on delivering exceptional patient care.
Payer STARS/Quality Clinical Consultant, Senior Manager PricewaterhouseCoopers LLPPayer STARS/Quality Clinical Consultant, Senior ManagerBaltimore, MD$124,000–$280,000 / yearAs a Payer STARS/Quality Clinical Consultant, Senior Manager, you will engage with clients in the health services sector, providing strategic guidance and operational consulting to enhance their clinical quality and performance metrics. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Clinical Therapist & Case Manager (Hybrid) LMSW, LGPC, LCSW-C, LCPC BTST ServicesClinical Therapist & Case Manager (Hybrid) LMSW, LGPC, LCSW-C, LCPCBaltimore, MD$75,000Our mission is to become the leader and trail blazer in the health and social work fields by continuing to research, develop programing, and train tomorrow’s elite health care professionals to provide the best services to individuals, families and communities in need. We develop and strengthen our clients’ competencies in the core areas most important to their becoming healthy and productive members of their families and communities, including socialization, education and vocation.
Clinical Nurse Manager (RN) Healogics IncClinical Nurse Manager (RN)Silver Spring, MD$87,200–$117,500 / yearOrganizes and prioritizes clinical responsibilities, provides clinical oversight to clinical staff, such as Registered Nurses (RNs); Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs); Certified Medical Assistants (CMAs); Hyperbaric Oxygen Technicians, etc. May be required to provide case management to a group of patients providing specific assessments according to protocols and procedures, clinical competence in procedural skills, treatments, and patient/caregiver education related to wound care management.
CLINICAL MANAGER Johns Hopkins HospitalCLINICAL MANAGERBethesda, MDThe Clinical Manager is responsible for assisting the Practice Administrator in the daily clinical operations of the health center with an emphasis on managing clinical staff including budget management, scheduling, safety, environment of care, maintain adequate clinical supply level and the hiring, supervision, staffing, evaluation and discipline of Human Resources. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Clinical Manager Johns Hopkins HospitalClinical ManagerBethesda, MDWe are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. What You Will Do: The Clinical Manager at Johns Hopkins Community Physicians in Downtown Bethesda assists in the daily clinical operations of the health center that offers Internal Medicine, Endocrinology, and Neurology services.
Provider Clinical Operations Consultant, Manager PricewaterhouseCoopers LLPProvider Clinical Operations Consultant, ManagerBaltimore, MD$99,000–$232,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Clinical Staff Manager SilveradoClinical Staff ManagerFrederick, MarylandWe’re hiring a Clinical Staff Manager – a detail-oriented and empathetic leader who will oversee clinical scheduling, caregiver coordination, and administrative support for our community. You understand the importance of efficient scheduling, strong communication, and supporting a team that delivers exceptional care to residents living with memory impairments.
Clinical Care Manager Volunteers of America VirginiaClinical Care ManagerLanham, MD$101,000–$134,000 / yearThe Clinic Manager under the supervision of the Director of Clinical Services, oversees and manages the overall clinical effectiveness of Senior Community Care (SCC) clinical services to ensure the efficiency, consistency, continuity, and quality of care provided to program participants. Provides oversight, management, and direction of the overall operational effectiveness of PACE clinics and is responsible for effectuating and maintaining effective and efficient operational systems, processes, and workflows in compliance with applicable regulations and organizational policies to meet participant care needs and organizational objectives.
RN Manager Occupational Health Clinical Operations MedStar HealthRN Manager Occupational Health Clinical OperationsLeonardtown, MD$102,606–$196,996 / yearLicenses and Certifications: NP - Nurse Practitioner - Licensed Registration with the Washington DC and/or Maryland and/or Virginia and/or other MedStar location State Board Examiners of Nurses required, and BLS - Basic Life Support Basic Life Support certification required, and COHN - Certified Occupational Health Nurse required. Collaborates with OH and outside medical providers to monitor the progress of case management in terms of established outcomes, which includes the length of disability, rates of injury and illness, and other specific indicators.
Mgr Clinical Appeals and Grievances HealthfirstMgr Clinical Appeals and GrievancesMD$103,400–$149,430 / yearPreferred Qualifications: • Experience in clinical practice with a focus in appeals & grievances, claims processing, utilization review or utilization management/case management • Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines • Extensive experience in healthcare appeals • MBA or master's degree from an accredited institution with focus in training & development, education, business, or healthcare administration • Management experience in an operational department within the healthcare industry focused on clinical leadership • Leadership experience in a focus area of operational excellence or audit • Experience developing strategy and processes for a department or function • Experience managing vendors as an extension of a core team • Familiar with creating accountable ownership of a vendor team. Minimum Qualifications: • Bachelor's degree from an accredited institution or equivalent work experience • RN • Experience with utilization management or appeals and grievance processing and compliance • Working experience in a fast-paced environment overseeing multiple priorities, tasks and/or teams • Proven track record of exercising independent thinking, ability to problem solve, understand process flows and correlating platforms to recommend and implement solutions • Experience preparing and delivering written and verbal information to multiple types of audiences • Demonstrated ability to build and foster effective relationships.
Provider Clinical Operations Consultant, Senior Manager PricewaterhouseCoopers LLPProvider Clinical Operations Consultant, Senior ManagerBaltimore, MD$124,000–$280,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Clinical Referral and Relations Manager, Inpatient Kennedy Krieger Institute IncClinical Referral and Relations Manager, InpatientBaltimore, MDBuild and sustain trusted external relationships with referring hospitals, case managers, physicians, and office managers through on-site visits, calls, and timely issue resolution to grow inpatient referrals and meet census/throughput goals. Strategically develops, establishes, nurtures, and maintains positive relationships with referral customers, including patients and families, hospital/health system partners, payors, and business customers.
Clinical Care Manager VOANS Senior Community Care of MarylandClinical Care ManagerLanham, MD$101,000–$134,000 / yearPart timeThe Clinic Manager under the supervision of the Director of Clinical Services, oversees and manages the overall clinical effectiveness of Senior Community Care (SCC) clinical services to ensure the efficiency, consistency, continuity, and quality of care provided to program participants. Provides oversight, management, and direction of the overall operational effectiveness of PACE clinics and is responsible for effectuating and maintaining effective and efficient operational systems, processes, and workflows in compliance with applicable regulations and organizational policies to meet participant care needs and organizational objectives.
Access Clinical Manager Greater Baltimore Medical CenterAccess Clinical ManagerMD$86,688.82–$146,580.64 / yearExperience: At least five (5) years progressive clinical experience, including two (2) years management experience in hospice, hospice admissions, sales, marketing, call center, and/or customer service, preferably in healthcare setting; experience working with nursing homes, long term care and assisted living facilities, hospitals and physicians. Coordinates and oversees compliance of documentation management resources involving clinical/administrative staff, pharmacy and durable medical equipment related to patient admissions.
Clinical Manager - Home Health Registered Nurse Amedisys IncClinical Manager - Home Health Registered NurseMD$116,000–$120,000 / yearThe opportunity to make a meaningful impact on the lives of patients and their families providing much needed care where they want to be - in their homes. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.