Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent ... Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF ...
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Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent ... Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF ...
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Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent ... Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF ...
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent ... Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF ...
Quick apply
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent ... Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF ...
At Broadway Ventures , we transform challenges into opportunities with expert program management ... Review cases initiated for non-standardized performance improvement reasons * Assess medical ...
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At Broadway Ventures , we transform challenges into opportunities with expert program management ... Review cases initiated for non-standardized performance improvement reasons * Assess medical ...
Washington, DC ยท On-site +1
SUMMARY The Clinical Manager is responsible for ensuring that patient care is coordinated and ... Assigns appropriate hospice personnel to case as needed. Conferences with MEDICAL DIRECTOR ...
Washington, DC ยท On-site +1
SUMMARY The Clinical Manager is responsible for ensuring that patient care is coordinated and ... Assigns appropriate hospice personnel to case as needed. Conferences with MEDICAL DIRECTOR ...
Baltimore, MD ยท Remote
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... including case managers, social workers and discharge planners to ensure CareFirst members ...
Baltimore, MD ยท Remote
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... including case managers, social workers and discharge planners to ensure CareFirst members ...
Washington, DC ยท On-site +1
$72K - $109K/yr
Summary Case Officers clandestinely spot, assess, develop, recruit, and handle non-U.S. citizens with access to foreign intelligence vital to U.S. foreign policy and national security decision-makers.
Washington, DC ยท On-site +1
$72K - $109K/yr
Summary Case Officers clandestinely spot, assess, develop, recruit, and handle non-U.S. citizens with access to foreign intelligence vital to U.S. foreign policy and national security decision-makers.
VA ยท On-site +1
This is a remote opportunity. The Consultant will review WCMSA case submissions in support of the ... or non-certify requested treatments. - Provide written clinical rationales for CA Workers ...
VA ยท On-site +1
This is a remote opportunity. The Consultant will review WCMSA case submissions in support of the ... or non-certify requested treatments. - Provide written clinical rationales for CA Workers ...
Baltimore, MD ยท Remote
$20 - $24/hr
Supports the Utilization Management clinical teams by assisting with non-clinical administrative ... case documentation. * Reviews authorization requests for initial determination and/or triages for ...
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Baltimore, MD ยท Remote
$20 - $24/hr
Supports the Utilization Management clinical teams by assisting with non-clinical administrative ... case documentation. * Reviews authorization requests for initial determination and/or triages for ...
Coordinate services with case managers, families, work personnel, medical personnel, other Ellie ... This is a remote position.
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Coordinate services with case managers, families, work personnel, medical personnel, other Ellie ... This is a remote position.
Coordinate services with case managers, families, work personnel, medical personnel, other Ellie ... This is a remote position. Seeking creative & collaborative humans with a passion for changing ...
Coordinate services with case managers, families, work personnel, medical personnel, other Ellie ... This is a remote position. Seeking creative & collaborative humans with a passion for changing ...
Our commitment extends beyond traditional consulting and management services, offering ... Remote (U.S. only) Duration: 6 months contract with a possibility of 6 months extension License ...
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Our commitment extends beyond traditional consulting and management services, offering ... Remote (U.S. only) Duration: 6 months contract with a possibility of 6 months extension License ...
Provide clinical recommendations, manage complex case reviews, document findings, and support TSA ... Footwear will be closed-toe, flat-bottom, and completely cover the feet; fluid resistance and non ...
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Provide clinical recommendations, manage complex case reviews, document findings, and support TSA ... Footwear will be closed-toe, flat-bottom, and completely cover the feet; fluid resistance and non ...
For part-time status clinicians must maintain a caseload of a minimum of 15 client visits per week ... Coordinate services with case managers, families, work personnel, medical personnel, other Ellie ...
For part-time status clinicians must maintain a caseload of a minimum of 15 client visits per week ... Coordinate services with case managers, families, work personnel, medical personnel, other Ellie ...
Baltimore, MD ยท Remote
Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... Utilization Management / Utilization Review / Prior Authorization * Clinical or healthcare ...
Baltimore, MD ยท Remote
Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... Utilization Management / Utilization Review / Prior Authorization * Clinical or healthcare ...
Baltimore, MD ยท Remote
Remote Job Duration: Contract / FTE Client: Federal Criteria- Need US citizenship because of ... Utilization Management / Utilization Review / Prior Authorization * Clinical or healthcare ...
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Baltimore, MD ยท Remote
Remote Job Duration: Contract / FTE Client: Federal Criteria- Need US citizenship because of ... Utilization Management / Utilization Review / Prior Authorization * Clinical or healthcare ...
Baltimore, MD ยท Remote
$24.67/hr
Support Utilization Management clinical teams by assisting with non-clinical administrative tasks ... case documentation * Review authorization requests for initial determination and triage for ...
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Baltimore, MD ยท Remote
$24.67/hr
Support Utilization Management clinical teams by assisting with non-clinical administrative tasks ... case documentation * Review authorization requests for initial determination and triage for ...
Washington, DC ยท On-site +1
$103K - $112K/yr
Registered Nurses support clinical and non-clinical requirements as mission needs mandate and are ... Case Management * Emergency nursing * Public health nursing * Occupational health nursing * Ability ...
Washington, DC ยท On-site +1
$103K - $112K/yr
Registered Nurses support clinical and non-clinical requirements as mission needs mandate and are ... Case Management * Emergency nursing * Public health nursing * Occupational health nursing * Ability ...
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
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Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
Quick apply
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
Quick apply
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
$16.90 - $19.16
3% of jobs
$19.16 - $21.42
11% of jobs
$23.44 is the 25th percentile. Wages below this are outliers.
$21.42 - $23.68
13% of jobs
$23.68 - $25.93
8% of jobs
$25.93 - $28.19
15% of jobs
The median wage is $28.26 / hr.
$28.19 - $30.45
19% of jobs
$32.47 is the 75th percentile. Wages above this are outliers.
$30.45 - $32.71
7% of jobs
$32.71 - $34.97
6% of jobs
$34.97 - $37.23
7% of jobs
$37.23 - $39.49
6% of jobs
$39.49 - $41.75
4% of jobs
$16
$29
$41
| Aspect | Remote Non Clinical Case Manager | Remote Clinical Case Manager |
|---|---|---|
| Credentials | Typically requires a background in social work, counseling, or healthcare, with certifications like CCM or similar | Requires clinical licenses such as RN, LPN, or other healthcare provider credentials, along with case management certifications |
| Work Environment | Primarily remote, focusing on patient support, resource coordination, and non-clinical assessments | Primarily remote, involving clinical assessments, care planning, and direct patient interaction |
| Employer & Industry Usage | Used by insurance companies, healthcare providers, and social service agencies | Used mainly by healthcare organizations, hospitals, and insurance companies with clinical oversight |
Remote Non Clinical Case Managers focus on coordinating resources and providing support without direct clinical care, while Remote Clinical Case Managers handle clinical assessments and care planning requiring healthcare licenses. Both roles are remote and vital in healthcare, but differ mainly in required credentials and scope of practice.
For Remote Non Clinical Case Manager jobs in Silver Spring, MD, the most frequently searched job titles are:
The top searched job categories for Remote Non Clinical Case Manager jobs in Silver Spring, MD are:
Cities near Silver Spring, MD with the most Remote Non Clinical Case Manager job openings:

Baltimore, MD โข Remote
Full-time
Re-posted 9 days ago
Job Responsibilities
Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse.
Conduct desk reviews in alignment with applicable contract requirements to identify potential fraud or overpayment.
Prepare detailed case summaries and provide results to investigators to support the investigative process.
Perform case-specific or plan-specific data entry and reporting to ensure accuracy and compliance.
Required Qualifications
Active, non-restricted Registered Nurse (RN) license.
Strong computer proficiency with excellent written communication skills.
Demonstrated research and analytical skills.
Preferred Qualifications
Coding certification (e.g., CPC, CCS, or equivalent).
Familiarity with Medicaid and Medicare regulations.
Experience with medical chart review.
Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF) review highly beneficial.