Top 731 Review nurse Jobs in Baltimore Md

Nurse Case Manager
Chesapeake Employers Insurance Company —Towson, MD
- $81,382 - $122,078 a year
- Full-time
- Hybrid work
- Microsoft Word
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
Nurse Monitor
1st Choice LLC —Baltimore, MD
- Contract
- Background check
- RN License
- Adults
Quick Apply
MDS Coordinator RN
Hallmark Health Consulting Services —Baltimore, MD
- $90,000 - $100,000 a year
- Full-time
- Skilled nursing facility
- High school diploma or GED
- Communication skills
Quick Apply
Utilization Management Nurse
Luminis Health —Annapolis, MD
- $34 - $55 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
- AD&D insurance
- Paid holidays
Medical Review Nurse- Medicare
Peraton —Linthicum, MD
- $66,000 - $106,000 a year
- Remote
- Nursing
- RN License
- Research
- Health savings account
- Paid holidays
10d
Care Manager (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $72,360 - $143,715 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- 401(k)
Medical Review Nurse III
RELI GROUP INC —Windsor Mill, MD
- $80,000 - $95,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Utilization Review, RN Flex
University of Maryland Medical System —Towson, MD
- 8 hour shift
- Microsoft Word
- Nursing
- Mid-level
Denials Management Nurse
UR SOLUTIONS —Towson, MD
- Day shift
- Nursing
- Microsoft Outlook
- Bachelor of Science
Nurse Auditor
David-James —Baltimore, MD
- $75,000 - $85,000 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Older adults
- Continuing education credits
- Health insurance
Utilization Review Nurse (Full-Time)
Greater Baltimore Medical Center, Inc. —Baltimore, MD
- $68,281.18 - $110,274.20 a year
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
7d
Pre Anes Nurse Navigator (Chesapeake Specialty Care)
Univ. of MD Specialty Care Network LLC —Annapolis, MD
- $83,400 - $125,000 a year
- Nursing
- Microsoft Outlook
- Surgery
4d
Clinical Nurse (Department of Dermatology)
Johns Hopkins University —Timonium, MD
- $64,600 - $113,300 a year
- Full-time
- Background check
- Nursing
- Surgery
Clinical Registry Coordinator
University of Maryland Medical System —Baltimore, MD
- Full-time
- Nursing
- Surgery
- RN License
Senior Consultant - Clinical Documentation Specialist
Deloitte —Baltimore, MD
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Registered Nurse-Hourly
Harford Endoscopy Center —Bel Air, MD
- Part-time
- RN License
- BLS Certification
- Mid-level
Quick Apply
Registered Nurse Charge Med
State of Maryland - DJS Baltimore City Juvenile Justice Center —Baltimore, MD
- $78,919 - $127,473 a year
- Part-time
- Nursing
- Addiction Medicine
- RN License
HIM Clinical Document Specialist, UMMC
University of Maryland Medical System —Baltimore, MD
- Full-time
- Medicine
- RN License
- Inpatient
Registered Nurse-Hourly
Maryland Endoscopy Center —Towson, MD
- Part-time
- RN License
- BLS Certification
- Mid-level
Quick Apply
Delegating Nurse
Blakehurst —Towson, MD
- $45 - $50 an hour
- Part-time
- CPR Certification
- Nursing
- RN License
- Free parking
- Employee assistance program
7d

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review nurse jobs near baltimore md

Nurse Case Manager

Chesapeake Employers Insurance Company -
Towson, MD

Quick Apply

Job Details

Full-time
$81,382 - $122,078 a year

Benefits

Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
Life insurance

Qualifications

RN License

Full Job Description

Who We Are

Chesapeake Employers’ Insurance Company is a purpose-driven organization dedicated to improving the lives and livelihoods of our policyholders, injured workers, team members, and the community. As a leading workers' compensation specialty insurer in the mid-Atlantic region, we take pride in being a force for good. Our 350 team members are committed to making a positive impact every day in the lives of all our stakeholders. Join our motivated, professional team as we foster a culture of values, teamwork, innovation, and collaboration. Established in 1914, Chesapeake Employers Insurance, headquartered in Towson, Maryland, has over a century of experience, a strong financial foundation, and an "A" rating from AM Best.

Position Summary
Supports the claims adjuster's management of files through application of medical expertise and case management principles by coordinating medically necessary and cost-effective medical treatment and services with a focus on an early and safe return to work.
Duties and Responsibilities

Initiates injured worker, attorney, health care provider and employer contacts within protocols.
Develops, implements and manages the medical and disability plans, and initiates appropriate and timely case management interventions.
Implements and coordinates services with the injured worker, family and health care providers during case management phase and documents all case management activity.
Obtains necessary information for purposes of facilitating the treatment plan and managing case progression.
Authorizes medically necessary, evidence-based and cost-effective treatment.
Coordinates services and resources necessary to expedite return to work.
Acts as a resource by review of claims with all relevant parties, such as Claims, Health Services and Legal.
Utilizes and monitors preferred vendors for select services to ensure prompt, cost effective service.
Follows established precertification and utilization review policies and protocols.
Acts as medical resource to peers, claims and legal personnel.
Supports Health Services Departments to ensure optimal service delivery to all customers.
Provides specialized case management services such as catastrophic case management or similar type roles.
Pursues and participates in continual educational activities for self-development and in meeting all regulatory requirements.
Responsible for delivery of customer service, exceeding expectations.

Skills, Education and Experience

Maryland RN License required.
Bachelor's Degree (BSN) preferred.
Case management/utilization review experience preferred.
Prior workers' compensation case management experience preferred.
3-5 years' experience in nursing.
Workers Compensation Case Management (WCCM) and Maryland Certified Rehabilitation Service Practitioner (MCRSP) certification preferred.
Certified Case Manager (CCM) preferred.
Strong interpersonal skills.
Familiarity with Windows, Word and Excel.

Positional Competencies

Bias for Action
Knowledge Sharing
Deliver Results
Service and Sales Excellence
Personal Leadership
Teamwork and Communication

Physical Demands
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel objects, tools or controls; and reach with hands and arms. The employee is occasionally required to stand, walk, stoop, kneel, crouch or crawl. The employee may occasionally lift up to 30 pounds. Specific vision abilities required include close vision, peripheral vision and the ability to adjust focus.
Work Environment
Office environment. The noise level is usually moderate.

What We Offer

We offer a competitive benefits package that includes health, vision, and dental coverage, a robust PTO plan, an 8% employer contribution to retirement regardless of team member contribution, educational assistance, and opportunities to participate in team member appreciation events. Additionally, we provide STD, LTD and group life insurance 1X a team members salary. You'll also enjoy free tickets to community attractions, all part of our commitment to providing a high quality of work life. You will have the flexibility to thrive in a hybrid work environment and an opportunity to participate in development and volunteer programs.

Quick Apply

Refine Your Search

review nurse jobs in baltimore md

Nurse Case Manager

Nurse Monitor

MDS Coordinator RN

Utilization Management Nurse

Medical Review Nurse- Medicare

Care Manager (Remote)

Medical Review Nurse III

Utilization Review, RN Flex

Denials Management Nurse

Nurse Auditor

Utilization Review Nurse (Full-Time)

Pre Anes Nurse Navigator (Chesapeake Specialty Care)

Clinical Nurse (Department of Dermatology)

Clinical Registry Coordinator

Senior Consultant - Clinical Documentation Specialist

Registered Nurse-Hourly

Registered Nurse Charge Med

HIM Clinical Document Specialist, UMMC

Registered Nurse-Hourly

Delegating Nurse

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