PM-080426 - Senior IT Project Manager - Healthcare IT Programs Next Phase Solutions and Services, Inc.PM-080426 - Senior IT Project Manager - Healthcare IT ProgramsColumbia, MDRemote$135,000–$165,000 / yearNext Phase leadership is looking for new leaders, scientific and technical subject matter experts, and technically savvy people interested in putting forth the effort and commitment needed to grow our company. Project Leadership: Manage the full lifecycle of complex IT systems development, software enhancements, or cloud migrations following the CMS eXpedited Lifecycle (XLC) framework or approved Agile methodologies.
Pm-080426 - Senior IT Project Manager - Healthcare IT Programs Next Phase Solutions and Services, Inc.Pm-080426 - Senior IT Project Manager - Healthcare IT ProgramsColumbia, MDRemote$135,000–$165,000 / yearNext Phase leadership is looking for new leaders, scientific and technical subject matter experts, and technically savvy people interested in putting forth the effort and commitment needed to grow our company. Project Leadership: Manage the full lifecycle of complex IT systems development, software enhancements, or cloud migrations following the CMS eXpedited Lifecycle (XLC) framework or approved Agile methodologies.
NewNurse Practitioner Hybrid-Remote DaVita Inc.Nurse Practitioner Hybrid-RemoteTowson, MDRemote$118,000–$135,000 / yearProfessional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning. Clinical Care & Evaluation: The primary responsibility is completing Comprehensive Health Evaluations (CHEs) to assess and manage comorbid conditions while addressing medical, social, emotional, and financial needs.
Outpatient Therapist English/Bilingual (On Site, Hybrid, Remote) DirecthireOutpatient Therapist English/Bilingual (On Site, Hybrid, Remote)MarylandRemoteEnsure clinically appropriate client visit frequencies (weekly, bi-weekly, bi-monthly, or monthly). Licensed or willing to transfer your license to the State of Maryland as LMSW, LGPC, LGSW, LCSW, LCSW-C, or LPC through reciprocity.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseMDRemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Field Registered Nurse Eminence Home CareField Registered NurseEllicott City, MDRemoteOur mission is to provide and restore client dignity and independence in their homes through individualized care plans in an effort to reduce caregiver role and stress on family members while avoiding nursing homes and assisted living facilities. Eminence Home Care, is a licensed home care provider located in Connecticut, Maryland, New Hampshire, New Jersey & Pennsylvania.
Senior Director of Nursing Connected & Remote Care (RN) MedStar HealthSenior Director of Nursing Connected & Remote Care (RN)Columbia, MarylandRemote$142,064–$287,996 / yearFull timeAs a member of the MedStar Health System Nursing leadership team , the Senior Director will help shape the future of nursing by bringing together clinical practice, technology, data, innovation, and workforce strategy to create new models of care that improve access, safety, patient and nurse experience, clinical outcomes, and operational performance. This leader will have the opportunity to shape new nursing care models, expand the reach of the nursing workforce, evaluate emerging technologies, advance virtual and connected care, and build the clinical and operational infrastructure necessary to bring innovation safely and effectively to patients across the MedStar Health system.
Remote Registered Nurse RN RylemRemote Registered Nurse RNBaltimore, MDRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
NewRemote Call Center Triage Registered Nurse CVS Health CorpRemote Call Center Triage Registered NurseMDRemote$26.01–$74.78 / hourThe progression path from Level I to Level II positions within the Triage RN team is a structured path that encourages nurses to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Role Description: The Clinical Call Center Triage Nurse effectively extends care during and outside of regular Oak Street Health clinic hours by addressing patients' medical, social, and psychological needs telephonically.
Medical Reviewer, Registered Nurse J29, IncMedical Reviewer, Registered NurseMillersville, MDRemote$70,000–$85,000 / yearRVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorMaryland City, MarylandRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
NewRN Admissions Coordinator | Remote – Baltimore, MD | Up to $38/hr | Direct Hire Morgan StephensRN Admissions Coordinator | Remote – Baltimore, MD | Up to $38/hr | Direct HireBaltimore, MarylandRemoteThe ideal candidate has experience in home health, long-term care, rehabilitation, managed care, or admissions coordination and enjoys working independently while collaborating with interdisciplinary healthcare teams. The RN Admissions Coordinator is responsible for coordinating admissions to long-term care, skilled nursing, rehabilitation, and post-acute care settings for members requiring ongoing services.
Aesthetic Nurse Practitioner Pinch Med SpaAesthetic Nurse PractitionerBethesda, MDRemote$25,000–$200,000 / yearYou'll deliver treatments like tox, microneedling, chemical peels, and facials in the comfort of your clients' homes — with the freedom to set your own schedule, choose your clients, and build your practice with the backing of an established, top-rated brand. Built for every stage — experienced injectors grow their practice with full clinical, supply, and legal support; new injectors gain confidence through live tox training and virtual sessions.
Job #1131 - RN Health Care Facility Surveyor - All States Impact Recruiting SolutionJob #1131 - RN Health Care Facility Surveyor - All StatesFreeland, MDRemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
NewNurse SME - Contingent J29, IncNurse SME - ContingentMillersville, MDRemoteFull timeThe Nurse SME will serve as a senior clinical resource, providing subject matter expertise in support of program integrity initiatives, audits, investigations, data analysis, healthcare reviews, fraud, waste, and abuse (FWA) prevention efforts. Works directly with the client and appropriate stakeholders, health plans, pharmacy benefit managers, other contractors, law enforcement, providers, suppliers, prescribers, and pharmacies to build partnerships, support data sharing, develop tools, and references to support program integrity initiatives.
NewMedical Reviewer, Register Nurse Coder J29, IncMedical Reviewer, Register Nurse CoderMillersville, MDRemoteRVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
Manager, Clinical Quality TriWest Healthcare AllianceManager, Clinical QualityBaltimore, MDRemoteFull timeTechnical Skills: Proficient with the Microsoft Office suite of applications; thorough knowledge of TRICARE policies and procedures; comprehensive knowledge of research methodology that supports evaluation of potential quality issues and/or serious reportable events; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria. Responsible for leading and directing a team of clinical and non-clinical staff that provide Clinical Quality Review services and interventions for beneficiaries and providers under the direction of the Director of Clinical Quality Management (CQM).
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorBaltimore, MDRemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
NewUtilization Review Nurse - Managed Care Johns Hopkins HospitalUtilization Review Nurse - Managed CareHanover, MDRemoteWe 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. As 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.
Clinical Documentation Specialist Johns Hopkins HospitalClinical Documentation SpecialistBaltimore, MDRemoteRHIT.RHIA: Requires successful completion of the academic requirements for the Registered Health Information Technician (RHIT) certification or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) and be a Certified Coding Specialist (CCS). 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.