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Remote Oracle Rn Jobs in Annapolis, MD (NOW HIRING)

Sedgwick

RN Field Case Manager

Washington, DC · Remote

$88K - $112K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

York Risk Services

RN Field Case Manager

Washington, DC · Remote

$88K - $112K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

CareFirst

Clinical Appeals Nurse (Remote)

Baltimore, MD · Remote

  • Retirement

Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. * LNCC - Legal Nurse ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...

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All JobsOracle Rn JobsRemote Oracle Rn JobsRemote Oracle Rn Jobs in Annapolis, MD

Remote Oracle Rn information

What is the difference between Remote Oracle Rn vs Remote Oracle Database Administrator?

AspectRemote Oracle RnRemote Oracle Database Administrator
CertificationsOracle Nursing Certification, RN LicenseOracle Certified Professional (OCP), Database Certification
Work EnvironmentHealthcare settings, clinics, hospitalsIT departments, data centers, corporate environments
Job FocusPatient care, clinical proceduresDatabase management, system maintenance

Remote Oracle Rn roles focus on patient care and clinical responsibilities in healthcare settings, requiring nursing licenses and healthcare certifications. In contrast, Remote Oracle Database Administrators handle database systems, requiring IT certifications and technical expertise. Both roles are remote but serve different industries and skill sets, making their job functions distinct despite similar titles.

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UM Specialist (RN) - Remote / Telecommute

CYNET SYSTEMS

Baltimore, MD • Remote

$46 - $51/hr

Contractor

Re-posted 27 days ago

Job description

Job Overview:

Pay Range: $46.76hr - $51.76hr

Requirement/Must Have:

  • 5+ years Clinical nursing experience.
  • 2+ years Care Management.
  • Bachelor's Degree in Nursing.
  • In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Responsibilities:

  • Determines medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM, Medicare Guidelines, Federal Employee Program and Policy Guidelines, Medical Policy, and other accepted medical/pharmaceutical references.
  • Conducts research and analysis of pertinent diseases, treatments and emerging technologies, including high cost/high dollar services to support decisions and recommendations made to the medical directors.
  • Makes appropriate referrals and contacts as appropriate. Offers assistance to members and providers for alternative settings for care.

Nice to Have:

  • Working knowledge of managed care and health delivery systems.
  • Thorough knowledge of clinical guidelines, medical policies and accreditation and regulatory standards.
  • Working knowledge of IT and Medical Management systems, familiarity with web-based software application environment.

Skills:

  • Effective written and interpersonal communication skills to engage with members, healthcare professionals, and internal colleagues.
  • Strong assessment skills with the ability to make rapid connection with Member telephonically.
  • Ability to work effectively with large amounts of confidential member data and PHI.
  • Ability to prioritize workload during heavy workload periods.
  • Ability to multitask, prioritize and maintain a dynamic personal organization system that allows for flexibility.
  • Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and PowerPoint.
  • Excellent analytical and problem-solving skills to judge appropriateness of member services and treatments on a case by case basis.

Qualification And Education:

  • RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire.
  • LPN - Licensed Practical Nurse - State Licensure.
  • CNS-Clinical Nurse Specialist Preferred.

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading staffing and recruiting powerhouse. Proudly recognized as a nationally and locally certified diversity firm, Cynet delivers agile, scalable talent solutions across industries. With an active footprint in all 50 U.S. states and Canada, we support thousands of consultants through our expansive, high-performing recruitment engine operating across North America and Asia—ensuring speed, quality, and consistency in every hire.
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About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

Social media

Twitter

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