Bilingual Mental Health Therapist LCPC/LCSW Ellie Mental Health - 041Bilingual Mental Health Therapist LCPC/LCSWPotomac, MDFull timeThe perfect candidate will share our passion for improving and expanding access to quality mental health care and will thrive in a culture that emphasizes: autonomy, flexibility, creativity, authenticity, humor, compassion, acceptance, and determination. Franchisees are independent business people and not employed by Ellie Family Services, PLLP, d/b/a “Ellie Mental Health”, Ellie MSO, LLC, or Ellie FAM LLC.
Medical Director Oncology - Utilization Management - Remote Anywhere In US UnitedHealth Group Inc.Medical Director Oncology - Utilization Management - Remote Anywhere In USBaltimore, MDRemote$238,000–$357,500 / yearServe as a subject matter expert in evidence - based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure all clinically relevant policies and processes are informed by the best available evidence. Engage and collaborate with treating providers telephonically; This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense.
Healthcare Sales Representative KidsCare Home HealthHealthcare Sales RepresentativeWashington, Washington, DCFull timeThe successful candidate will build cohesive relationships with DONs, RNs, and Clinical Managers to aid with increased patient census, assessing needs and productivity. Our award winning healthcare organization is looking for someone who is a proactive, confident, self-starter with exceptional communication skills to fill the role of Community Relations Specialist.
Utilization Management Nurse Specialist Lumen Solutions Group, Inc.Utilization Management Nurse SpecialistBaltimore, MDRemoteWe are seeking an experienced Utilization Management Nurse Specialist to support care management and utilization review activities for Medicare, Medicaid, and other government healthcare programs. This role requires an independent, detail-oriented nursing professional who can effectively collaborate with interdisciplinary teams while ensuring appropriate utilization of healthcare services and adherence to clinical and regulatory requirements.
Social Services Manager Ascension Health AllianceSocial Services ManagerWashington, DC$109,850.23–$129,235.57 / yearOur 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.
Autism Services Navigator TriWest Healthcare AllianceAutism Services NavigatorBaltimore, MDRemoteFull timeIn support of TRICARE beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services for TRICARE beneficiaries diagnosed with autism spectrum disorder (ASD). • Function as an advocate for the beneficiary/family by ensuring access to necessary care and maintaining beneficiary safety, locating specialized services outside the network by identifying providers, exploring the nature of services offered, and facilitating collaboration with associated providers.
Manager, Utilization Management TriWest Healthcare AllianceManager, Utilization ManagementBaltimore, MDRemoteFull timeTechnical Skills: Thorough knowledge of health care delivery, clinical quality assurance program metrics, UM, CM,CC, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations. Manages prospective and concurrent Utilization Management (UM) programs including prior authorization, concurrent inpatient and continued stay reviews including authorization and management of selected post inpatient care.
Product Marketing Manager Meso Scale DiscoveryProduct Marketing ManagerRockville, MDPOSITION SUMMARY: The Product Marketing Manager develops and executes strategic omnichannel campaigns tailored to priority market segments and buyer personas. Excellent organizational, planning, and time management skills with the ability to manage multiple and often changing priorities and issues of varying complexity, while meeting time-sensitive deadlines and deliverables.
Health Coach-Diabetes Educator or Exercise Physiology (2 positions open) TriWest Healthcare AllianceHealth Coach-Diabetes Educator or Exercise Physiology (2 positions open)Baltimore, MDRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. This role spans many specialties such as Nutrition, Exercise Physiology, Clinical/Nursing, Respiratory Therapy, Counseling and Pharmacy and will spend time addressing individual health and lifestyle concerns of our beneficiaries.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementBaltimore, MDRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Licensed Clinical Social Worker. Sunrise Senior LivingLicensed Clinical Social Worker.Bethesda, MDReviews, reads, notates and initializes Daily Log and Guest/Resident care plan or progress notes to document and learn about the social and emotional needs of the guests/residents, about pertinent information and any guests/residents’ physical and behavioral changes. The Social Service Coordinator is knowledgeable in Sunrise Senior Living philosophy, Resident Centered Care, Principles of Service, Shared Values, Sunrise best practices and federal, state and local laws and regulations.
NewTravel Nurse RN - Case Management - $2,194 per week Coast Medical ServiceTravel Nurse RN - Case Management - $2,194 per weekWashington, DCCoast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.
Case Manager ATC Travelers ACase ManagerBaltimore, MarylandThis role focuses on ensuring seamless transitions between levels of care, optimizing resource utilization, and advocating for patient-centered outcomes within a world-class academic medical center. Current Case Management Certification (CCM) or Accredited Case Manager (ACM) credential is highly preferred or must be obtained within a specified timeframe.
NewCase Manager - Bilingual - English/Spanish - NFI Friendship PlaceCase Manager - Bilingual - English/Spanish - NFIWashington, DC$27.94–$30.53 / hourThe selected candidate will be required to complete and pass background checks specific to contract requirements that may include criminal history background check and fingerprinting, FBI Background Check, DC Metropolitan Police Background Check, State-of-Residence Police Background Check, DC Child Abuse Registry (CFSA), National Sex Offender Registry Check, Drug Panel and Alcohol Screening, Tuberculosis Test, and Driving Record check (for positions transporting participants). Work collaboratively with clients, colleagues, and external service providers, utilizing strong interpersonal and intrapersonal communication skills to support a positive, solution-oriented work environment and to build trust, resolve conflicts, and ensure coordinated, client-centered care.
Case Manager II University of Maryland Baltimore Washington Medical CenterCase Manager IIBaltimore, MD$35.08–$52.64 / hourLocated in Baltimore's cultural center near the historic Mount Vernon neighborhood, UMMC Midtown Campus is a 180-bed, community teaching hospital with a focus on helping people manage chronic diseases, including diabetes, hypertension, pulmonary conditions, and infectious diseases. UMMC Midtown Campus, one of two campuses of the University of Maryland Medical Center, has had a long history of working to keep our community healthy and has grown to become a trusted teaching hospital for medical and surgical care in Baltimore City.
Case Manager II, $10k Sign-On Bonus University of Maryland Baltimore Washington Medical CenterCase Manager II, $10k Sign-On BonusBaltimore, MD$34.15–$52.64 / hourLocated in Baltimore's cultural center near the historic Mount Vernon neighborhood, UMMC Midtown Campus is a 180-bed, community teaching hospital with a focus on helping people manage chronic diseases, including diabetes, hypertension, pulmonary conditions, and infectious diseases. UMMC Midtown Campus, one of two campuses of the University of Maryland Medical Center, has had a long history of working to keep our community healthy and has grown to become a trusted teaching hospital for medical and surgical care in Baltimore City.
JHH RN Case Manager (Intrastaff) Johns Hopkins Medical Management CorporationJHH RN Case Manager (Intrastaff)Baltimore, MarylandCollaborates with members of the health care team to ensure the multidisciplinary plan of care is developed, followed, modified as needed and coordinates the delivery of clinical services in order to ensure that the patient’s clinical, quality and cost outcomes are met; strategizes with physicians, specialists and payors to develop appropriate care delivery strategies for assigned patients. The Case Manager manages clinical resources and transition planning for patients within an assigned caseload from pre-admission through post-discharge, actively working to identify/ eliminate barriers to the delivery of clinical services with the patient, family and care team.
NewTravel Case Management RN - $2,712 per week Nightingale NursesTravel Case Management RN - $2,712 per weekBaltimore, MDThat’s why hospitals prefer us, allowing us to offer exceptional travel nursing assignments all over the US, as well as the highest pay rates and most extensive benefits in the industry. Nightingale Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Baltimore, Maryland.
Case Manager Embark Behavioral HealthcareCase ManagerChevy Chase, MD$24.05–$31.25 / hourThis is an ideal opportunity for school social workers, school counselors, student support specialists, educational case managers, and other education professionals who are passionate about helping adolescents and families and want to transition into a more clinical behavioral health setting. As a Case Manager, you will lead the coordination of education success plans, conduct intake assessments, assist in facilitating PHP sessions, and manage ongoing communication with families, schools, and the clinical team.
Support Broker/Case Manager The Excalibur GroupSupport Broker/Case ManagerWashington, DCHave a Master degree in Social Work, Psychology, Counseling, Rehabilitation, Nursing Gerontology or Sociology AND one (1) year experience with working with elderly population and people with disabilities; OR Bachelor degree AND two (2) years’ experience with the population(s); OR Registered Nurse (RN) or can have an Associate degree AND three (3) years’ experience with the population(s). Coordinate services with the financial Support Services provider, if the individual is self-directing services under the Employer of Record Model, including guidance on use of the Individual and Family Directed (Participant-Directed Budget) (Employer of Record Model).