1690 Management jobs in Beltsville

General Summary of Position
Responsible for assisting with implementation, integration and operational direction of the case management - Special Needs program within MedStar Family Choice, District of Columbia (MFC-DC) through organizing, directing, assessing and evaluating a clinical system that manages cost and quality patient care outcomes. Leads the continuum of care and work collaboratively with interdisciplinary staff, both internal and external to the organization to facilitate the continuum of care, through education and advocacy to enhance health outcomes. Manages a team of Case Managers including RNs and Social Workers to coordinate, negotiate, procure and manage care of Enrollees to facilitate cost effective care and patient satisfaction. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.

Primary Duties and Responsibilities

Minimum Qualifications
Education

• Bachelor's degree in related field required

Experience

• 3-4 years Case management experience and 3 years diverse clinical experience required and
• 1-2 years 2 years supervisory experience preferred

Licenses and Certifications

• Valid RN license in the District of Columbia. required and
• Active CCM (Certified Case Manager) or CCM within 1-1/2 Yrs required

Knowledge, Skills, and Abilities

• Excellent verbal and written communication skills.
• Ability to follow verbal and written instructions.
• Proficient with Microsoft Office applications especially Word, Excel and PowerPoint.
• Ability to enter and retrieve information using a PC.
• Working knowledge of various computer software applications.
• Knowledge of current trends in health care delivery and population management.
• Knowledge of NCQA, HEDIS, InterQual and local regulatory guidelines preferred.

This position has a hiring range of $100,588 - $190,340

Description

IDR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Silver Spring, Maryland.

Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Start Date: ASAP
• Duration: 13 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel

IDR Healthcare is an awarding winning staffing firm that believes it is a privilege and awesome responsibility to serve those who selflessly care for others. Our mission is to empower healthcare professionals to achieve their fullest potential both personally and professionally while they create positive change within the healthcare community.

We exercise true grit, tenacity, and authenticity while embracing and ownership mindset to go above and beyond providing healthcare professionals a world class experience.

We are employee owned and our travelers and clinicians earn shares/equity by just completing multiple assignments!

We have been named SIA’s Fastest Growing Staffing Firms and have won ClearlyRated® Best of Staffing for 11 consecutive years! This cements our commitment to clinician satisfaction earning top net promoter scores putting us in the top 2% of agencies in North America!

#TravelFarWithIDR and see what an extraordinary experience is all about!

Benefits

• 2024 World Staffing Best Staffing Firms to Work For!
• ESOP (Equity)
• Healthcare Benefits for up to 30 days Between Assignments.
• Comprehensive Health Insurance
• Dental and Vision Insurance
• Sign-On, Completion, & Referral Bonus Programs
• License and Certification Reimbursement
• Weekly Pay and Competitive Compensation
• Large Network of Clients and Job Opportunities
• 401k retirement plan
• Exclusive Assignments

IDR Job ID #441275. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About IDR Healthcare IDR Healthcare is an awarding winning staffing firm that believes it is a privilege and awesome responsibility to serve those who selflessly care for others. Our mission is to empower healthcare professionals to achieve their fullest potential both personally and professionally while they create positive change within the healthcare community.

We exercise true grit, tenacity, and authenticity while embracing and ownership mindset to go above and beyond providing healthcare professionals a world class experience.

We are employee owned and our travelers and clinicians earn shares/equity by just completing multiple assignments!

We have been named SIA’s Fastest Growing Staffing Firms and have won ClearlyRated® Best of Staffing for 11 consecutive years! This cements our commitment to clinician satisfaction earning top net promoter scores putting us in the top 2% of agencies in North America!

Help us give back! For every booked assignment, proceeds are donated to St. Jude and Feeding America! Last year we raised over $18,000 for St. Jude and provided over 49,000 meals for children in need.

#TravelFarWithIDR and see what it is all about!

Benefits

• Weekly pay
• 401k retirement plan
• Referral bonus
• Medical benefits
• Dental benefits
• License and certification reimbursement
• Vision benefits

Description

AMN Healthcare Nursing is seeking a travel nurse RN Case Management for a travel nursing job in BALTIMORE, Maryland.

Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Start Date: 07/28/2025
• Duration: 13 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel

Job Description & Requirements

Registered Nurse – Case Management- Case Manager - Travel - (CM RN)

StartDate: 7/28/2025 Available Shifts: 8 D Pay Rate: $1641.26 - $1808.74

Level 2 Trauma center and Magnet hospitalRNs across Maryland recently voted JHHS Bayview the #2 hospital to work for in the state

Required Qualifications

Registered Nurse, Case ManagerExperience: 5 yearsWeekends: NoneOn Call: NoneSSN RequiredDOB RequiredReferences: 1 Reference in entire work historyMinimum of 5 years RN experience including at least one year recent inpatient, acute care setting case management, discharge planning, or utilization review

EPIC

About the Facility

Offering healthcare professionals an environment with unique clinical opportunities, the latest research, and state-of-the-art technology, this large medical center is a key component of one of the nation’s most renowned health systems. A full-service, 700-plus-bed teaching hospital founded more than 200 years ago, this hospital is Joint Commission accredited and offers an area-wide trauma center, a comprehensive neonatal intensive care unit (NICU), the state’s only regional burn center, and a nationally renowned geriatrics programs.

Facility Location

From its red-brick row houses and cobblestone streets, to its modern waterfront and impressive Camden Yards ballpark, Baltimore’s intriguing mish-mash of old and new makes this lively city a popular destination. Work at traveler-friendly facilities and enhance your skills, while enjoying the many facets of this charming, historical city.

Job Benefits

At AMN Healthcare we take care of our travelers! We offer:

• Competitive pay rates
• Free, quality, private housing
• Medical, Dental, Vision
• 401(k) and Flex Spending
• Life Insurance
• Accident and Short-term Disability Coverage
• Free Continuing Education
• Refer a friend and earn extra cash!

About the Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

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American Mobile Healthcare Job ID #. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse – Case Management- Case Manager - Travel - (CM RN)

About AMN Healthcare Nursing AMN Healthcare is a leader in Nurse staffing. Our relationships with numerous healthcare facilities - including hospitals, home health agencies, and long-term care facilities - enable us to offer the most current travel nurse, local staffing, rapid response and crisis nurse jobs nationwide. We''re committed to finding you the best nursing job to fit your career goals. AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female applicants to apply.

Benefits

• Company provided housing options
• Medical benefits
• Dental benefits
• Continuing Education

Description

Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Silver Spring, Maryland.

Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Start Date: ASAP
• Duration: 13 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel

As a Case Management RN, you'll develop, implement, and evaluate individual patient care plans. You'll work with patients one-on-one to manage their care appropriately and affordably. Case Managers are important liaison, and you'll serve as a link between patients, their families, and healthcare providers.

Trustaff Job ID #891830. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Management

About Trustaff Our nurse-first attitude has set us apart from other travel nursing agencies

When you join the Trustaff family, you’re more than just a body filling a role—you're a vibrant individual with dreams and aspirations. As one of the nation's leading travel nursing companies, your recruiter will work with you one-on-one to guide your career and help you achieve your goals.

• You decide when and where you want to work
• Enjoy industry-leading pay, benefits, and bonuses
• Experience new people and places
• Grow your clinical skills and expand your experience

Travel nursing lets you take your professional career to the next level while maintaining your flexibility and freedom. At Trustaff, we put you first, so you never have to compromise your work or pay. We are proud to have one of the highest nurse retention rates in the country. Some of the other reasons people choose us include:

• Priority access to thousands of travel nursing jobs
• Industry-leading pay
• Guaranteed weekly hours
• Experienced recruiters
• Comprehensive benefits, including medical, dental, and vision
• 401k with employer match
• Assistance with travel, compliance, and housing
• Great bonuses for completions, referring friends, and more

Benefits

• Weekly pay
• Guaranteed Hours
• Wellness and fitness programs
• Referral bonus
• Medical benefits
• Dental benefits
• Vision benefits

Description

Coast Medical Service is seeking a travel nurse RN Case Management for a travel nursing job in Silver Spring, Maryland.

• Specialty: Case Management
• Discipline: RN
• Start Date: ASAP
• Duration: 13 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel

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. Coast 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. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you!

Coast Medical Services Job ID #33076328. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Case Management,07:00:00-15:30:00

• Holiday Pay
• Sick pay
• 401k retirement plan
• Pet insurance
• Health Care FSA

Category

(Healthcare - Nursing) Registered Nurse (RN/BSN/ASN)

Description

General Summary of Position

Is this your next job Read the full description below to find out, and do not hesitate to make an application.

Responsible for evaluating the necessity, appropriateness and efficiency of the use of medical services, procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria, the management of quality health care resources for achievement of desired outcomes, and coordination of alternative levels of care in a timely and in the most cost-effective manner.

We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.

Key Responsibilities

Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.

Acts as a liaison to MedStar Family Choice (MFC) contracted vendors to facilitate care. Identifies gaps in contracted services and develops a plan to access care.

Acts as an advocate while assisting members to coordinate and gain access to medical, psychiatric, psychosocial and other essential services to meet their healthcare needs. Authorizes and monitors covered services according to policy.

Attends and participates in MFC staff meetings, Clinical Operations department meetings, Special Needs Forums, work groups, etc. as assigned. Provides input, completes assignments, and shares new findings with other staff. Participates in meetings and on committees and represents the department and MFC in community outreach efforts. Participates in multi-disciplinary quality and service improvement teams.

Demonstrates behavior consistent with MedStar Health mission, vision, goals, objectives and patient care philosophy.

Demonstrates skill and flexibility in providing coverage for other staff.

Identifies inpatients requiring additional services and initiates care with appropriate providers. Demonstrates emphasis on quality patient care during the pre-admission and/or concurrent review process. Authorizes services according to MedStar Family Choice policy.

Initiates contact with providers to obtain clinical information to facilitate approval or pending of pre-authorization requests, inpatient stays and retrospective reviews.

Maintains current knowledge of MFC benefits and enrollment issues in order to accurately coordinate services.

Maintains timely and accurate documentation in the clinical software system per Clinical Operations department’s policy.

Monitors utilization of all services for fraud and abuse.

Performs pre-authorization and pharmacy reviews and documents in PBMÆs system when assigned.

Performs telephonic ACD line coverage for Clinical Operations’ needs.

Performs telephonic inpatient utilization review services; on-site review as indicated. Process includes: assessment, planning, coordinating, and implementation. Monitors for timely provision of services. Assists hospital case management staff with discharge planning, as applicable.

Makes referrals to Case Management as needed.

Sends thorough reviews to Medical Director as appropriate. Coordinates timely review decisions and notifications, per policy, NCQA standards/guidelines and District of Columbia Contract.

Utilizes evidence-based standards in making coverage determinations in individual patient cases; Identifies and reports potential coordination of benefits, subrogation, third party liability, worker's compensation cases, etc. Identifies quality, risk, or utilization issues to appropriate MedStar personnel.

What We Offer

Culture- Collaborative, inclusive, diverse, and supportive work environment.

Career growth- Career mentoring to help you pursue your passions and gain skills to enhance your value.

Wellbeing- Competitive salary and Total Rewards benefits to help keep you happy and healthy.

Reputation- Regional & National recognition, advanced technology, and leading medical innovations.

Qualifications

ADN, BSN, MSN, or CNL from an accredited School of Nursing required.

1-2 years Recent utilization experience required, 1-2 years Diverse clinical experience required

Active DC RN License required.

This position has a hiring range of $87,318 - $157,289