RN Care Manager: Clinical Review & Coordination - Hybrid Flex
Blue Cross & Blue Shield of NC
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 Blue Cross and Blue Shield of North Carolina
- ...seeking a Medical Case Manager RN in Annapolis, MD, offering hybrid work with possible... ...options. You will review medical information... ...expert opinions on care, and manage a... ...at least 3 years of clinical experience, strong... ...and the ability to coordinate with international...SuggestedRemote work
$43 - $48 per hour
Overview At FutureCare our Wound Care Coordinators provide skin care to our... ...FutureCare stands out as a leader in managing health care across a... ...Excellent Benefits Package, Flex/Advance Pay, Paid Time Off, Tuition... ...a current certification and RN license in Maryland Must have...Flexible hours- About the Department Coordinates the care for groups of... ...relates to disease management, resource... ...of the patient. Reviews and evaluates appropriateness... ...cycle, and clinical appeals staff, physicians... ...consider non-BSN RN if actively... ...in an on-site or hybrid workplace...SuggestedPart timeReliefShift workWeekend work
$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
$90k - $95k
...Medical Case Manager RN at Crisis24 Crisis24 is a global... .... Our role is to review medical information in... ...provide the highest level of care to our client group.... ...Annapolis, Maryland, US | Hybrid - preferred, open to... ...They must have recent clinical expertise, preferably from...Remote workDay shift- ...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- ...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
- 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
$75k - $85k
Department: Clinical Operations - Market Company Description... ...high-value care in both in-person and... ...Program (MDPCP AHEAD) RN Care Coordinator will work closely... ...care for patients by reviewing and researching concerns... ...with patients, office managers, providers and...Work at officeLocal areaRemote workHome office- UnitedHealth Group is seeking a dedicated RN Case Manager - HouseCalls in Columbia, MD. You will perform telephonic outreach, help coordinate appointments, and connect patients with social work and clinical resources while documenting all interactions according to policy...Remote job
$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$46.1 - $62.51 per hour
Position Objective Coordinates the activities of the nursing service... ...departments; provides clinical expertise and oversees management activities during his/her... ...and indirect patient care and may have to rotate various... ...cancellations for the Flex Nursing Unit in the...Flexible hoursFull timeWork experience placementShift workRotating shift- ...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
$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- 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...
$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- 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
$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$223.8k - $313.1k
...Become a part of our caring community The Medical... ...background and reviews health claims. The Medical... ...inpatient care through clinical expertise and thoughtful... ...-reasoned utilization management determinations.... ...Requirements: To ensure Home or Hybrid Home/Office employees’...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work$94k - $112k
...Description Overview At FutureCare our RN Unit Managers are highly regarded as health care providers that lead a dedicated... ..., Excellent Benefits Package, Flex/Advance Pay, Paid Time Off,... ...issues Supervises and directs all clinical aspects of nursing practice and engage...Flexible hours- 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
$45k - $55k
...Care Manager Opportunity Do you thrive on building meaningful relationships and leading... ...strong client and caregiver relationships, coordinating high-quality care delivery, and guiding... ...standards. Execute annual caregiver reviews to support engagement, development, and...Flexible hoursTemporary workCasual workWork at officeLocal areaAll shiftsShift work- ...purpose of this position is to provide non-clinical case management services to individuals living with... ...experience in assisting in the coordination of a health-related program(s) or referring... ...as a commissioned officer in Health Care Administration classifications or...
- ...purpose of this position is to provide non‑clinical case management services to individuals living with... ...experience in assisting in the coordination of a health‑related program(s) or referring... ...as a commissioned officer in Health Care Administration classifications or...Local area
$54.1k - $155.54k
...passionate colleagues who care deeply, innovate... ...AHH) is a medical management company that is a... ...criteria and clinical guidelines, standardized... ...medical necessity reviews. Required... ...setting. ~ The AHH RN Case manager... ...navigator or nurse care coordinator experience as well...Flexible hoursHourly payFull timeLocal areaRemote workWork from home- UMass Memorial Health is seeking a Materials Management Coordinator to establish par levels for daily patient care supplies and to partner with Nursing Coordinator to review floor stock. This full-time, day-shift role includes collaboration on budget data and regular inventories...Full timeRelocation packageDay shift
- ...Family Medicine in Annapolis, MD is seeking a graduating senior or recent college graduate for a full-time role that blends care coordination (clinical informatics specialist) with medical assisting in a small independent practice affiliated with PRIVIA Medical Group. The...Full time
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