2 social worker jobs found

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: We are looking for RNs in the Washington, DC and Northern Virginia area to be part of our Onsite Clinical Navigator team. The Onsite Clinical Navigator (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience and skills in both care management and utilization management, the Onsite Clinical Navigator will leverage proficiency in established MCG, in addition to administrative/regulatory considerations, to determine medical necessity, appropriate level(s) of care and case management to engage members/enrollees, their families and other support systems in discharge planning. The role will function as a liaison working onsite at the assigned hospital up to 5 days per week and occasional weekend work may also be required, both at management's sole...

9th Way Insignia 9th Way Insignia is a service-disabled, veteran-owned small business bringing transformative technology to our government customers so they can achieve their missions. Our specialties include cybersecurity, cloud modernization, software development, data analytics, enterprise architecture, enterprise IT, analytics, process automation, and artificial intelligence. Learn more about 9th Way Insignia at https://9thwayinsignia.com/. Application password: Niner This position is contingent upon contract award. Professional Level: Level 4H Manager - A Hybrid Manager at 9th Way Insignia accomplishes department objectives by managing staff and processes and evaluating department activities. Focuses on leading a team and working hands-on with projects involving technology. Hybrid Managers require skills and qualifications such as exceptional leadership, communication and interpersonal skills. Responsibilities: Manages the software engineering process....