clinical research nurse (per diem/prn)

clinical research nurse (rn) - day shift Jobs in Baltimore

clinical research nurse (rn) - day shift

clinical research nurse (rn) - evening/overnight Jobs in Baltimore

licensed practical nurse Jobs in Baltimore

licensed practical nurse

nurse practitioner

registered nurse or

Ascension

<div>Your future role at a glance:
<div><b>
Location:</b> Baltimore, MD</div><div><b>
Facility:</b> Ascension St. Agnes Hospital</div><div><b>
Department/Specialty:</b> Surgical Services</div><div><b>
Schedule:</b> Rotating | PRN</div><div><b>
Salary: </b>$40.50 - $57.91 per hour</div>
How you'll make an impact in this role:
<ul><li>Execute scrub functions, including selection and sterile handling of instrumentation and supplies.</li><li>
Execute circulator functions, including monitoring, documentation, and real-time communication.</li><li>
Partner with surgeons to facilitate hemostasis, suturing, wound exposure, and optimal patient positioning.</li><li>
Oversee the preparation and sterilizations of rooms, surgical instruments, and high-tech equipment.</li><li>
Deliver nursing care while maintaining a focus on safety, sterility, and clinical outcomes.</li></ul>
What minimum qualifications you'll need:
<div>
Licensure / Certification / Registration:</div><ul><li>
Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to hire date or job transfer date required.</li></ul><div>
One or more of the following required:</div><ul><li>
Advanced Life Support obtained within 6 Months (180 days) of hire date or job transfer date. American Heart Association or American Red Cross accepted.</li><li>
BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date. American Heart Association or American Red Cross accepted.</li></ul><div>
Education:</div><ul><li>
Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.</li></ul>
What additional requirements you'll need:
<ul><li>OR experience required</li></ul>
Life at Ascension: Where purpose meets opportunity:
<div>
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you&rsquo;ll find an inclusive and supportive environment where your contributions truly matter.</div>
Equal employment opportunity employer:
<p><b><i>
Equal employment opportunity employer
</i></b></p><p>Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.</p><p><b><i>
Fraud prevention notice
</i></b></p><p>Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.</p><p><b><i>
E-Verify statement</i></b></p><div>
Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.</div>
Benefits:
<div>
Paid time off (PTO)<br>
Various health insurance options &amp; wellness plans<br>
Retirement benefits including employer match plans<br>
Long-term &amp; short-term disability<br>
Employee assistance programs (EAP)<br>
Parental leave &amp; adoption assistance<br>
Tuition reimbursement<br>
Ways to give back to your community</div><div></div><div><i><br>
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.</i></div></div>

Registered Nurse OR

MedStar Health

<div>About this Job: <b>General Summary of Position</b><br>
Functions as a member of the patient-centered care team to provide direct patient care activities under the supervision of a Registered Nurse for assigned patients and their families/significant others. Assists medical and nursing staff with procedures and/or tests and patients with Activities of Daily Living (ADLs). Performs specific care activities such as specimen collection phlebotomy intravenous (IV) catheter insertion electrocardiography (EKG) and documentation in the health record.Incumbents in this position may perform all or a combination of the duties described depending upon the assigned work area and the specific needs of the patients and the department.<p><b>
Primary Duties and Responsibilities</b></p><br>
<ul><li>
Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality and safety standards and SPIRIT Values. Complies with governmental regulations and accreditation standards.</li><li>
Assists patients with activities of daily living (ADLs) and personal hygiene including bathing mouth care dressing skin care positioning feeding ambulation toileting and range of motion activities. Assists with patient mobilization and rehabilitation use of crutches and walkers and transfer/transport of patients in wheelchairs and stretchers.</li><li>
Collects specimens (e.g. blood urine sputum stool); performs venipuncture/phlebotomy; obtains EKGs; applies external telemetry monitoring boxes/devices; and inserts intravenous (IV) catheters changes of IV sites and dressings and routine inspection of IV sites.</li><li>
Assists in the measurement and documentation of patient's intake and output (I&amp;O). Accurately takes and records patient's vital signs height and weight pulse oximetry point of care and waived testing (i.e. finger sticks for glucose monitoring/Accucheck urine dipstick hemoccult) and other pertinent data or information in the patient's health record.</li><li>
Performs routine sterile non-sterile (e.g. application of thermal soaks) and other treatments/activities identified by Unit/Hospital policy inclusive of but not limited to: tube feedings; ostomy care; Foley Catheter care and removal; perineal care; simple dressing changes and wound care; turning and positioning; postmortem care and transportation of body to the morgue; maintenance of drainage tubes with/without pump or suction; care of oxygen equipment; and assistance with the application maintenance and removal of traction casts splints and exercise equipment.</li><li>
Maintains the comfort privacy and confidentiality and dignity of each patient in the delivery of services. Performs patient observation duty including 1:1 observation and application of restraints. Prepares patients to be seen by providers. Assists providers and registered nurses in patient examinations and procedures.</li><li>
Rounds on all assigned patients based on established standards (e.g. purposeful hourly rounding). Reports actual and potential problems concerning patients/families including changes in the patient's condition to the registered nurse and other care team members as necessary. Ensures complete hand off to oncoming shift and obtains full hand off from outgoing shift. Initiates and assists in CPR when indicated.</li><li>
Participates in patient/family teaching as directed and responds to questions from patients families and visitors in a prompt courteous and respectful manner referring them to appropriate personnel if necessary.</li><li>
Maintains the cleanliness and safety of patient rooms/environment by distributing and changing linen/towels removing used meal trays checking bed siderails and safety restraints etc. Assists with environmental services support such as linen management trash removal and cleaning patient rooms as needed.</li><li>
Transports and/or escorts patients during discharges transfers and/or medical appointments. Completes errands such as delivering specimens to the laboratory equipment and supplies etc. as required.</li><li>
Receives and stocks equipment and supplies and maintains orderly supply and utility rooms.</li><li>
Attends staff meetings ongoing educational offerings and participate in multidisciplinary quality and service improvement teams.</li></ul>
<b>Minimal Qualifications</b><br>
<b>Education</b><ul><li>
High School Diploma or GED required and</li><li>
Completion of an approved Patient Care Technician training program required
</li></ul><b>Experience</b><ul><li>
Less than 1 year experience as a certified nursing assistant or a patient care tech required and</li><li>
Experience as a care technician; general health care experience in an acute care long-term care or other settings; student nurse in junior or senior year preferred
</li><li>One year of relevant professional-level work experience may be substituted for one year of required education.</li></ul><b>
Licenses and Certifications</b><ul><li>
CNA - Certified Nursing Assistant from the relevant jurisdiction Upon Hire required and</li><li>
CPT - Phlebotomy Technician Certification Upon Hire preferred and</li><li>
CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and</li><li>
Additional unit/specialty certifications may vary by department or business unit.
</li></ul><b>Knowledge Skills and Abilities</b><ul><li>
Basic math knowledge;</li><li>
verbal and written communication skills.</li><li>
Basic computer skills preferred.</li></ul>
This position has a hiring range of : USD $19.55 - USD $34.25 /Hr.</div>

Patient Care Technician

AbsoluteCare

<div><p>Team Nurse</p>
<p><b>Location:</b> Baltimore, MD, USA</p>
<div><div><div><div><div><b>Requisition Number</b><b>2751</b></div><div><b>
Remote?</b><b>No</b></div><div><div><p>
Salary Range $85,000 - $90,000</p></div></div></div></div><div><div><div><div><p><b>
Why Work at AbsoluteCare?</b></p>
<p>At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into <i>members</i>: people who are entitled to some of the best, most focused care this country has to offer.</p>
<p>We call this &ldquo;care beyond medicine.&rdquo; We have turned the doctor&rsquo;s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members&rsquo; needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.</p>
<p>We don&rsquo;t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it <i>works</i>.</p>
<p>Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT2.</p></div></div></div></div><div><div><div><div><div>
<div><div><div><div>Job Description:
</div><div><div><div><div><p><b>Job Summary</b></p>
<p>This role works with a dedicated Primary Care Provider and supports primary care activities for the PCP panel, including patient education, orders, referrals, and medication management, and addressing gaps in care. The Team Nurse works directly with members to achieve their care plan goals through patient education, care coordination, and building relationship.</p>
<p><b>Duties and Responsibilities</b></p>
<ul><li>Act as the practice-based nurse, supporting on-site providers in facilitating high quality primary care that promotes appropriate healthcare utilization.</li>
<li>Facilitate Patient Centered Medical Home (PCMH) functions through management of diagnostic order tracking, medication refills, review of the medical record, and fielding messages from members and the integrated care team.</li>
<li>Lead panel management for members attributed to the assigned primary care provider through activities including, but not limited to, following disease care pathways, entering standing orders for preventive care, and leveraging available reports to close care gaps.</li>
<li>Monitor access to the primary care provider. Ensure members have scheduled follow-up.</li>
<li>Coordinate services to complete primary care provider action plan tasks.</li>
<li>Meet with members in the medical center as an extension of the primary care provider to address member needs, including medication reconciliation and teaching and coaching for effective disease management.</li>
<li>Engage members telephonically between primary care visits to support PCMH activities, panel management, and action plan completion.</li>
<li>Prepare for and participate in daily huddle with the integrated care team.</li>
<li>Act as a bridge between the primary care provider and the greater integrated care team. Coordinate internal referrals between team members.</li>
<li>Coordinate with the Immediate Care Area to provide in person and telephonic triage. Perform nursing interventions including wound care, IV (intravenous) therapy, and phlebotomy as needed.</li>
<li>Provide coverage support for fellow care team members as needed, including point of care testing, medication administration, and office flow.</li>
<li>Leverage strong time management skills to prioritize and balance member care responsibilities with provider panel management and role-specific tasks.</li>
</ul><p><b>Minimum Qualifications</b></p>
<ul><li>Active, unrestricted license as a Registered Nurse in the state of practice required. Compact RN license preferred, or willingness to obtain.</li>
<li>3+ years of experience providing clinical services to Adult and Geriatric individuals with co-occurring chronic medical and behavioral health conditions.</li>
<li>Active CPR certification.</li>
<li>Experience working for a community-based organization preferred.</li>
<li>Proficiency in clinical nursing skills such as wound assessment and care, venipuncture and phlebotomy, and assessment and management of common chronic conditions such as diabetes, hypertension, CHF, and COPD.</li>
<li>Excellent interpersonal communication, problem solving, and organizational skills.</li>
<li>Independent self-starter and critical thinker interested in population health, healthcare utilization management, and the ongoing development of our care model.</li>
<li>Proficiency with Microsoft Office applications.</li>
</ul><p><b>Working conditions</b></p>
<p>This job operates in a professional office environment. This role routinely uses general office equipment. Often wear a special uniform, such as a lab coat or surgical scrubs, protective or safety attire, such as gloves and masks. Exposed to the diseases and infections of patients daily. May share workspace with other technicians and staff.</p>
<p><b>Physical requirements</b></p>
<ul><li>Ability to communicate clearly and exchange accurate information constantly.</li>
<li>Ability to remain stationary for long periods of time.</li>
<li>Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.</li>
</ul><ul><li>Ability to occasionally move objects up to 20 lbs.</li>
</ul><p><b>Direct reports</b></p>
<p>None.</p>
</div></div></div></div></div></div><br>
</div></div></div></div></div></div><div><div><div>AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.</div></div></div></div></div></div><p></p>

Team Nurse

CareFirst BlueCross BlueShield

<div>
 <strong>
  Resp &amp; Qualifications
  <br/>
  <br/>
 </strong>
 <strong>
  PURPOSE:
  <br/>
  <br/>
 </strong>
 The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing 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, the Clinical Navigator will leverage proficiency in established MCG, in addition to administrative/regulatory considerations, to determine medical necessity, appropriate level(s) 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 working telephonically 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. The candidate may be required to come to the CareFirst office location periodically for meetings, training, or other business-related activities. The candidate's primary residence must be within the
 <strong>
  greater Baltimore metropolitan area
 </strong>
 . Bilingual - fluent in Spanish a big plus!
 <br/>
 <br/>
 <strong>
  Essential Functions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   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 telephonically with member, family and providers to identify key strategic interventions, discharge planning and coordination to address members medical, behavioral and/or social determinant of health needs to promote a safe transition to the appropriate level of care and/or home.
  </li>
  <li>
   Collaborates with CareFirst medical directors and participates in internal case rounds/discussions to determine appropriate course of action and level of care. Applies sound clinical knowledge and judgment throughout the review process. Follows member benefit contracts to assist with benefit determination.
  </li>
  <li>
   Makes referrals to other care management programs as appropriate for chronic, long-term care coordination.
  </li>
  <li>
   Works collaboratively with hospital teams to develop positive working relationships to decrease provider abrasion and improve the member experience.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <strong>
  Education Level:
 </strong>
 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.
 <br/>
 <br/>
 <strong>
  Licenses/Certifications Upon Hire Required
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   RN - Registered Nurse - State Licensure And/or Compact State Licensure: RN - Registered Nurse in MD, VA or Washington, DC
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Experience:
 </strong>
 5 years clinically related experience working in Care Management, Home Health, Discharge Coordination and/or Utilization Review.
 <br/>
 <br/>
 <strong>
  Preferred Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Knowledge and experience with MCG
  </li>
  <li>
   Experience working with Commercial and Medicare/Medicaid enrollees and benefits contracts
  </li>
  <li>
   CCM certification
  </li>
  <li>
   MCG certification
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Knowledge, Skills And Abilities (KSAs)
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Strong interpersonal skills and the ability to engage in a member facing environment telephonically while at the same time building relationships and partnerships with hospital care team and alternative care delivery partners to meeting member/enrollee needs.
  </li>
  <li>
   Strong clinical documentation skills along with the ability to type on a computer keyboard with ease and speed.
  </li>
  <li>
   Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and Power Point.
  </li>
  <li>
   Strong analytical and problem-solving skills to judge appropriateness of member services and treatments on a case-by-case basis.
  </li>
  <li>
   Knowledge of clinical standards of care and disease process and national, evidence based clinical guidelines and hospital operations.
  </li>
  <li>
   Knowledge of available community resources and programs.
  </li>
  <li>
   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).
  </li>
  <li>
   Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Salary Range:
 </strong>
 $72,216 - $143,429
 <br/>
 <br/>
 <strong>
  Salary Range Disclaimer
  <br/>
  <br/>
 </strong>
 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).
 <br/>
 <br/>
 <strong>
  Department
  <br/>
  <br/>
 </strong>
 Maryland Inpatient Telephonic
 <br/>
 <br/>
 <strong>
  Equal Employment Opportunity
  <br/>
  <br/>
 </strong>
 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.
 <br/>
 <br/>
 <strong>
  Where To Apply
  <br/>
  <br/>
 </strong>
 Please visit our website to apply: www.carefirst.com/careers
 <br/>
 <br/>
 <strong>
  Federal Disc/Physical Demand
  <br/>
  <br/>
 </strong>
 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.
 <br/>
 <br/>
 <strong>
  Physical Demands
  <br/>
  <br/>
 </strong>
 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.
 <br/>
 <br/>
 <strong>
  Sponsorship in US
  <br/>
  <br/>
 </strong>
 Must be eligible to work in the U.S. without Sponsorship
 <br/>
 <br/>
</div>


Clinical Navigator (Remote)

<div>
 <strong>
  Resp &amp; Qualifications
  <br/>
  <br/>
 </strong>
 <strong>
  PURPOSE:
  <br/>
  <br/>
 </strong>
 The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills and knowledge of all applicable State and Federal rules and regulations that govern the appeal process for Commercial and lines of business in order to formulate a professional response to the appeal request. 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.
 <br/>
 <br/>
 <strong>
  Essential Functions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Investigates, interprets, and analyzes written appeals and reconsideration requests from multiple sources including applicants, subscribers, attorneys, group administrators, internal stake holders and any other initiators. Responds to such requests with original letters, complex and technical in nature, upholding corporate policies and decisions while meeting all State and Federal regulations and mandates.
  </li>
  <li>
   Organizes the appeal case for physician review by compiling clinical, contractual, medical policy and claims information along with corporate and appellant correspondence. Formulates recommendations for disposition. Prepares the written case for review and, following the physician review, communicates the final decision to the member and providers including an explanation of the final decision and all External appeal rights.
  </li>
  <li>
   Investigates, interprets, analyzes and prioritizes appeal requests using nursing expert knowledge and all available clinical information for both medical and behavioral health conditions, as well as medical policies, to determine if the adverse coverage and adverse decisions are appropriate. Interpret and apply, as appropriate Regulatory and accreditation requirements. Collaborates with Independent Review Organizations and contracted Panel Physicians in obtaining clinical opinions from physician specialists, to determine if adverse decisions are appropriate. Interacts and responds to complaints from Regulatory Agencies and CMS.
  </li>
  <li>
   Maintains a ready command of a continuously expanding knowledge base of current medical practices and procedures, including current medical, mental health and substance abuse/addiction procedural terminology, surgical procedures, dental procedures, diagnostic entities and their complications.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <strong>
  Education Level:
 </strong>
 High School Diploma or GED.
 <br/>
 <br/>
 <strong>
  Licenses/Certifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required
  </li>
  <li>
   CCM - Certified Case Manager Upon Hire Preferred
  </li>
  <li>
   LNCC - Legal Nurse Consultant Certified Upon Hire Preferred
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   2 years medical-surgical or similar clinical experience OR
  </li>
  <li>
   3 years experience in mental health, psychiatric setting
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   2 years experience in Medical Review, Utilization Management or Case Management at CareFirst BlueCross BlueShield, and/or previous experience in a healthcare payor organization working with clinical appeals and grievances.
  </li>
  <li>
   BSN/MSN Degree
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Knowledge, Skills And Abilities (KSAs)
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Knowledge and understanding of medical terminology.
  </li>
  <li>
   Demonstrated knowledge of regulatory and accreditation requirements, understanding of appeals process and utilization management, and systems software used in processing appeals.
  </li>
  <li>
   Excellent verbal and written communication skills, strong listening skills, critical thinking and analytical skills, problem solving skills, ability to set priorities and multi-task.
  </li>
  <li>
   Ability to effectively communicate and provide positive customer service to every internal and external customer.
  </li>
  <li>
   Knowledge of Microsoft Office programs.
  </li>
  <li>
   Excellent analytical and problem-solving skills to assess the medical necessity and appropriateness of patient care and treatment on a case-by-case basis, including issues pertaining to members with mental health treatment needs or those with substance disorders and addictions.
  </li>
  <li>
   Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Salary Range:
 </strong>
 $67,320 - $133,705
 <br/>
 <br/>
 <strong>
  Salary Range Disclaimer
  <br/>
  <br/>
 </strong>
 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).
 <br/>
 <br/>
 <strong>
  Department
  <br/>
  <br/>
 </strong>
 Clinical Appeals and Analysis
 <br/>
 <br/>
 <strong>
  Equal Employment Opportunity
  <br/>
  <br/>
 </strong>
 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.
 <br/>
 <br/>
 <strong>
  Where To Apply
  <br/>
  <br/>
 </strong>
 Please visit our website to apply: www.carefirst.com/careers
 <br/>
 <br/>
 <strong>
  Federal Disc/Physical Demand
  <br/>
  <br/>
 </strong>
 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.
 <br/>
 <br/>
 <strong>
  Physical Demands
  <br/>
  <br/>
 </strong>
 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.
 <br/>
 <br/>
 <strong>
  Sponsorship in US
  <br/>
  <br/>
 </strong>
 Must be eligible to work in the U.S. without Sponsorship
 <br/>
 <br/>
</div>


Clinical Appeals Nurse (Remote)

Coppin State University

<div><div>Job Posting:</div>
JR101554 Assistant Professor (Open)<div>
Department:</div>
Doctor of Nursing Practice , PM<div>
Position Type:</div>
Regular<div>
Open Date:</div>
03-12-2026<div>
Close Date:</div>
04-03-2026<div></div>
$100,000 Annually<div></div><div>
Job Description:</div>
The Assistant Professor is responsible for teaching in the classroom, clinical/campus laboratory clinical sites and clinical seminars; planning, implementing, and evaluating nursing curriculum as a member of the nursing teaching team' and providing academic counseling and guidance to nursing students.<div></div><div>
Responsibilities:</div><ul><li>
Teaching in the classroom, clinical/campus laboratory clinical sites and clinical seminars; planning, implementing and evaluating nursing curriculum as a member of the nursing teaching team.</li><li>
Coordinating with community health agencies utilized for clinical experiences and maintaining effective relations with them, planning, supervising and evaluating learning experiences for students in the clinical area; scheduling conferences with individual students regarding progress.</li><li>
Participating in all School of Nursing and nursing course team planning meetings and selected subcommittee within School of Nursing and College of Health Professions; Participating actively in University, College, School and Community service and Activities.</li><li>
Maintaining own professional growth and remains current nursing practice; Assisting in preparation for nursing accreditation visits; Day, evening and weekend classes and clinical as applicable.</li><li>
Providing academic counseling and guidance to nursing students; Holding at least four post office hours per week.</li></ul><div></div><div>
Minimum Qualifications:</div><div>
EDUCATION</div><ul><li>
A Doctoral Degree in Nursing required or in public health or a health-related field from an accredited institution.</li><li>
Nationally certified as a Family Nurse Practitioner (FNP).</li><li>
Eligibility for Maryland, DC and VA RN and NP Licensure.</li><li>
A minimum of 1 year teaching experience.</li><li>
Recent clinical experience in the specialty area.</li></ul><div></div><div>
EXPERIENCE</div><ul><li>
Demonstrated clinical experience as an advanced practice nurse in a primary care setting.</li><li>
Recent classroom and clinical teaching experience in a college-level nursing program.</li><li>
Ability to meet challenges of adult students with diverse background.</li><li>
Holds current license as a Registered Nurse in the State of Maryland or other verifiable state.</li><li>
Preference will be given to candidates who have experience and an appreciation for and are committed to working in a global, multicultural academic setting.</li><li>
Preference will be given to candidates who have experience with the integration of technology and alternative delivery systems of instruction in teaching-learning process.</li></ul><div></div><div>
KNOWLEDGE, SKILLS, AND ABILITIES</div><ul><li>
Must be able to independently manage multiple tasks and set priorities.</li><li>
Process strong oral/written communication, presentation, and interpersonal skills.</li><li>
Ability to meet challenges of adult students with diverse background.</li><li>
Integration of technology and alternative delivery systems of instruction in teaching-learning process.</li></ul><div></div><div>
Conditions of Employment:</div><ul><li>
Operate personal computer and audio-visual equipment.</li><li>
Stand or sit for up to one to three hours at a time.</li><li>
Fly or drive to off-site meetings or conferences or to observe subjects in project.</li><li>
Move around campus for classes and meeting.</li><li>
Other requirements as specified by a job description.</li></ul><div></div><div>
Additional Job Information:</div><div>
BENEFITS SUMMARY</div><div>
Coppin State University offers a competitive benefits package to include health insurance options (medical, dental, vision), life and disability insurance, retirement plan contributions, as well as paid leave and federal holidays for all regular employees. Please see the link below to view the benefits that Coppin State University has to offer.</div><div></div><div><div>
https://www.coppin.edu/benefits</div></div><div></div><div>
E-VERIFY</div><div>
This agency participates in the E-Verify system for verification of citizenship and employment authorization.</div><div></div><div>
Coppin State University is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, creed, color, ethnicity, national origin, ancestry, religion, gender, sexual orientation, gender identity, genetic information, marital status, pregnancy, age, disability status or veteran status. View the <div>EEOC Know Your Rights poster</div> for more information regarding your rights under the law.<br>
<br>
If you experience difficulties utilizing the online application system or you require reasonable accommodations during any part of the pre-employment process, please contact Human Resources at AskHR@coppin.edu. Please note that only inquiries regarding a request for reasonable accommodation or system issues will be responded to when contacting this e-mail account. Reasonable accommodation will be considered on a case-by-case basis.</div></div>
<br><p></p><div><div><div><p>About Us</p><div><div><div><div><div>
Coppin State University is a fully accredited institution and a member of the University System of Maryland. Founded in 1900, Coppin, a Historically Black Institution in a dynamic urban setting, serves a multi-generational student population and provides education opportunities while promoting lifelong learning. The university fosters leadership, social responsibility, civic and community engagement, cultural diversity and inclusion, and economic development. Coppin offers 36 Bachelor's, 13 Master's degree programs and 1 Doctoral degree program.</div></div></div></div></div></div></div></div><div></div>

Assistant Professor

Touching Angels Healthcare

<p><b>Touching Angels Healthcare, Inc.</b></p><p><b>Areas: Baltimore City</b></p><p><b>Compensation &amp; Benefits</b></p><ul><li><b>Hourly Rate:</b> $80.00/hour</li><li><b>Mileage Reimbursement:</b> Full compensation for mileage and tolls</li><li><b>Schedule:</b> Part-time, Per Diem with flexible scheduling</li><li><b>Start Date:</b> April 2026</li></ul><p><b>CRITICAL POSITION REQUIREMENT - EXTENSIVE TRAVEL</b></p><p><b>This assignment is a field-based position requiring approximately 90% travel time.</b> You will travel from client residence to client residence throughout Baltimore City to conduct comprehensive nursing assessments. Traveling from your home to client locations typically ranges from <b>30 to 45 minutes one way</b>. If you are unable to commit to extensive daily travel, please do not apply.</p><p><b>About Touching Angels Healthcare</b></p><p>Since 2006, Touching Angels Healthcare has been a trusted provider of comprehensive non-medical home care services throughout Maryland. We are licensed under Maryland's LTSS/ISAS Medicaid program and accredited by the Joint Commission. Our mission extends beyond profit&mdash;we are committed to providing dignified care, enriching communities, and making a meaningful difference in the lives we serve, one patient at a time.</p><p><b>Position Summary</b></p><p>The Home Health Registered Nurse Case Manager is responsible for conducting comprehensive in-home assessments, developing individualized Plans of Care, and ensuring that caregivers provide appropriate, consistent, and safe personal care assistance services. This role requires independent judgment, excellent time management, and the ability to work autonomously while traveling throughout the service area.</p><p><b>Essential Duties and Responsibilities</b></p><p><b>Assessment &amp; Care Planning:</b></p><ul><li>Conduct comprehensive in-home nursing assessments at client residences throughout Baltimore City, MD.</li><li>Complete a thorough OASIS assessment and all required supporting documentation per COMAR rules and regulations.</li><li>Create, implement, and maintain individualized Plans of Care (POC) for each assigned client</li><li>Perform ongoing re-evaluations and make necessary adjustments to care plans based on client needs</li><li>Document all assessments, interventions, and changes accurately and in a timely manner.</li></ul><p><b>Care Coordination &amp; Supervision:</b></p><ul><li>Supervise and provide clinical oversight to LPNs, CNAs, GNAs, and Home Health Aides per Maryland regulations</li><li>Educate and instruct patients, family members, and direct care staff on proper care techniques and procedures</li><li>Coordinate all services provided and consult interdisciplinary team members and other health professionals</li><li>Monitor caregiver performance and ensure compliance with established care plans</li></ul><p><b>Communication &amp; Collaboration:</b></p><ul><li>Notify physicians and the appropriate staff of significant changes in patient conditions in a timely manner.</li><li>Maintain professional communication with patients, families, caregivers, and healthcare team members</li><li>Collaborate with Care Coordinators and office staff to ensure continuity of care</li><li>Participate in case conferences and team meetings as required</li></ul><p><b>Professional Practice:</b></p><ul><li>Plan, organize, and prioritize a daily schedule to maximize efficiency across multiple client locations.</li><li>Work independently with minimal supervision while adhering to agency policies and regulatory standards</li><li>Maintain knowledge of patient rights and responsibilities</li><li>Comply with all organizational policies, procedures, and quality assurance standards</li><li>Ensure all nursing care reflects awareness of legal responsibilities and consequences of nursing actions</li></ul><p><b>Required Qualifications</b></p><p><b>Education:</b></p><ul><li>Graduate of an accredited School of Nursing (BSN preferred)</li></ul><p><b>Licensure &amp; Certifications:</b></p><ul><li>A current, active, and unrestricted Registered Nurse (RN) license in Maryland or a valid Compact State license</li><li>Current Basic Life Support (BLS) certification</li><li>Current First Aid certification</li><li>Must maintain all certifications throughout employment</li></ul><p><b>Background Checks&mdash;MANDATORY:</b> Candidates must have a <b>clean background</b> from all of the following:</p><ul><li><b>Maryland Board of Nursing (MBON)</b>&mdash;No disciplinary actions</li><li><b>Criminal Justice Information System (CJIS)</b>&mdash;Clear criminal background verification</li><li><b>Office of Inspector General (OIG)</b>&mdash;Not excluded from federal healthcare programs</li></ul><p><b>Health Requirements:</b></p><ul><li>Current COVID-19 vaccination (required)</li><li>TB test clearance</li><li>Health screening is required by agency policy.</li></ul><p><b>Transportation:</b></p><ul><li>Valid driver's license and reliable personal vehicle (required)</li><li>Current auto insurance meets Maryland state requirements.</li><li>Willingness and ability to travel 90% of work time between client residences.</li></ul><p><b>Physical Demands &amp; Work Environment</b></p><ul><li>Ability to lift, move, and transfer up to 50 pounds</li><li>Frequent stooping, bending, squatting, kneeling, standing, and walking</li><li>Normal or correctable vision and hearing</li><li>Ability to accurately discern colors is necessary for patient assessment.</li><li>Work performed primarily in clients' homes with varying environmental conditions</li><li>Extensive driving in various weather conditions throughout Baltimore and surrounding areas</li><li>May require climbing stairs in homes without elevators</li></ul><p><b>Preferred Qualifications</b></p><ul><li>2+ years of home health or community health nursing experience</li><li>Experience with OASIS documentation and Medicare/Medicaid regulations</li><li>Familiarity with Maryland LTSS/ISAS waiver programs</li><li>Bilingual capabilities (Spanish, Korean, or Arabic)</li><li>Strong clinical assessment and critical thinking skills</li><li>Excellent time management and organizational abilities</li><li>Proficiency with electronic health records and mobile documentation systems</li></ul><p><b>Why Join Touching Angels Healthcare?</b></p><ul><li><b>Competitive Compensation:</b> $80/hour plus full mileage and toll reimbursement</li><li><b>Flexibility:</b> Enjoy per diem scheduling that aligns with your availability.</li><li><b>Professional Autonomy:</b> Work independently with supportive team backup</li><li><b>Meaningful Work:</b> Make a direct impact on clients' quality of life</li><li><b>Established Agency:</b> Nearly 20 years of service excellence in Maryland</li><li><b>Career Growth:</b> Opportunities for professional development and advancement</li></ul><p><b>Application Process</b></p><p><b>SERIOUS CANDIDATES ONLY</b></p><p>This position requires a significant commitment to travel and independent fieldwork. Please only apply if you:</p><ul><li>Have reliable transportation and are willing to travel 90% of your work time.</li><li>You are capable of committing to 30-to-45-minute commutes to client locations.</li><li>Candidates must have or be able to obtain clear background checks from MBON, CJIS, and OIG.</li><li>Meet all licensure and certification requirements</li></ul><p><b>To Apply:</b></p><ul><li>Submit your application through our website: <b>www.touchingangels.com</b></li><li>Include your current resume highlighting home health experience.</li><li>Attach copies of your RN license and current BLS certification.</li><li>Provide three professional references</li></ul><p><b>Equal Opportunity Employer</b></p><p>Touching Angels Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.</p><p><b>For immediate consideration, apply at www.touchingangels.com.</b></p><p><i>Only candidates who meet all requirements will be contacted for an interview.</i></p><p>Job Type: Part-time</p><p>Pay: $80.00 per hour</p><p>Benefits:</p><ul><li>Flexible schedule</li></ul><p>Application Question(s):</p><ul><li>Are you willing to undergo and pass all required background checks (MBON, CJIS, OIG)?</li><li>Are you comfortable working in clients&rsquo; homes with varying conditions (pets, smoking, stairs, etc.)</li><li>Do you have a valid driver&rsquo;s license, reliable personal vehicle, and current auto insurance that meets Maryland state requirements?</li><li>Can you commit to per diem scheduling with flexibility (including occasional same-day assignments)?</li><li>Do you have experience conducting in-home nursing assessments and creating individualized Plans of Care?</li><li>Do you have at least 2 years of home health or community health nursing experience?</li><li>Are you familiar with OASIS documentation and Medicare/Medicaid regulations?</li><li>Do you speak any additional languages (Spanish, Korean, Arabic)?</li><li>Are you willing and able to travel approximately 90% of your work time to client homes throughout Baltimore City?</li></ul><p>Work Location: On the road</p>

Registered Nurse Case Manager (Per Diem) - Field Position

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