1971 Case Manager jobs in Lanham,MD

Case Manager

service coordination

Columbia, MD 21044

Apex Focus Group

College Park, MD 20741

MedStar Health

Washington, DC 20008

Paid Relocation to Washington, DC

Nursing, Social Work, or related healthcare field accredited School of Nursing required.
8-10 years Progressive experience in managed care or health plan operations required.
5-7 years Leadership experience in case management, care coordination, or population health management required.
Experience with regulatory audits (state Medicaid agencies, CMS) and NCQA accreditation processes.
Experience implementing risk stratification tools and data-driven care models.
Strong knowledge of state Medicaid, CMS, NCQA and contractual requirements related to case management and care coordination.
Deep understanding of population health management, social determinants of health, and risk-based care models
Financial acumen with the ability to interpret PMPM trends, total cost of care data, and ROI analysis.
Expertise in care transitions, complex case management, maternal health, behavioral health integration, and high-risk population management.
Ability to lead organization change within a centralized clinical operations model.
Strong analytical skills with the ability to translate data into actionable strategy

LifeBridge Health

Baltimore, MD 21202

Health Connect America

Alexandria, VA 22312

Bachelor's degree in social work or a related human service field is required for this position.
A minimum of two (2) years of relevant experience is required to qualify for this role.
Bachelor's degree in human services or a comparable related human service field with at least two (2) years of child mental health experience
Bachelor's degree in any field plus four (4) years' experience in providing services to children and families
Master's degree in any field and one (1) year of experience in providing services to children and families
A doctorate or master's degree in social work from a college or university accredited by the Council on Social Work Education or a field related to social work such as sociology, psychology, special education, or counseling, with a student placement in casework services to children and families or one year of experience in providing casework services to children and families
A bachelor's degree in social work or a field related to social work including, but not limited to, sociology, psychology, special education, or counseling and one year of experience in providing casework services to children and families
A bachelor's degree in any field plus two years' experience in providing casework services to children and families.
Employment at Health Connect America and it's companies is contingent upon meeting the requirements of a comprehensive background investigation prior to joining our team.

The Johns Hopkins Hospital

Baltimore, MD 21201

Ascension

Laurel, MD 20723

Certified BLS Provider specializing in Health Service Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or job transfer date.
Or military CPR-First Aid training required.
Licensed Registered Nurse credentialed from the Maryland Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date required.
Graduate of an accredited school of nursing required.
For IMCU 32022-14550: Telemetry experience.