20 Best Registered Nurse jobs in pasadena, md (Hiring Now!)

Clinical Navigator (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
Engages onsite and/or telephonically with member, family and providers to identify key strategic interventions, discharge planning and coordination to address…
$71,496 - $141,999 a year
Quick Apply
5d
Care Manager (MD-DC-Northern VA) (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
Collaborates with member and the interdisciplinary care team to develop a comprehensive plan of care to identify key strategic interventions to address member?s…
$71,496 - $141,999 a year
Quick Apply
5d
Director of Nursing (DON) Health and Wellness Director
Charter Senior Living of Annapolis —Annapolis, MD
80 pounds of pressure may be placed on the associate through transfers using transfer belts or mechanical assists. We offer a free medical insurance plan.
$75,000 - $85,000 a year
Quick Apply
Telephone Triage Registered Nurse
DIMENSIONAL HEALTH CARE A —Annapolis, MD
Current/valid Maryland RN license or current/valid multistate compact license is required. Must have a working “smart” cell phone capable of making calls,…
$25.00 - $26.20 an hour
Quick Apply
1d
Johns Hopkins Agency RN - Emergency Dept Baltimore
Johns Hopkins Health System —Baltimore, MD
Active Maryland or Compact RN license is required. BLS CPR certification required - AHA, Red Cross, or Military Training Network accepted.
$75 an hour
Quick Apply
7d
Utilization Management Nurse
Centurion Health —Baltimore, MD
MD or compact RN license. Must be able to pass background investigation and obtain agency security clearance. Duties will include admissions through on-site and…
Estimated: $73.4K - $92.9K a year
Quick Apply
1h
Director of Nursing- Full-time
Spring Arbor Senior Living —Severna Park, MD
Complete all Spring Arbor and state required documentation; implement new state regulations as required. Active RN license is required. One Free Meal Per Shift.
Estimated: $86.8K - $110K a year
Quick Apply
1d
DDA Delegating Nurse
Guiding Lite, Inc —Baltimore, MD
Current driver's license, car registration, and auto insurance. Provide technical assistance, medical oversight, and training of staff to ensure the effective…
$75 - $125 an hour
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Staff Nurse (part-time)
Grassroots Crisis Intervention —Columbia, MD
Possession of a valid Maryland driver’s license required. Active, unrestricted license as a Registered Nurse or Licensed Practical Nurse at the bachelor’s…
$36 - $42 an hour
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1d
Registered Nurse (RN), Float Pool, PRN 5, Nights
University of Maryland Medical System —Glen Burnie, MD
Must have current RN license in the state of Maryland. Must meet all unit specific certification requirements: (PALS, NRP, NCI).
$75 an hour
Quick Apply
7d
Director of Nursing (DON)
Healthcare Nursing Center —Glen Burnie, MD
Join our wonderful team as an Director of Nursing (DON) today! We are an exceptional team-oriented company hiring for Director of Nursing (DON)! We provide…
$130,000 - $140,000 a year
Quick Apply
7d
Registered Nurse- Day/Night Rotation , Mother Baby Unit
Mercy Medical Center —Baltimore, MD
A license (RN) to practice in Maryland or the ability to obtain a Maryland license based on timeframe of licensing board.
Estimated: $67K - $84.8K a year
Registered Nurse
Chesapeake Eye Surgery Center —Annapolis, MD
Active RN license as required by state of employment or appropriate compact licensure. Prepares and administers medications in accordance with current practice …
Estimated: $84.5K - $107K a year
Registered Nurse - Home Health RN - 13 week **Home Health Experience Required* up to $2200 WEEKLY PAY -
Nurses Direct —Annapolis, MD
To follow state board of nursing scope of practice. Additional $.40 cents per mile for patient related travel. Home Health RN - Registered Nurse - RN.
Up to $2,200 a week
Quick Apply
RN Community Health Nurse - Annapolis / Glen Burnie MD
Smith Staffing Services —Annapolis, MD
We are looking for RN Community Health to perform in-house assessments with adults with disabilities, older/frail. Compile data and complete documentation.
Estimated: $77.2K - $97.8K a year
Quick Apply
Behavioral Health Services Director (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
Provides strategic leadership in design and implementation of a cogent behavioral health strategy to ensure strategic alignment with divisional and corporate…
$130,240 - $241,758 a year
Quick Apply
Nurse Graduate, Operating Room, Fall Cohort
University of Maryland Medical System —Glen Burnie, MD
Participates in activities to develop own practice, and to support professional practice goals at the unit level.
Estimated: $57.1K - $72.3K a year
Quick Apply
8h
Registered Nurse
Mia Aesthetics - Baltimore —Fulton, MD
Holds and maintains an active BLS and ACLS certification. Collaborates medical staff and healthcare team members in developing coordinated outcomes and…
Estimated: $77.8K - $98.5K a year
Quick Apply
Registered Nurse
Concentra —Harmans, MD
Current registration/license in the state where employed. Customarily at least one year of demonstrated experience in occupational health nursing or related…
Estimated: $76.5K - $96.8K a year
Care Manager, Registered Nurse - Remote
Sharecare —Baltimore, MD
Current multi-state compact Registered Nurse licensure in state of residence is required, with ability to obtain additional licenses without restriction.
Estimated: $65K - $82.3K a year

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Clinical Navigator (Remote)

CareFirst BlueCross BlueShield - Baltimore, MD

Quick Apply

Job Details

Full-time $71,496 - $141,999 a year 5 days ago

Benefits

401(k)
401(k) matching

Qualifications

Microsoft Powerpoint
Microsoft Word
Nursing
Medicine
Microsoft Excel
Medicare
Utilization review
RN License
Microsoft Office
Analysis skills
Bachelor's degree
Discharge planning
Computer skills
Home health
Typing
Certified Case Manager
4 years
Documentation review
Compact State Nurse License

Full Job Description

Resp & Qualifications

PURPOSE:
The Clinical Navigator (RN) manages the timely and smooth transition from inpatient care to home or other levels of care utilizing experience and skills in both care management and utilization management including proficiency in established guidelines to determine medical necessity, appropriate level of care, and case management to engage members/enrollees, their families and other support systems in discharge planning. The role will function as a liaison (onsite and/or telephonically; occasional weekend work may be required) with the hospital care team including case managers, social workers and discharge planners to ensure CareFirst members/enrollees receive the appropriate level of care and partner to address any potential barriers to discharge. We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities.

ESSENTIAL FUNCTIONS:

Utilize clinical expertise and critical thinking skills to analyze available clinical information, electronic medical records (EMRs), benefit contracts, mandates, medical policy, evidence based published research, national accreditation and regulatory requirements to aid in determination of appropriateness and authorization of inpatient clinical services. Engages onsite and/or telephonically with member, family and providers to identify key strategic interventions, discharge planning and coordination to address member?s medical, behavioral and/or social determinant of health needs to promote a safe transition to the appropriate level of care and/or home.

Makes appropriate referrals to other Care Management programs as appropriate for chronic, long term care coordination.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Nursing OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 5 years clinically related experience working in Care Management, Home Health, Discharge Coordination and/or Utilization Review.

Preferred Qualifications:

Knowledge and experience with Milliman Care Guidelines
Experience working with both employer group membership and Medicare/Medicaid enrollees and benefits contracts
CCM certification

Knowledge, Skills and Abilities (KSAs)

Strong interpersonal skills and the ability to engage in a member facing environment (in-person or telephonically) while at the same time building relationships and partnerships with hospital care team and alternative care deliver partners to meeting member/enrollee needs.
Strong clinical documentation skills along with the ability to type on a computer keyboard with ease and speed.
Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and Power Point.
Strong analytical and problem-solving skills to judge appropriateness of member services and treatments on a case-by-case basis.
Knowledge of clinical standards of care and disease process and national, evidence based clinical guidelines and hospital operations.
Knowledge of available community resources and programs.
Basic understanding of the strategic and financial goals of a health care system, payer organization, health plan and/or health insurance operations (e.g. networks, eligibility, benefits).

Licenses/Certifications:
RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- Registered Nurse in MD, VA or Washington, DC Upon Hire Required.

Salary Range: $71,496 - $141,999

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 responsibilites 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).

Department

Post Acute and Home Care

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.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

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

Quick Apply

Registered Nurse jobs in pasadena, md

Clinical Navigator (Remote)

Care Manager (MD-DC-Northern VA) (Remote)

Director of Nursing (DON) Health and Wellness Director

Telephone Triage Registered Nurse

Johns Hopkins Agency RN - Emergency Dept Baltimore

Utilization Management Nurse

Director of Nursing- Full-time

DDA Delegating Nurse

Staff Nurse (part-time)

Registered Nurse (RN), Float Pool, PRN 5, Nights

Director of Nursing (DON)

Registered Nurse- Day/Night Rotation , Mother Baby Unit

Registered Nurse

Registered Nurse - Home Health RN - 13 week **Home Health Experience Required* up to $2200 WEEKLY PAY -

RN Community Health Nurse - Annapolis / Glen Burnie MD

Behavioral Health Services Director (Hybrid)

Nurse Graduate, Operating Room, Fall Cohort

Registered Nurse

Registered Nurse

Care Manager, Registered Nurse - Remote

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