Senior Care Manager (RN) Centene Management CompanySenior Care Manager (RN)WashingtonRemoteMonitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.
CTO Lead Care Manager RN MedStar HealthCTO Lead Care Manager RNBaltimore, Maryland$89,065–$162,801 / yearFull timeAttributed 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.
NewAssistant Manager, Nursing - PCCU Johns Hopkins HospitalAssistant Manager, Nursing - PCCUBaltimore, 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. Job Details & Qualifications: Working along side and supporting the Nurse Manager, supervises the daily operations of the PCCU patient care setting to ensure efficient and effective patient care delivery.
RN Nurse Manager Rehabilitation and Long-Term Care Veracity Ventures Inc.RN Nurse Manager Rehabilitation and Long-Term CareBaltimore County, MDFull timeThis isn’t just a management role — it’s a chance to lead a highly skilled team caring for patients on some of the most critical and transformative journeys of their recovery. From post-surgical rehab to stroke and cardiac recovery, your leadership will directly shape outcomes, experiences, and team culture.
NewNurse (Clinical / Operations Manager) U.S. Department of DefenseNurse (Clinical / Operations Manager)Washington, DC$93,992–$117,932 / yearIn addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Experience: One or more full years of professional nursing experience which includes: (1) providing comprehensive nursing care to patients in an acute care or hospital setting; and (2) directing or leading staff personnel (i.e. assigning work, overseeing a shift, and/or serving as a Charge Nurse, Team Leader, and/or Supervisor). FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university.
NewNurse Manager I, ACLS and PALS, Interventional Radiology, Mid-Atlantic Kaiser PermanenteNurse Manager I, ACLS and PALS, Interventional Radiology, Mid-AtlanticSilver Spring, MDManages improvements to operations and technology processes by: managing the work of cross-functional teams including overseeing the development of goals and priorities, defining issues, and in some cases leading and implementing 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 address quality and safety issues; contributing to the development of and implementing strategic plans with the goal of achieving integrated services across the continuum of care; and ensuring performance metrics used to monitor the success of strategic improvement projects are tied to strategic department initiatives. Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed.
Director of Case Management MedStar HealthDirector of Case ManagementBaltimore, Maryland$58.03–$104.12 / hourFull timeDirects and participates in the provision of social services in the areas of psychosocial assessment and counseling crisis intervention child abuse home health care oncology and other support groups' discharge planning. Ensures the delivery of quality care to inpatients and outpatients by identifying patient needs and developing social service programs to meet those needs.
Washington Rural Case Management, Social Work and Care Coordination Rural Staffing ServicesWashington Rural Case Management, Social Work and Care CoordinationWashington, WashingtonRural Staffing Services partners with rural hospitals, clinics, public hospital districts, and community healthcare organizations throughout Washington to identify experienced leaders and professionals in case management, social work, utilization review, discharge planning, and care coordination. These opportunities may include positions within Critical Access Hospitals, community hospitals, Rural Health Clinics, Federally Qualified Health Centers, public hospital districts, long-term care organizations, and integrated rural healthcare systems.
Director Case Management MedStar HealthDirector Case ManagementColumbia, Maryland$120,702–$238,222 / yearFull timeOversees and ensures the timely execution of Case Management activities related to Enrollee Discharge Planning Transitions of Care special benefit operations (for example transportation and personal care services) Behavioral Health Case Management and Special Population Services (for example unhoused enrollees and pediatric case management). The Director ensures adherence of case management programs across markets while addressing unique state-specific regulatory and population needs partners closely with Utilization Management Pharmacy Quality Population Health Equity and Provider Relations to drive enterprise clinical performance.
Care Manager Integrated Resources, IncCare ManagerWashington, District of ColumbiaFull timeCoordinates care and services with the Account manager, Complex RN Case Manager, and member, family members as appropriate, PCP, Specialist, and Facility/Vendor Providers. • The Care Manager (RN) assists members appropriate for care coordination and case management services in achieving their optimal level of health.
NewManager of Utilization Management - Washington D.C. - Optum UnitedHealth Group IncManager of Utilization Management - Washington D.C. - OptumWashington D.C., DC$91,700–$163,700 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Ensures the team meets established performance metrics and performance guarantees through Clinical Utilization Excellence rounds with case presentation to identify services and resources that align with members" care needs and development of care plan and assist with Transition of Care discussions.
Care Management Manager (Hybrid) Blue Cross and Blue Shield AssociationCare Management Manager (Hybrid)Baltimore, MD$99,920–$185,477 / yearNote: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. QUALIFICATIONS: Education Level: Bachelor''s Degree in Nursing, OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Case Review Specialist/Medical Assistant STG International, Inc.Case Review Specialist/Medical AssistantRockville, MDFull timeProvides direct support to the mission of Federal Occupational Health (FOH), a component of the Program Support Center (PSC), to improve the health, safety, and productivity of the Federal workforce by performing fulfillment of case review activities (review of service and provider fulfillment), interacting with internal and external customers regarding questions and clarification of services or other communication essential to the maintenance of the agreement and coordinating service delivery with FOH Business Operations team. Other duties may include reaching out to clinics to retrieve missing exam items, working with Occupational Health Clinics (OHC) to ensure all portions of exam completed are billed for appropriately, collaborating with FOH team members to ensure workflow facilitates that customer needs are met, and relay any concerns raised by customers to Program Manager (PM).
Manager of Clinical Appeals and Grievances HealthfirstManager of Clinical Appeals and GrievancesMD$103,400–$149,430 / yearProvides guidance in the preparation of case preparation for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Registered Nurse, Hospice After Hours AccentCare, Inc.Registered Nurse, Hospice After HoursWashington, District of Columbia$90,000–$100,000 / yearIf serving as a Care Manager, coordinates all aspects of patient care including scheduling, medication management, plan of care oversight, IDG collaboration, and supervision of LPNs, LVNs, and Hospice Aides; participates in IDG meetings and patient/family conferences. If serving in an On-Call capacity, responds to triage calls, performs visits and assessments, coordinates care with the Administrator On Call, and may attend IDG meetings and family conferences; also participates in training, committees, and other duties as assigned within licensure scope.
Registered Nurse (RN) Discharge Planner Inpatient Psychiatry MedStar HealthRegistered Nurse (RN) Discharge Planner Inpatient PsychiatryWashington, DC$42–$69.43 / hourPart timeDemonstrates 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.
Registered Nurse - Hospice - Montgomery County Frederick Health Hospital, Inc.Registered Nurse - Hospice - Montgomery CountyRockville, MD$35.72–$53.56 / hourPart timeAwkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions. Possess the ability to interpret the appropriate information needed to identify each patient’s requirements relative to his/her age-specific needs and to provide the care needed as described in the unit’s/department’s policies and procedures.
Care Management Continuing Care Manager Weekender Greater Baltimore Medical CenterCare Management Continuing Care Manager WeekenderTowson, MD$58,488.99–$93,582.39 / yearUnder general supervision, provides psycho-social services including: psychosocial assessment, complex discharge planning, coordination of services, resource referral, support group facilitation and consultation. Skills: Knowledge of various social, home care, extended care, hospice, government program, commercial insurance and community services.
Registered Nurse Clinical Lead CVPCU AscensionRegistered Nurse Clinical Lead CVPCUBaltimore, Maryland$47.45–$66.99 / hourPart timeWhat minimum qualifications you'll need: Licensure / 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.
Registered Nurse Clinical Lead Mother Baby AscensionRegistered Nurse Clinical Lead Mother BabyBaltimore, Maryland$47.45–$66.99 / hourFull timeWhat minimum qualifications you'll need: Licensure / 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.