RN Care Manager: Clinical Review & Coordination - Hybrid Flex
Blue Cross and Blue Shield of North Carolina
Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management team. The role reviews medical necessity and coordinates care across members and providers to ensure quality and cost-efficiency. Requirements include an RN with 3 years of experience or an LPN with 5 years, plus an active NC or multi-state license. The position supports a Hybrid-Flex work model with in-person collaboration and remote options. #J-18808-Ljbffr
$85k - $95k
...SUMMARY The Nurse Care Coordinator delivers and oversees care management services for medically... ...). This is a hybrid position, and the... ...management, high risk clinical tracking, and... ...others, including RN Care Managers, to... ...indicates that I have reviewed this job description...Flexible hoursFull timeWork at office$43 - $48 per hour
...Wound Care CoordinatorAt FutureCare our Wound Care Coordinators provide skin care to our residents with an... ...stands out as a leader in managing health care across a... ...Excellent Benefits Package, Flex/Advance Pay, Paid Time... ...current certification and RN license in MarylandMust...Flexible hours- Maryland Physicians Care Inc. is seeking a Registered Nurse to lead the planning, development... ...needs members. The role aims to improve coordination, continuity, accessibility, and... ...and community resources. Maryland Care Management, Inc. (MCMI) supports MPC's statewide provider...Suggested
$73.7k - $117.92k
...hiring an Episodic Care Manager to join the Commercial Clinical Utilization Management... ...performing clinical reviews to assess, facilitate, and coordinate the delivery of... ...MDs. What You Bring RN with 3 years of clinical... ...WhereYou'llWork Our Hybrid Flex approach is builton...Flexible hoursWork at officeLocal areaRemote work2 days per week- Privia Health is seeking a dedicated RN Care Manager to partner with Maryland primary care providers in delivering Comprehensive Collaborative... ...chronic conditions. The role emphasizes patient-centered coordination across care teams and community resources. The ideal...Suggested
- ...UnitedHealth Group is seeking a Nurse Case Manager to guide patients and families through the care continuum by assessing needs, coordinating care, supporting discharge and transition... ...outpatient care. Under the supervision of an RN or MD, you will help ensure patients...
- ...Behavioral Health is seeking a Medical Care Manager to enhance the quality of healthcare services... ...Home program. This role involves coordinating with healthcare providers to ensure excellent... ...a relevant degree and possess strong clinical coordination skills combined with a...Full time
$30 - $32 per hour
...Medium is seeking a Medical Care Manager to coordinate high-quality healthcare services for individuals... ...Home program. This role requires strong clinical coordination skills and the ability to... ...-related field and possess a Maryland RN license. Prior experience in Human...Hourly pay$75k - $85k
...delivering high-value care in both in-person and... ...Highly Preferred The RN Care Manager will work closely with... ..., track, monitor, and coordinate the care of patients with... ...for patients Review patient reports and conduct... ...experience RN or LPN clinical certification and/or experience...Work at officeLocal areaRemote workHome office- ...Introduction The Subsequent Injury Fund (SIF) reviews and investigates workers' compensation... ...as the agency FPO, EEO and ADA Coordinator. This position serves as the agency Timekeeping... ...Workday or comparable Human Resources management system. Experience as Human Resources...Permanent employmentContract workWork experience placementWork at officeImmediate start
- ...American Nurses Enterprise (ANE) is recruiting a RN Certification Analyst in Silver Spring, MD... ...and recertification applications, reviews transcripts and licensure, and communicates... ...ensure eligibility requirements are met. Hybrid schedule with some in-office work and occasional...Flexible hoursFull timeWork at office
$75k - $85k
...application process. Behavioral Health Clinical Coordinator Full - Time Charlotte Hall, MD, US 5... ...empathetic and potentially life-saving care to help individuals heal, recover, and... ...supervisor as part of clinical rotation. Daily review of open cases and consultation on...Flexible hoursFull timeShift work- ...Anne Arundel County Department of Health seeks a Weekend Wellmobile Peer Care Coordinator. This non-clinical, peer-based position operates in a hybrid model (virtual and on-site) during weekend shifts from 8:00 a.m. to 4:30 p.m., with 6-8 hour blocks. The coordinator leads...Shift workWeekend work
- ...Nurse to triage and provide nursing care under MDPCP. You will assess... ...patients, and document in EPIC, coordinating with providers to ensure appropriate... ...nursing degree, Maryland RN license, BLS/CPR, and at least two years of clinical nursing experience. This on-site...
- Luminis Health, Inc. is seeking a Case Manager to coordinate patient care across the continuum and support safe... .... Requirements include Maryland RN licensure, a BSN or ADN with equivalent... ...experience, and at least 3 years of clinical experience in ambulatory or post-acute...
$75k - $85k
Privia Medical Group is seeking a dedicated RN Care Coordinator in Maryland to identify and coordinate care for patients with chronic conditions. The role involves collaborating with care teams and providing education to improve patient health outcomes. Applicants must...$73.7k - $117.92k
...hiring a Case Manager to join the FEP... ...Dependent on clinical discipline, the... ...Case Manager coordinates appropriate care, resources and... ...utilization cases. May review alternative... ...exception or flex benefit... ...What You Bring RN with 3 years... ...WhereYou'llWork Our Hybrid Flex approach...Flexible hoursWork at officeLocal areaRemote work2 days per week- ...The Addiction Specialist and Care Coordination Supervisor (AS/CCS) is an... ...Substance Use Disorder Program Manager and works closely with the... ...support at all Mary’s Center clinics, including receipt of referrals... ...consultation and support, review and lock progress notes,...Flexible hoursWork at office
- ...and financial services, health care, food assistance, shelter and... ...benefits package, a hybrid work model with both remote and... ...SUMMARY: The Bilingual Case Manager provides direct management services... ...identifying client needs and coordinating community resources. The Bilingual...Flexible hoursTemporary workWork at officeLocal areaRemote workMonday to Friday
- Solomonssnf seeks a PPS/MDS Coordinator Assistant to support nursing leadership in coordinating MDS development, care plans, and PPS processes for residents in a long-term care setting. The role chairs care plan meetings, ensures accurate documentation, and monitors RAI...
$115.4k - $192.3k
...program for a broad portfolio of Clinical Solutions products, ensuring... ...categoriesWork with product managers, engineers, and designers to... ...starting overExperience coordinating distributed ownership models... ...flexible hours - flexing the times when you work in the...Flexible hoursFull timeLocal areaImmediate startRemote workWork from home$25 - $27 per hour
Case Manager - TMS & Spravato® Patient Care Coordination Location: Clinic-Based in Annapolis, MD Department: Patient Access - Care Coordination Why Join Greenbrook?... ...Full-time exempt employees will be eligible for Flex-PTO, which allows time off without accrual. If applicable...Flexible hoursFull timeTemporary workApprenticeshipWork at officeLocal areaWork visa$94k - $112k
...Overview At FutureCare our RN Unit Managers are highly regarded as health care providers that lead a dedicated nursing... ..., Excellent Benefits Package, Flex/Advance Pay, Paid Time Off, Tuition... ...issues Supervises and directs all clinical aspects of nursing practice and...Flexible hours- ...for our personal touch, clinical expertise, and... ...built a reputation for care that goes beyond the device... ...currently looking for a hybrid Verification of Benefits... ...& Prior Authorization Coordinator to support our clinics... ...Medical Record system, manage the collection of medical...Flexible hoursFull timeTemporary workLocal areaRemote workShift work
- Part-Time Clinical Director (RN) - Home Care Maryland Apply for the Part-Time Clinical Director (RN) - Home Care Maryland role at All American Home... ...include conducting assessments, supervising caregivers, reviewing documentation, ensuring compliance with Maryland Medicaid...Flexible hoursPart time
- ...analyze, and develop behavioral health care services, policies, and programs in Maryland... ...changes to senior leadership and coordinates legislative responses. Based in Catonsville with hybrid telework eligibility, this Management Service position requires significant leadership...Remote work
$24.78 - $38.13 per hour
...providing exceptional cancer care. If you're dedicated... ...and practice management who travel to multiple... ...meeting arrangements or coordinate needed changes.May use... ...receive invoices and review for accuracy, provide... ...exposure to conditions common to a clinic environment....Hourly payWork experience placementWork at office- Fostering the right solutions & connections Are you an RN looking for a more meaningful, relationship-based role outside of a traditional clinical setting? Aging Well Eldercare, a well-established Aging Life Care Management practice serving the D.C. and the Maryland suburbs...Flexible hoursTemporary work
- Audiology Associates Inc in Annapolis is seeking a bright, energetic patient care coordinator for a full-time role in a busy office. You will handle high-level administrative duties, scheduling, and patient flow, requiring 3-5 years of medical office experience and strong...Full timeWork at officeMonday to Friday
- ...implementation, and timely oversight of care plans for members with identified Care Management (CM) needs. The incumbent is... ...process as defined by improving coordination, continuity, accessibility, and... ...identified members, performing clinical/social determinants of health...Full timeTemporary workWork experience placementWork at officeLocal area
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