Top 603 Health & nursing program manager Jobs in Baltimore, Md

Care Manager (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $72,360 - $143,715 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- 401(k)
Quick Apply
Care Management Manager (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
- $99,920 - $185,477 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Writing skills
- 401(k)
Quick Apply
10d
Sr. Case Manager- Psych
Johns Hopkins Hospital —Baltimore, MD
- Full-time
- Addiction Medicine
- Hospital
- 5 years
Simulation Operations Manager (Academic Affairs)
Johns Hopkins University —Baltimore, MD
- $64,600 - $113,300 a year
- Full-time
- Background check
- School experience
- CPR Certification
Community Health Worker
Johns Hopkins Bayview Medical Center —Baltimore, MD
- Full-time
- Hospital
- Inpatient
- High school diploma or GED
- Flexible schedule
4d
PATIENT EXPERIENCE SYSTEM MANAGER - Towson, MD
Crothall Healthcare —Towson, MD
- $75,000 - $85,000 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Commuter assistance
- Paid parental leave
Quick Apply
Director of Nursing
Healthcare For the Homeless Inc —Baltimore, MD
- $124,000 - $146,000 a year
- Online Application
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Loan repayment program
Quick Apply
Behavioral Health Technician
Hygea Healthcare —Baltimore, MD
- 12 hour shift
- Microsoft Word
- CPR Certification
- Microsoft Excel
Quick Apply
Quality & Compliance Manager
People Encouraging People —Baltimore, MD
- $90,000 - $100,000 a year
- Full-time
- Management
- Psychiatry
- Ability to walk for extended periods
Quick Apply
11d
Nurse Case Manager
Bello Machre —Glen Burnie, MD
- $88,000 - $92,000 a year
- Weekends as needed
- 18 years or older
- CPR Certification
- Nursing
- Paid training
- 403(b) matching
Quick Apply
11d
Radiology Quality Control Manager
MedStar Radiology Network - Washington, D.C. & Maryland —Bel Air, MD
- Full-time
- Anatomy knowledge
- Mid-level
- Clinic
- Paid holidays
- Disability insurance
Quick Apply
Home Health Clinical Manager
Medical Services of America —Baltimore, MD
- $90,000 - $95,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Physical Therapist (PT)
Powerback Rehabilitation —Baltimore, MD
- $39 - $53 an hour
- Full-time
- 5 years
- Physical & Rehabilitation Medicine
- Master's degree
- Relocation assistance
- Health insurance
Physical Therapist (PT)
Powerback Rehabilitation —Brooklyn Park, MD
- $47 - $55 an hour
- Full-time
- 5 years
- Physical & Rehabilitation Medicine
- Master's degree
- Relocation assistance
- Health insurance
RN Unit Manager- FT Days
FutureCare —Baltimore, MD
- $94,000 - $102,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Tuition reimbursement
- Paid time off
Quick Apply
Nurse Residency Program Coordinator
Sheppard Pratt —Towson, MD
- $74,127.04 - $118,346.18 a year
- Nursing
- Microsoft Excel
- RN License
- 403(b) matching
- Mileage reimbursement
Quick Apply
RN Unit Manager- FT Days
FutureCare —Baltimore, MD
- $94,000 - $112,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Tuition reimbursement
- Paid time off
Health Home RN Care Manager
Arundel Lodge, Inc. —Edgewater, MD
- $30 - $32 an hour
- Overtime
- Nursing
- Vital signs
- RN License
Quick Apply
Physical Therapist (PT)
Powerback Rehabilitation —Baltimore, MD
- $47 - $55 an hour
- Full-time
- 5 years
- Physical & Rehabilitation Medicine
- Master's degree
- Relocation assistance
- Health insurance
Occupational Therapist (OT)
Powerback Rehabilitation —Baltimore, MD
- $39 - $50 an hour
- Full-time
- Bachelor's degree
- Entry level
- Relocation assistance
- Health insurance

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Care Manager (Remote)

CareFirst BlueCross BlueShield -
Baltimore, MD

Quick Apply

Job Details

Full-time
$72,360 - $143,715 a year

Benefits

401(k)

Qualifications

RN License
High school diploma or GED

Full Job Description

Resp & Qualifications

This role requires candidates to be located in the Maryland, Washington, DC, or Northern Virginia (DMV) area.

PURPOSE:
This position will support the Medicare Advantage line of business. Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. The ideal candidate will have previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs, social determinants of health and/or barriers to care.

We are looking for an experienced Registered Nurse to work remotely within the greater Baltimore/Washington metropolitan area. While this position is remote, the incumbent will be expected to come into a CareFirst location periodically for meetings, trainings and/or other business-related activities.

ESSENTIAL FUNCTIONS:

Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to develop a comprehensive plan of care to address the member's needs at various stages along the care continuum. Identifies relevant CareFirst and community resources and facilitates program, network, and community referrals.
Collaborates with member and the interdisciplinary care team to develop a comprehensive plan of care to identify key strategic interventions to address member's medical, behavioral and/or social determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical benefits and policies to facilitate care between settings. Monitors, evaluates, and updates plan of care over time focused on member's stabilization and ability to self-manage. Ensures member data is documented according to CareFirst application protocol and regulatory standards.

QUALIFICATIONS:

Education Level: High School Diploma or GED.

Licenses/Certifications Upon Hire Required:

RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- Registered Nurse in MD, VA or Washington.

Experience: 5 years clinically related experience working in Care Management, Discharge Coordination, Home Health, Utilization Review, Disease Management or other direct patient care experience.

Preferred Qualifications:

Bachelors degree in nursing
CCM/ACM or other RN Board Certified certification in case management.
Previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs, social determinants of health and/or barriers to care.
Skilled in typing and working within various web-based platforms

Knowledge, Skills and Abilities (KSAs)

Knowledge of clinical standards of care and disease processes.
Ability to produce accurate and comprehensive work products with minimal direction.
Ability to triage immediate member health and safety risks.
Basic understanding of the strategic and financial goals of a health care system or payor organization, as well as health plan or health insurance operations (e.g. networks, eligibility, benefits).
Excellent verbal and written communication skills, along with the telephonic and keyboarding skills necessary to assess, coordinate and document services for members.
Knowledgeable of available community resources and programs.
Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and PowerPoint.
Ability to provide excellent internal and external customer service.

Salary Range: $72,360 - $143,715

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: 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.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-SS1

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Refine Your Search

health & nursing program manager jobs in baltimore, md

Care Manager (Remote)

Care Management Manager (Hybrid)

Sr. Case Manager- Psych

Simulation Operations Manager (Academic Affairs)

Community Health Worker

PATIENT EXPERIENCE SYSTEM MANAGER - Towson, MD

Director of Nursing

Behavioral Health Technician

Quality & Compliance Manager

Nurse Case Manager

Radiology Quality Control Manager

Home Health Clinical Manager

Physical Therapist (PT)

Physical Therapist (PT)

RN Unit Manager- FT Days

Nurse Residency Program Coordinator

RN Unit Manager- FT Days

Health Home RN Care Manager

Physical Therapist (PT)

Occupational Therapist (OT)

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