Utilization review nurse jobs in Dundalk, MD - 203 jobs

**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

When you come to the University of Maryland St. Joseph Medical Center, you're coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You're embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team of healthcare professionals means you'll be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog Group as a grade ‘A' hospital and by U.S. News & World Report as #3 in both the state and Baltimore Metro area, making UM St. Joseph the highest-ranking community hospital in Maryland. In addition, we've been consistently recognized as a top employer by Baltimore magazine. Job Description Work Schedule * 8:00am - 4:30pm - Full time hybrid position with weekend rotation required. The Utilization Review Nurse (RN) coordinates the care and service of selected patient populations across the continuum. He/ she works collaboratively with physicians and other members of the health care team to achieve the highest quality clinical outcomes with the most cost effective use of available resources. The Utilization Review Nurse (RN) assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors and measures the effectiveness of interventions to meet patients' treatment and transitional needs. Qualifications Education * 2 year / Associate's Degree (Required) * High School Diploma or GED (Required) 4 year / Bachelor's Degree (Preferred) Certification / Licensure / Registration *State Registered Nurse License (Required) MCG Or InterQual experience (Preferred) CCM Case Management Certification (Preferred) Experience and Skills *2 - 4 years Familiarity with health care reimbursement systems (Required) *4 - 6 years Acute care hospital or similar venue. (Required) 2 - 4 years Case management, discharge planning or utilization management (Preferred) Required Skills: Strong Verbal Communications Skills, Strong Written Communications Skills, Excellent Interpersonal Skills, Medical Terminology Additional Information .All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $39.52 - $50.65 Other Compensation (if applicable): N/A Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].

Job Title: Clinical Medical Review Nurse Type: Contract, 5 mos with chance of extension Compensation: Based on experience starting at $41.50 / hr Contractor Work Model: Hybrid - Onsite in Baltimore, MD 2-3 days per week, plus occassional travel to providers for record retrieval, as needed. Clinical Medical Review Nurse / Medical Records Abstraction Specialist Schedule: 8-hour shifts (start time 8:00 or 8:30 AM); onsite training twice a year (January and June/July) Residency Requirement: Must live in MD, DC, VA, WV, PA, DE, or NJ Purpose This role combines clinical medical review and medical record abstraction responsibilities. The position handles day-to-day review of professional and institutional claims, provider appeals, and medical record abstraction to determine benefit eligibility and support claims processing/adjudication. It includes pre- and post-claim medical review for Commercial, FEP, and Medicare Advantage Plans, as well as HEDIS-related activities. The role also involves medical underwriting and risk assessment, ensuring compliance with corporate and medical policies. Essential Functions + Claims Review & Analysis (35%) Review and analyze professional and institutional claims using critical thinking, nursing judgment, and corporate/medical policies. Perform high-level research on medical policy topics and assess impact on policy. + Pricing & Coding (25%) Provide pricing for procedure codes requiring individual consideration or listed as "not otherwise classified." Interpret medical information using CPT and HCPCS manuals; maintain current knowledge of coding rules and standards. + Policy & Collaboration (25%) Participate in medical policy meetings, nurses' forums, and review sessions with Medical/Dental Directors. Engage in special projects and task force committees as assigned. + Medical Underwriting & Risk Assessment (15%) Review applications and medical records for potential subscribers to determine acceptable medical risk. + Medical Record Abstraction & Overreads Abstract medical records and perform overreads for quality measures (including HEDIS). Navigate EMR systems to retrieve and review records. Qualifications + Licensure: RN (required) or LPN; State or Compact Licensure (MD, VA, DC required upon hire) + Experience: + Minimum 5 years clinical experience (acute care preferred) + Previous case management, discharge planning, or utilization review experience + EMR navigation experience + Basic Excel and Microsoft Office proficiency + Experience in an office setting + Ambulatory experience + Preferred: + Bachelor's degree in Nursing + HEDIS experience (preferred, not required) Knowledge, Skills, and Abilities + Strong interpersonal and communication skills (verbal and written) + Ability to work independently and collaboratively + Current knowledge of clinical practices and medical policies + Strong organizational skills and attention to detail + Proficiency in Microsoft Office and web-based technology System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law. #M-PJ1 #LI-PJ1 #DI-PJ1 Ref: #851-Rockville-S1 System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus

Make it happen at Hopkins As a member of Johns Hopkins Medicine, Johns Hopkins Howard County Medical Center is a 266-bed acute care facility that has been serving the community for nearly 40 years. We can offer the most advanced, innovative technology with the collaboration and teamwork typically found in a community hospital. What you will do: The Utilization Review (UR) Nurse performs UR and Payor management activities, which include prospective and/or retrospective chart and clinical systems review to measure UR issues that affect reimbursement for the patient's hospital stay or visit. Responsibilities include medical record review, communication with third party payors, third party payor initial denials, and special projects which are coordinated and directed by the UR Payor Management Team Leader. May design and initiate special projects as supervised by Manager, Utilization Management. Why nurses love Howard County Medical Center: Warm and collegial environment Fantastic benefits: hcgh.mybenefitsjhhs.com Free parking and more What you will need: Graduate of an accredited school of nursing. BSN is required. Minimum of three (3) years of relevant clinical experience required, of which demonstrated abilities in the areas of discharge planning, utilization, and quality management is highly preferred . Experience in two or more clinical areas are preferred. Salary Range: Minimum 53.47/hour - Maximum 53.47/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

between two inpatient units. The Co-Ed Adolescent Mood Disorder Unit is for the multi-disciplinary assessment, evaluation, crisis intervention, and stabilization of adolescent female and male patients. Discharge planning emphasizes movement to day hospital or outpatient care as soon as the crisis has been stabilized. The Adolescent Female Crisis Stabilization Unit is a 22 bed unit for the multi-disciplinary assessment, evaluation, crisis intervention, and stabilization of adolescent female patients. Discharge planning emphasizes movement to day hospital or outpatient care as soon as the crisis has been stabilized. What to expect. Communicates in a therapeutic, respectful way with patients at the patients' level of understanding. Investigates and follows up on complaints or concerns from patients' family members. Assigns inpatient rooms based on requirements of programming tracks on inpatient unit(s). Reassigns nursing staff as necessary to provide optimum coverage and regulatory/compliance requirements. Manages milieu and operational concerns on unit(s). Assists and provides direction to nursing staff in resolving problems. Apprises nurse leader of concerns that require her/his attention. In the absence of or as delegated by the nurse leader, assesses and coordinates the resolution of clinical crises. Provides significant input into the procedures and protocols for the unit Provides support to nurse leader by interviewing and screening candidates for existing nursing vacancies. Orients new nursing staff to the unit. Maintains appropriate documentation regarding new employee and ongoing education and training, competency assessment and performance appraisal, working with Human Resources as needed. Identifies nursing staff education needs and recommends methods of staff development to nurse leader. Provides input into the performance appraisals of RNs, mental health workers and unit support staff Utilizes clinical expertise in the provision of direct patient care as needed, consultative activities, staff development, and treatment planning. Provides quality nursing care services that are based on an understanding of the needs of the assigned patient population Assists nurse leader in evaluating and monitoring nursing documentation and initiates corrective action to ensure compliance with internal and external standards Helps create a culture of performance improvement that contributes to providing quality, cost effective services. Suggests ways in which the unit/program can maintain and improve safety. Attends required in-services for updates and reviews. Maintains confidentiality with regard to all communication pertaining to patients, families and organizational business. Other duties as assigned. What you'll get from us. At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer: An extended clinical orientation led by Sheppard Pratt's Clinical Education Department to prepare you for the responsibilities of your role. A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation Comprehensive medical, dental and vision benefits for benefit eligible positions 403b retirement match Generous paid-time-off for benefit eligible positions Complimentary Employee Assistance Program (EAP) Generous mileage reimbursement program The pay range for this position is $85,404.80 minimum to $140,753.60 maximum. Pay for this position is determined on a number of factors, including but not limited to, board certifications and years and level of related experience. What we need from you. Work requires graduation from an accredited program of nursing (BSN preferred) and possession of a current license as a Registered Nurse in the State of Maryland at the time of appointment and continuously while in position. Work requires clinical and managerial skills, knowledge of psychiatric nursing, and comprehensive knowledge of diagnosis and treatment of assigned patient population - acquired through two to three years of related experience, 1 of which must be in inpatient psychiatric nursing. Work requires interpersonal skills sufficient to provide effective leadership for assigned personnel and to interact effectively with psychiatrically and physically ill patients, family members, visitors and a variety of Sheppard Pratt departments (51 to 80% of work time). Work requires analytical and problem-solving abilities necessary to reassign nursing staff to meet programming demands of unit; screen applicants (with supervision of nurse leader); identify training needs; and resolve nursing and administrative issues in absence of the nurse leader. In keeping with the Maryland Board of Nursing guidelines, all nurses must have an active Maryland nursing license to practice in the state of Maryland, or must have an active license in a compact state that allows them to practice in Maryland, if they reside in that compact state. A multistate licensee who changes primary state of residence to another party state shall apply for a multistate license in the new party state within 60 days. The rule requires that a nurse apply for a new license in a new primary state of residence within 60 days of relocating, it does not require the new license be issued within 60 days. #LI-SH1

PRIMARY FUNCTIONS: The Nursing Coordinator works with the Nursing Manager and Chief Medical Officer to facilitate access to high quality, safe, patient-centered medical care for all Neighborhood Health patients regardless of race, age, or ability to pay. The Nurse Coordinator is responsible for the supervision of the site's clinical support staff and performs clinical duties when needed including triage and high-risk case management. Demonstrates commitment to Neighborhood Health's mission of improving health and advancing health equity in Alexandria, Arlington, and Fairfax by providing access to high quality primary care regardless of ability to pay. DUTIES/ RESPONSIBILITIES: ( Essential Functions: Duties and responsibilities noted with bullets are considered to be the essential functions of the job) Works with multidisciplinary team, to include the medical provider, behavioral health provider, dental provider, family support worker, referral coordinator, and medical assistant to provide high quality, coordinated, and patient-centered primary care. Supervises, trains, evaluates, and manages schedules of clinical site's medical assistant team and site's care coordinator. With nurse manager, helps plan and coordinate medical assistant training activities. Facilitates daily flow of medical care in clinic. Oversees ordering and maintenance of clinical supplies, onsite medications, and equipment. Works with prior authorization coordinator to obtain insurance authorization for patient medications. Submits prior authorization requests for urgent patient procedures. Oversees patient safety practices at site to conform with ambulatory standards of The Joint Commission. Implements Primary Care Medical Home practices at site. Oversees administration of Virginia state vaccine program. Oversees performance and quality of in-house laboratory tests. Oversees medical provider daily patient schedules, leave requests, and coverage schedules. Performs clinical duties when needed, including phone or in-person triage, nurse visits for chronic care education and management, and communication of clinical information. Manages high risk patient care, including patients with multiple co-morbidities or those at high risk for hospitalization or readmissions. Reports morbidity and reportable conditions to local health department. Along with care coordinators, assists patients in efficiently navigating the health care system. Participates in clinic quality improvement and risk management activities, including data collection, and committee meetings as appointed. Assist with developing, coordinating and recommending changes for the improvement of clinical services in the designated site. Employee will be asked to perform additional duties and take on other responsibilities as dictated by events and circumstances. OTHER DUTIES: Assists with developing, coordinating, and/or recommending improvements in program area. May be assigned to various projects to advance the development or program area. May be asked to assist during weekend or evening. Able to work under minimal supervision. Other duties may be assigned. QUALIFICATION/EDUCATION and/or EXPERIENCE REQUIREMENTS: Registered Nurse licensed in Virginia or compact state. Current Virginia Registered Nurse (RN) license or compact state. Strong interpersonal communication skills. Experience within primary care environment, preferably with Federally Qualified Health Center. Ability to demonstrate commitment to the mission of Neighborhood Health. Ability to work effectively with a diverse work force. Ability to work effectively with diverse and low income patient population. Employee development and performance management skills. Experience with information technology, electronic health records, medical records. Knowledge of local health care environment and capacity to develop partnerships with community partners. Bachelors of Science in Nursing (BSN) preferred. Fluency in Spanish a plus.

Job Description About Us: Maryland Treatment Centers Inc., provides a comprehensive continuum of treatment for persons of all ages with problems involving substance use. We feature specialty services for young adults and adults. Clinical programs include assessment, residential/inpatient, detoxification, day treatment, intensive outpatient and outpatient substance abuse, dual diagnosis, mental health, special education and prevention services. Our programs are accredited by the Joint Commission (JCAHO). We are currently searching for Full-time Nurse in our Baltimore location! LPN or RN welcomed to apply! Shift availability (3/12 Hour Day Shifts) Responsibilities: Medical record keeping General nursing care to patients Demonstrates the ability to effectively assess and document the needs of patients Demonstrates appropriate and effective verbal communication with patients Responds effectively and appropriately in crisis Minimum Requirements: At least 21 Years of Age AA degree in Nursing 1 Year of experience Nurses must be licensed through the state of Maryland Department of Health and Hygiene. Good organizational and documentation skills Bonus Points: RTC experience Mental health / substance abuse experience

DEPARTMENT: Nursing Services extended weekday hours may be required even in the event of inclement weather; Daily Job Site: Flexible. FLSA STATUS: Exempt CLASSIFICATION: Full Time COMPENSATION: $45.00 FIELD WORK & TRAVEL: Position requires 25% of travel SUMMARY OF POSITION: EPIC is an organization that strives to develop and maintain a harmonious work environment and encourages growth and professional development. All EPIC team members have basic requirements in areas such as Leadership, Team Management, and Compliance Assurance. The position of Registered Nurse is responsible for the administration and implementation of the medical services at EPIC QUALIFICATIONS & REQUIREMENTS: • Must have a Bachelor's Degree. • A graduate of an accredited School of Nursing program with a BSN degree or higher • Must have advanced Microsoft Word skills. • Must possess a local, valid U.S. driver's license with no more than 3 moving violations and/or at fault accidents in the past 3 years or any major violations in the past 5 years • Must have the ability to successfully pass COMAR mandated training and basic skills tests • Must have knowledge of DDA, CMS finale rule and COMAR regulations. • Must have at least 3 years of experience with adults with intellectual disabilities and/or clinical experience and three (3) years of supervisory experience. • Must be certified to train staff on medication administration Soft Skills: • Possess good creative and customer service skills. • Must have good problem solving and critical thinking skills. • Have good adaptability and flexibility to be effective in changing environments. • Possess good conflict resolutions skills. Interpersonal Skills: Page 2 of 4 Registered Nurse DEV 9/2020 EVALUATED COMPONENTS • Ability to closely collaborate across all EPIC programs and departments. • Ability to work together as a team where there is effective communication. • Must possess good communication, analytical, and problem-solving skills. • Must be able to prioritize, multi-task and meet deadlines in compliance with internal and external agencies rules and regulation. • Good time management skills to manage one's own time and the time of others. • Must be responsible and take accountability for own actions **ADDITIONAL REQUIREMENTS WILL BE PROVIDED AT INTERVIEW**

The nursing graduate shall practice only under the direct supervision of a registered nurse who is physically present on the unit to (1) cosign medication transcription, medication administration, and nursing documentation; and (2) continually observe, assist, coordinate, evaluate, and monitor the nursing graduate. The nursing graduate shall use the initials NG after the nursing graduates name as credentials. Transcribe medication orders per written policies and procedures once skill validation has been successfully completed. Administer medications and controlled substances and sign controlled substances sheets Document in the medical record with the abbreviation NG Perform patient assessments after the initial assessment or after the first assessment of the shift performed by the registered nurse. Perform and document routine procedures taught within the nursing graduates generic nursing program including placing nasal gastric tubes, performing urinary catheterizations, applying sterile dressings, performing blood sugar checks and obtaining specimens. Graduate of an accredited registered nursing program. Graduate of an accredited registered nursing program. Eligible to sit for NCLEX - A nursing graduate shall cease practice as a nursing graduate immediately if the nursing graduate fails two attempts at the NCLEX exam or has not successfully taken and passed the NCLEX exam within 120 days of application to the board of nursing. A nursing graduate shall cease practice as a nursing graduate: (a) No later than 120 days after the date the nursing graduate submitted an application to the Board; or (b) Immediately if the nursing graduate fails the second NCLEX examination. A nursing graduate may not: (a) Work without the physical presence of and direct supervision by a registered nurse; (b) Refer to oneself or practice as a registered nurse (RN) or licensed practical nurse (LPN); (c) Be considered a staff person for purposes of a staffing pattern; (d) Accept charge responsibilities; or (e) Perform initial patient assessment or the first patient assessment of a shift, develop patient plans of care, evaluate or document patient discharge, or independently administer medications or intravenous therapy. Luminis Health Benefits Overview: Medical, Dental, and Vision Insurance. Retirement Plan w/employer contribution. Paid Time Off. Employee Tuition Assistance Benefits. Employee Referral Bonus Program Employer Paid Holidays, Disability, and Life/AD&D for full time employees Wellness Programs/Employee Assistance Programs and more Pay Range$25-$30 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance • Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • Paid Time Off • Tuition Assistance Benefits • Employee Referral Bonus Program • Paid Holidays, Disability, and Life/AD&D for full-time employees • Wellness Programs • Employee Assistance Programs and more *Benefit offerings based on employment status Opt-in for text notifications! Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone. To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time. Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.

New Graduate RN Residency: VHC Health Nurse Residency Program is based on the Vizient and American Association of Colleges of Nursing (Vizient/AACN) Nurse Residency Program™. The Vizient/AACN Nurse Residency Program (NRP) is designed to effectively support new nurse graduates as they transition into their first professional roles. Built on an evidence-based curriculum developed by experts from academic medical centers and nursing schools across the country, the program focuses on three critical areas: leadership, patient outcomes, and professional role. Hospital Information: VHC Health is a 453-bed not-for-profit Hospital and teaching facility that has been delivering high quality care to the Washington, DC metropolitan area for over 75 years. Recent accomplishments include recognition by Newsweek as a 2025 "World's Best Hospital" and VHC becoming the Washington Commanders Football provider for women's health. VHC Health is a designated Level II Trauma Center and a recognized Magnet Facility by the American Nurses Credentialing Center. At VHC Health, we are always striving to provide continued excellence and growth for our employees as well as top notch care for our patients and that is made clear with our recent accomplishments! Goals: One of the primary goals of the program is to improve the residents' critical thinking/clinical reasoning skills and ability to understand and use outcomes data to promote patient safety Further develop effective decision-making skills related to clinical judgment and performance Provide clinical nursing leadership at the point of care Strengthen your commitment to the profession of nursing Evolve in the formation of an individual professional development plan Incorporate research-based evidence linked to practice outcomes into the care he or she provides Structure of the residency program: Full-time Employment; schedules vary by department At least 6-8 weeks of unit-specific orientation and preceptorship will be integrated into program (new graduate RN will work the same schedule as preceptor) Program lasts about 1 year and Residents will meet regularly as a cohort once a month for four hours with access to preceptors and expert resident facilitators Completion of an evidence-based project Mentoring on a professional development plan Nurse and program evaluation, including completion of the required Vizient/AACN and institutional surveys Purpose & Scope: Across all levels, the registered professional nurse is responsible for the direct and indirect total nursing care of their assigned patients. The RN is also responsible for the supervision of assigned personnel. The position requires knowledge of both department and hospital policies and procedures relevant to the delivery of nursing care. Interpretive skills, frequent interactive and consultative associations, along with management and supervisory skills are inherent in the position. The ability to retrieve, communicate or otherwise present information in a written, auditory or visual fashion is essential. The primary method to express or exchange ideas is through the spoken word. Written, telephone, and manual dexterity skills are required for this position. Education: Associate's in Nursing Required or, Bachelor's in Nursing Required Experience: New Graduate: under one year of Nursing/Patient Care in an acute care setting Certification/Licensure: Licensed as a Registered Nurse by the Virginia Department of Health Professions required or, Compact State Licensure in Nursing required BLS certification required Additional Job Description Pay & Benefits: Commensurate with experience. Team members are eligible to receive benefits on the first day of the month following the date of hire, with 30 days to apply for benefits of choice. Employee-Led Engagement and Wellness Committee dedicated to make work a fun and healthy place to work Annual Employee Survey - Your Voice is Heard at VHC! Paid Major Holidays Generous Paid Time Off / Vacation / Sick Time Health Insurance Dental Insurance Tuition Reimbursement Student Loan Repayment Career Counseling, Leadership Development and Training Clinical and Research Pathways Eligible Annual Merit Review and Merit Increases Employee Assistance Program (EAP) Flexible Spending Accounts (FSA) Health Savings Account (HSA) Health Fitness & Education Class Discounts Employee Wellness Benefits Hospital Discount for Employees and Family VHC Health Outpatient Pharmacy VHC Retirement Program Workforce Enhancement Program Work/Life Discounts Program Free onsite parking Commuter Benefits Family Leave 401(k) + Match and much more!

Enrollment Admissions Recruiter for The School of Nursing & Healthcare Professionals (NHP) Salary Range 65k to 80k (Annually) - More experienced Enrollment Admissions Recruiters we're flexible with title to include: Assistant Director of Admissions for NHP. Title and salary is based on qualifications and experience. Trinity Washington University seeks an Enrollment Admissions Recruiter for the School of Nursing and Health Professions (NHP) who is sales driven and has knowledge of the healthcare system. This role will build credible relationships among prospective students, families, health care and medical professionals, and community partners, that yield enrollment results. The successful candidate will have healthcare knowledge with previous sales experience, superior interpersonal skills, a commitment to the mission of Trinity, and an understanding of the market. The Enrollment Admissions Recruiter will diligently manage a portfolio of passionate prospects, from inquiry through enrollment working collaboratively with Enrollment Services (Financial Aid, Advising, Student Success, and other offices as needed). The successful candidate will possess a genuine enthusiasm for recruitment work, deploy a creative and personable sales approach, and understand the value of professional collaboration within a student-centered environment. The Enrollment Admissions Recruiter for NHP will recruit and support enrollment goals for new student growth among undergraduate and graduate students. Work closely with a team of highly capable professionals, all committed to the mission of the institution. Desirable candidates will be able to effectively communicate and demonstrate their successful record of relationship management, sales, and stakeholder engagement. Trinity seeks team members with strong communication talents, and an eagerness to develop new relationships as needed to support growth opportunities for the University. This position will report to the Director of Admissions for NHP, and will work collaboratively with Deans and the Associate Vice President of Admissions for Graduate & Professional Schools. About Trinity: Located in the Nation's Capital, Trinity Washington University is a premier, private institution founded in 1897 with 127 years of educational excellence and catholic tradition designed for undergraduate women with graduate, professional, and certificate academic programs for all. Primary Responsibilities: Recruit, steward, and enroll undergraduate and graduate students in the School of Nursing and Health Professions program. Build and manage constituent relationships with healthcare facilities, hospitals, rehabilitation centers, community partners, and community colleges. Develop and execute yield events as needed for the targeted enrollment pipelines. Use data to track enrollment analytics and target efforts for outreach. Produce and provide compelling presentations for multiple constituents to support enrollment growth. Travel to recruitment events (locally and within a nearby radius) to recruit prospective students; actively participate in recruitment events held in person on campus and virtually. Prepare weekly admission reports. Characteristics of successful candidates: Possess knowledge of the healthcare system Strong sales & marketing orientation with demonstrated results Have strong presentation skills Ethical, adhering to high standards of integrity Capable of using data to direct focus/efforts Excellent oral and written communication skills Able to develop a network of relevant relationships Collaborative/Positive team player Highly creative with strong problem-solving skills Commitment to Trinity's mission and strategic goals Bilingual proficiency is highly desired (Spanish) Qualifications: A bachelor's degree is required, Master's degree, is preferred. At least 2 years of successful professional sales-related experience in healthcare is required, College Admissions recruitment experience is preferred. Ability to work a flexible schedule, including evenings and weekends as needed. This position requires driving a personal vehicle on behalf of the university; therefore, the incumbent must possess and maintain a current, valid driver's license. Trinity reimburses mileage and travel expenses. Trinity offers comprehensive and competitive benefits to full-time employees to include Health, Dental & Vision insurance, Employer Paid Life and Disability benefits, 403(b) Retirement plan with employer match up to 6%, Paid Family Leave, Trinity Center Membership Free to all employees to include full size pool, walking track, weight & Cardio equipment, Free campus parking, Free Shuttle bus between campus & Brookland Metro station and more. Trinity Washington University is dedicated to the achievement of excellence and diversity among its students, faculty and staff. Trinity is committed to fostering a diverse and inclusive community and strongly encourages all qualified individuals to apply.

Our Post-Acute team provides medical services for various Skilled Nursing, Rehabilitation, Long Term Care and Assisted Living facilities. Deliver compassionate patient care working on our growing post-acute care team. Essential Job Functions: Competently perform exams and complete assessments and treatment plan. Adhere to Adfinitas policies for frequency of overseeing the care of and reviewing the notes related to specific episodes of care for patients of the skilled nursing facility. Facilitate the patient's transition within and between health care settings, e.g. admitting, transferring, and discharging patients. Collaborate with multidisciplinary team members. Submit accurate and timely charges for all professional services performed REQUIREMENTS 1+ years of experience as an Advanced Practice Provider in an acute role, preferably long-term care or skilled nursing facility or similar inpatient experience required Graduate of an accredited school and program, respective to role (PA-C, or NP) Licensure to practice medicine in good standing, with the state governing body Federal DEA certification in good standing State CDS in good standing Capable of being successfully credentialed at designated locations Possess strong clinical skills and demonstrate competency in providing comprehensive health care including evaluation, diagnosis and treatment Flexibility and organizational skills to work autonomously Proven skills, knowledge base, and judgment necessary for independent clinical decision making Excellent organizational, time management and problem-solving skills Ability to function effectively as part of a multi-disciplinary team Effective oral and written communication skills Demonstrate commitment to high ethical standards and healthcare compliance. Ability to work in stressful situations. Strong computer skills, including various EMR systems. ABOUT US - ADFINITAS HEALTH Adfinitas Health is a rapidly growing and multispecialty medical practice. Founded in 2007, we are a physician-owned and managed company, providing high-quality, cost-effective clinical management services across the full continuum of care in hospitals, critical care and post-acute facilities. We recruit and train the best and brightest medical professionals and offer career advancement, leadership training and education, and the ability to practice at the top of one's license. Our physicians, nurse practitioners, and physician assistants are supported by a dedicated team of business professional to ensure that the administrative and operational components of care are properly managed - allowing our providers to focus on patient care and quality improvement. BENEFITS FOR FULL TIME Competitive salary and bonus package Comprehensive benefits including Health, dental, vision, CME, 401k, ST/LT disability and life insurance Paid Time Off Leadership and training programs available Malpractice insurance with tail, 100% company paid Cross-training opportunities Incentives for improved productivity and quality care Manageable caseloads Flexibility in scheduling Recognition of service outside of work We offer flexibility and work-life balance. Adfinitas Health is a government contractor and an Equal Opportunity/Affirmative Action Employer. It is Adfinitas Health's policy that all personnel-related decisions are made without regard to race, color, religion, sex, national origin, age, disability, marital or veteran status, or any other protected status.

Information **Job Title** Summer Camps Nurse **Posting Category** Part-Time Staff **Starting salary range or starting hourly rate range** $3,851 paid over duration of season **Classification Title** Harford Community College (HCC) has been a vital part of Harford County since 1957. As a mid-sized, comprehensive institution, we're committed to delivering high-quality education and cultural enrichment to our community. Our mission is to provide relevant, accessible education and training that connects individuals to opportunities in an ever-evolving world. As an Achieving the Dream institution, HCC is part of a national network dedicated to enhancing student success in community colleges. To learn more about our vision and values, visit our website (************************************************************ . **Affirmative Action and Equal Employment Opportunity Statement** Harford Community College is committed to the principles of Affirmative Action and Equal Employment Opportunity. It is the policy of Harford Community College not to discriminate against applicants on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by law with regard to any employment practices. HCC is an EEO and ADA/ADAA employer, including disability and protected veteran status. **Benefits** **Job Description** Harford Community College is currently seeking a part-time Summer Camps Nurse for our Summer Youth Camps. Camp season begins June 22, 2026, and continues through August 14, 2026. The Summer Camps Nurse will serve as the Health Supervisor for HCC Summer Youth Camps, administering and maintaining the summer camp health program. The Health Supervisor is required to be on campus while camps are in session to support, as needed, any medical needs such as asthma, cancer, diabetes, or epilepsy. **Essential Duties and Responsibilities:** 1. Review and approve the summer camps' health program. 2. Train and collaborate with campus staff to serve as Health Supervisor Designees in their absence, providing simple first aid and overseeing self-administered medication by campers. 3. Maintain health records for campers and staff, and keep a daily log of health or safety incidents as needed. 4. Develop a plan of action for campers identified with behavioral or medical needs. 5. Manage medical supplies and oversee the distribution of first aid supplies to every classroom at the beginning of each camp. 6. Ensure all campers have completed necessary medical forms before attending camp. 7. Follow up with parents regarding incomplete or missing medical forms. 8. Perform other duties as assigned by the supervisor. The Summer Camps Nurse is required to attend employee training, to be scheduled for the week of June 8th. Employees of Harford Community College, including instructors for online and virtual courses, must be residents of Maryland or the contiguous states of Delaware, Pennsylvania, Virginia, West Virginia, or the District of Columbia. **_Applicants must be currently authorized to work in the United States, as the College does not offer Visa sponsorship for this position._** **Required Education** Must be a registered nurse licensed and able to currently practice in the state of Maryland. **Required Experience** Previous experience in a camp or pediatric setting preferred. **Required Knowledge, Skills, & Abilities** + Ability to successfully pass an FBI, MD, and CJIS background screening. + First Aid and CPR/AED certified - HCC offers two free classes to summer camp employees prior to the beginning of camp, dates to be determined. + Must be able to work in a camp environment, which may include outdoor activities and varying weather conditions. + Strong customer service skills + Excellent communication skills. + Ability to work and cooperate with co-workers and supervisors at all levels. + Ability to work with, within, and promote a diverse workforce and environment. + Ability to understand and act on oral and written instructions in English. + Ability to learn and perform all essential job functions accurately. **Preferred Qualifications** June 22, 2026 to August 14, 2026 availability preferred or at least 4 weeks total availability; conflicts with availability or requested leave time must be submitted at the time of hire for approval. **General Weekly Work Schedule** The work schedule is approximately 20 hours per week. Schedules will vary between 8:30 a.m. to 1:30 p.m. or 12:30 p.m. to 4:30 p.m. Posting Detail Information **Posting Number** 2025-060AO **Open Date** **Close Date** **Open Until Filled** Yes **Special Instructions to Applicants** **Supplemental Questions** Required fields are indicated with an asterisk (*). 1. *Do you live in Maryland or a contiguous state to Maryland? (PA, DE, VA, WV, DC) 2. Yes 3. No 4. *Will you require sponsorship to work in the United States from Harford Community College? 5. No, I will not require sponsorship from Harford Community College 6. Yes, I will require sponsorship from Harford Community College 7. *Do you have an active RN license in the state of MD? 8. yes 9. no **Documents Needed To Apply** **Required Documents** 1. Resume 2. Cover Letter **Optional Documents** 401 Thomas Run Road Bel Air, Maryland 21015 ************ | ************************** Back to top Copyright © Harford Community College

**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Experience the highest level of appreciation at UM Baltimore Washington Medical Center - named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021! As part of the acclaimed University of Maryland Medical System, our facility is one of three ANCC Pathway to Excellence designated hospitals in Maryland. UM BWMC features one of the state's busiest emergency departments, as well as a team of experts who care for our community and one another. The University of Maryland Baltimore Washington Medical Center (UMBWMC) provides the highest quality health care services to the communities we serve. Our medical center is home to leading-edge technology, nationally recognized quality, personalized service and outstanding people. We have 285 licensed beds and we're home to 3,200 employees and over 800 physicians. Our expert physicians and experienced, compassionate staff are connected to medical practices in the local community as well as at University of Maryland Medical Center in downtown Baltimore. For patients, this means access to high-quality care and research discoveries aimed at improving Maryland's health. Our physicians and nursing staff specialize in emergency, acute, medical-surgical and critical care. In addition, our medical center is home to many Centers of Excellence, offering expert outpatient health care. Job Description General Summary Using the established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital team, the insurance provider, and regulatory agencies to assure compliance with regulatory and reimbursement requirements.The position is goal-oriented with a high level of accountability correlated to maximizing reimbursement and minimizing denials. Mission All employees are responsible for extending the mission and values of Baltimore Washington Medical Center by dedicating oneself to providing the highest quality healthcare services to the communities we serve. Reporting Relationships Reports to the Director of Care Management. Qualifications Education:Graduation from an accredited nursing education program approved by the Board of Nursing or found to be substantially equivalent to the programs in Maryland. Currently licensed as a Registered Nurse in the State of Marylandrequired, BSN preferred. Experience:Three (3) yearsof relevantclinical experience required.Ongoing education, certification, and self development to remain current with industry standards and business objectives related to hospital utilization and case management. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $40.61 - $60.96 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].

One organization. Countless opportunities. Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHP is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP has become a leader in provider-sponsored health plans and is poised for future growth. About this position: Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members' lives. Your in-depth knowledge of the appropriate levels of care makes you a valuable resource to our members when they are in need. What you'll do: * Monitor the appropriateness of care received by plan members in a variety of settings * Evaluate member benefits and medical criteria to determine authorization of services * Communicate authorization and/or denial of covered services with all parties involved * Initiate discharge planning of members What awaits you: * Work-life balance - This is a remote role! * Medical, Dental, and Vision Insurance. * 403B Savings Plan w/employer contribution. * Paid Time off & Paid holidays. * Employee and Dependent Tuition assistance benefits. * Health and wellness programs and MORE! What you'll bring: * Understanding of managed care delivery systems and utilization management * Knowledge and expertise in utilizing various criteria sets (i.e. InterQual) * Ability to negotiate and resolve conflicts with external customers. * Unencumbered Registered Nurse (RN) license in Maryland (or Compact state) * 3+ years' experience as an acute care RN * 1+ years' experience in Managed Care/Utilization Review is required Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. Salary Range: Minimum 36.31/hour - Maximum 56.28/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Performs a full range of professional nursing services, including assessing, planning, and evaluating patient care in accordance with the team treatment plan. Administers treatment as prescribed by physician and is responsible for teaching and providing psychosocial support to patients. Facilitates coordination of care while monitoring treatment adherence. Documents and reports patient status and progress to treatment team. Responsibilities: Actively seek to provide quality services that meet the needs of patients as well as other clients, families, payers, referrers, and staff. Provide consultation, instruction, and direction to other clinical staff, students, and volunteers. Interview patients and will assess their functional level according to professional standards. Provide pre-admission screening as is required. Help to develop a professional treatment plan that meets patient needs and complements the services provided by other treatment teams. Provide professional nursing care to individuals and groups based on an understanding of the special needs of the patient population served. Performs medical treatments as prescribed by a physician or as is indicated by the patient's condition. Recognize common alterations in patient physiological and psychological status; initiates action as indicated to provide safe and therapeutic treatment. Instructs patients and families on mental health issues, treatments, procedures, plans of care, home care methods and techniques that are necessary for continuing patient care and rehabilitation. Complete written documentation of initial patient assessment and ongoing treatment and progress through discharge in compliance with program standards. Reports pertinent patient observations to treatment team. Participate in the evaluation of program effectiveness and efficiency and works to ensure continuous improvements in the quality of services. Requirements: Knowledge on nursing theory, principles, and practice-a normally acquired through graduation of an accredited program of Nursing and/or 2-3 years of direct job related experience. Possession of a current license as a Registered Nurse in the State of Maryland at the time of appointment. Maintains professional knowledge and skills through attendance to professional meetings, workshops, courses, and in-service sessions. Analytical ability and sound nursing knowledge for the effective formulation of nursing care plans, implementation of care, and appropriate documentation of pertinent information regarding a patient's condition. Excellent interpersonal skills and the ability to interact effectively with psychiatrically ill patients in order to gain their cooperation, allay apprehensions and provide effective health education to patients and family members. Ability to physically intervene in medical and behavioral emergencies, transport patients, and assist in the lifting of a patient. What you'll get from us. At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer: A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation Comprehensive medical, dental and vision benefits for benefit eligible positions 403b retirement match Generous paid-time-off for benefit eligible positions Complimentary Employee Assistance Program (EAP) Generous mileage reimbursement program The pay range for this position is $74,263 minimum to $81,954.53 maximum. Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience. WHY SHEPPARD PRATT? At Sheppard Pratt, we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing to individual's facing life's challenges. Join us and be a part of a mission that changes lives! #LI-IM1 #IND123

Job Title Summer Camps Nurse Posting Category Part-Time Staff Starting salary range or starting hourly rate range $3,851 paid over duration of season Classification Title About Harford Community College Harford Community College (HCC) has been a vital part of Harford County since 1957. As a mid-sized, comprehensive institution, we're committed to delivering high-quality education and cultural enrichment to our community. Our mission is to provide relevant, accessible education and training that connects individuals to opportunities in an ever-evolving world. As an Achieving the Dream institution, HCC is part of a national network dedicated to enhancing student success in community colleges. To learn more about our vision and values, visit our website. Affirmative Action and Equal Employment Opportunity Statement Harford Community College is committed to the principles of Affirmative Action and Equal Employment Opportunity. It is the policy of Harford Community College not to discriminate against applicants on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by law with regard to any employment practices. HCC is an EEO and ADA/ADAA employer, including disability and protected veteran status. Benefits Job Description Harford Community College is currently seeking a part-time Summer Camps Nurse for our Summer Youth Camps. Camp season begins June 22, 2026, and continues through August 14, 2026. The Summer Camps Nurse will serve as the Health Supervisor for HCC Summer Youth Camps, administering and maintaining the summer camp health program. The Health Supervisor is required to be on campus while camps are in session to support, as needed, any medical needs such as asthma, cancer, diabetes, or epilepsy. Essential Duties and Responsibilities: * Review and approve the summer camps' health program. * Train and collaborate with campus staff to serve as Health Supervisor Designees in their absence, providing simple first aid and overseeing self-administered medication by campers. * Maintain health records for campers and staff, and keep a daily log of health or safety incidents as needed. * Develop a plan of action for campers identified with behavioral or medical needs. * Manage medical supplies and oversee the distribution of first aid supplies to every classroom at the beginning of each camp. * Ensure all campers have completed necessary medical forms before attending camp. * Follow up with parents regarding incomplete or missing medical forms. * Perform other duties as assigned by the supervisor. The Summer Camps Nurse is required to attend employee training, to be scheduled for the week of June 8th. Employees of Harford Community College, including instructors for online and virtual courses, must be residents of Maryland or the contiguous states of Delaware, Pennsylvania, Virginia, West Virginia, or the District of Columbia. Applicants must be currently authorized to work in the United States, as the College does not offer Visa sponsorship for this position. Required Education Must be a registered nurse licensed and able to currently practice in the state of Maryland. Required Experience Previous experience in a camp or pediatric setting preferred. Required Knowledge, Skills, & Abilities * Ability to successfully pass an FBI, MD, and CJIS background screening. * First Aid and CPR/AED certified - HCC offers two free classes to summer camp employees prior to the beginning of camp, dates to be determined. * Must be able to work in a camp environment, which may include outdoor activities and varying weather conditions. * Strong customer service skills * Excellent communication skills. * Ability to work and cooperate with co-workers and supervisors at all levels. * Ability to work with, within, and promote a diverse workforce and environment. * Ability to understand and act on oral and written instructions in English. * Ability to learn and perform all essential job functions accurately. Preferred Qualifications June 22, 2026 to August 14, 2026 availability preferred or at least 4 weeks total availability; conflicts with availability or requested leave time must be submitted at the time of hire for approval. General Weekly Work Schedule The work schedule is approximately 20 hours per week. Schedules will vary between 8:30 a.m. to 1:30 p.m. or 12:30 p.m. to 4:30 p.m. Posting Detail Information Posting Number 2025-060AO Open Date Close Date Open Until Filled Yes Special Instructions to Applicants