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$51.43 - $79.84 per hour
...Description Care Manager RN @ Swedish Medical Center Full time 1 FTE Day shift Fantastic benefits and compensation... ...chance to focus on what really matters - our patients. The Utilization Review (UR) Nurse has a strong clinical background blended with a well...SuggestedFull timePart timeWork at officeLocal areaShift workDay shiftSwedish
Washington DC2 hours agonew$46.3 - $91.32 per hour
...RN - Utilization Review at Providence Health and Services summary: The Utilization Review Nurse leverages clinical nursing experience to assess and manage patient admissions in compliance with regulatory and payer requirements. This role supports utilization management...SuggestedFull timeLocal areaShift workProvidence Health and Services
Washington DC6 hours ago- ...The Supervisor for Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management... ...illness prevention and patient care delivery to each task, clinical review and or quality improvement project. Responsible for success...SuggestedFull timeLocal areaShift work
- ...comprehensive, cost-effective, and quality healthcare services for residents of the District of Columbia. The position serves as a Utilization Review Specialist that organizes, implements, and evaluates health care utilization review and utilization control activities...SuggestedPermanent employmentWork at officeMonday to Friday
- ...Overview Calling all Registered Nurses (RN) and Social Workers (BSW or MSW)!... ...Research Pathways Eligible ~ Annual Merit Review and Merit Increases ~ Employee Assistance... ...implement and coordinate discharge plans utilizing available and appropriate community resources...SuggestedFlexible hoursWeekend work
$71.1k - $97.8k
...community and help us put health first The Utilization Management Nurse 2 utilizes clinical... ...Qualifications Licensed Registered Nurse (RN) in the (appropriate state) with no... ...experience in utilization management/utilization review for a health plan or acute care setting...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Washington DC2 hours agonew$26.41 - $59.21 per hour
...JOB DESCRIPTION Job Summary The Care Review Clinician (RN) provides support for clinical member services review assessment processes... ...critical care experience, i.e. ER or ICU. Candidates with Utilization Management and med/surge experience are highly preferred. Exceptional...SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
Washington DC1 day ago- ...Clinical Member Services Reviewer Provides support for clinical member services review... ...promote the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...and experience. Registered Nurse (RN). License must be active and unrestricted...SuggestedWork at office
Molina Healthcare
Washington DC5 days ago - Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote... ...for Prior Authorization Review to join our Utilization Management team. In this role, you will... ...duties as assigned Qualifications Active RN license (WA; must be in good standing) 2-...SuggestedContract workRemote work
- ...Children's National supports the development of RN relationships within the community;... ...patient care issues via chain of command. Utilize the currently identified process to ensure... ...in performance appraisal and peer review. Support department goals for formal education...SuggestedFull timeWork experience placementShift workWeekend work
Children's National Hospital
Washington DC7 hours ago - Overview Join to apply for the Physician Reviewer - Neurological Surgery (Utilization Review) LA role at Dane Street . This is a telework opportunity for physicians providing a caseload customized to your schedule. The physician panel consists of independent contractors...SuggestedFor contractorsRemote work
- ...on critical care units. The department utilizes a multi-disciplinary approach to care,... ...Children's National supports the development of RN relationships within the community;... ...nursing practice. Demonstrate professional review of peers through timely participation in...SuggestedFull timeWork experience placementRelocation packageShift workRotating shift
Children's National Hospital
Washington DC7 hours ago $90.9k - $151.42k
...collaborative governance. Ensures effective utilization of the interdisciplinary model of care (... ...ongoing communication with leaders to review programs provide feedback discuss new developments... ...Licenses and Certifications RN - Registered Nurse - State Licensure and/...SuggestedDaily paidRelocationShift workNight shiftWeekend workAfternoon shiftMedStar Health
Washington DC2 days ago- ...employees. About the Role: Lead Clinical Reviewer DC Medicaid Contract The Clinical Review... ...Sciences, or a related clinical field. Active RN licensure. Minimum of 5 years of clinical... .... Skills: The Clinical Reviewer Lead utilizes strong clinical knowledge and analytical...SuggestedContract workRemote work
$37.33 - $61.81 per hour
...Description Registered Nurse (RN), Days, Cardiac/Telemetry Med Surg, Mon-Fri 7:... ...Resolves patient problems and needs by utilizing multidisciplinary team strategies. Maintains... ...knowledge by attending educational workshops; reviewing professional publications; establishing...SuggestedContract workWork at officeImmediate startHoward University Hospital
Washington DC2 days ago- ...on critical care units. The department utilizes a multi-disciplinary approach to care,... ...Children's National supports the development of RN relationships within the community;... ...practice. ~ Demonstrate professional review of peers through timely participation in...Full timeWork experience placementRelocation packageRotating shift
Children's National Hospital
Washington DC4 days ago $130 - $140 per hour
Overview Medical Consultant Reviewer On-Call (District of Columbia) Psychiatry - Adolescence Preferred Join to apply for the Medical... ...based medicine, and other resources to render timely decisions on utilization reviews. Provide appropriate and timely subject matter...Hourly payPart time$87.32k - $157.29k
...KNOWLEDGE OF THE HEALTHCARE ENVIRONMENT: Utilizes approaches and strategies that support and... ...surveys and regulatory and compliance reviews from local regional and national entities... ...preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/...Local areaRelocationMedStar Health
Washington DC1 day ago- ...on critical care units. The department utilizes a multi-disciplinary approach to care,... ...practice. CNMC supports the development of RN relationships within the community; specifically... .... ~ Demonstrate professional review of peers through timely participation in...Work experience placementReliefShift workRotating shift
Children's National Hospital
Washington DC4 days ago $100.59k - $190.34k
...ongoing communication with associates to review programs discuss new developments and exchange... ...delivery and outcomes. Ensures effective utilization of the interdisciplinary model of care (... ...Licenses and Certifications RN - Registered Nurse - State Licensure and/...RelocationShift workMedStar Health
Washington DC1 day ago$34 - $55 per hour
...Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination... .... RequiredLicense/Certifications ~ Current RN license from Maryland Board of Nursing. Working...Full timeLuminis Health
Lanham, MD2 days ago$66k - $105.6k
...our website, please only use or . Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other... ...status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official...Full timePart timeRemote workRelocation packageFlexible hoursLifeStance Health
Chevy Chase, MD5 days ago- ...population; serves as clinical resource for others, utilizes and integrates evidence into practice,... ....25 Weekend Nights $6.75; Up to $20,000 Sign On Bonus Review the 2025-2026 UMMS Benefits Guide PandoLogic. Keywords: Registered Nurse (RN), Location: LARGO, MD - 20775Relocation packageShift workNight shiftWeekend workAfternoon shift
University Of Maryland Medical System
Upper Marlboro, MD9 days ago - ...We are seeking a highly motivated and compassionate Oncology RN to join our Medical/Surgical Oncology unit. As a Level I Trauma Teaching... ...5671. Please allow two to three business days for the manager to review your application. Thank you for your interest! About...Full timePart timeLocal area
The George Washington University Hospital
Washington DC17 days ago $34.98 - $62.52 per hour
...patient which includes intravenous access review of allergies and laboratory results... ...by the procedure; provides patient care utilizing the nursing process; information related... ...required Licenses and Certifications RN - Registered Nurse - State Licensure and/...RelocationRotating shiftDay shiftMedStar Health
Washington DC2 days ago$87.32k - $157.29k
...and facilities. Responsible for clinical review of acute care services based on Medically... ...Operations department's policy. Monitors utilization of all services for fraud and abuse. Performs... ...Minimum Qualifications Education Valid RN license in the District of Columbia; or...Contract workWork at officeRemote work- Temporary Utilization Management and Discharge Planning RN About the role: Duration: 4 - 6 months (depends on the department needs) The Utilization Management and Discharge Planning Nurse performs clinical review in accordance with applicable regulatory and professional...Temporary work
- ...operating room circulator role during cardiac surgical procedures: Utilize expertise in open-heart surgery to assist the surgical team by... ...the cardiac surgery department. Qualifications: Valid RN license in the state of practice. Bachelor's degree in Nursing...Full timeLocal area
The George Washington University Hospital
Washington DC14 days ago $17 - $27 per hour
...policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.... ...self-care under the supervision of RN. Staff Related ~ Assists in training... ...application in an accurate and timely manner. Review treatment sheets for completeness, ensure...Hourly payWork experience placementImmediate startFRESENIUS MEDICAL CENTER
Washington DC1 day ago- .... Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.... ...performing self-care under the supervision of RN. Staff Related ~ Assists in... ...in an accurate and timely manner. Review treatment sheets for completeness, ensure...Full timeWork experience placementImmediate startRemote work
Fresenius Medical Care
University Park, MD3 days ago
