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$46.3 - $91.32 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...SuggestedFull timeLocal areaShift workProvidence Health and Services
Washington DC3 days ago$51.43 - $79.84 per hour
...Description Utilization Review RN @ Swedish Medical Center Part time 0.7 FTE Evening Shift Fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Join us, and find out how many ways we offer you...SuggestedPart timeWork at officeLocal areaShift workAfternoon shiftProvidence Health and Services
Washington DC3 days ago$51.43 - $79.84 per hour
...Description Care Manager RN @ Swedish Medical Center Full time 1 FTE Day shift Fantastic benefits and compensation... ...to focus on what really matters - our patients. The Utilization Review (UR) Nurse has a strong clinical background blended with a...SuggestedFull timeWork at officeLocal areaShift workDay shiftProvidence Health and Services
Washington DC3 days ago$46.3 - $91.32 per hour
Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and...SuggestedFull timeLocal areaShift work- Overview Position TitleCase Manager (Utilization Review), Registered Nurse (RN) or MSW Job Description Purpose & Scope The Case Manager is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual...Suggested
- ...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
$32 - $37 per hour
...culture. What You’ll Be Doing: The Nurse Reviewer is responsible for performing... ...approvals. Tasks are performed within the RN/LVN/LPN scope of practice, under Medical... ...delivery. What You’ll Be Doing: Performs utilization review of outpatient procedures and ancillary...SuggestedWork at officeImmediate startMonday to FridayWeekend work- ...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 DC3 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
- Overview Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full-time on-site position. The Utilization Review Physician Advisor (Advisor) position conducts timely and compliant medical...SuggestedFull timeRemote workFlexible hours
- ...Job Description Prime Staffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Arlington, Virginia.... ...perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent...SuggestedPermanent employmentTemporary workShift work
Prime Staffing
Arlington, VA15 days 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
- ...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
$35 - $40 per hour
...Summary and Responsibilities Acentra Health is looking for an Occupational Therapist Clinical Reviewer to join our growing team. Job Summary: The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction...SuggestedContract workWork experience placementLocal areaRemote workFlexible hours$115 per hour
...solutions in the public sector. Job Summary Acentra Health is seeking a Dental Medical Reviewer - PRN (Remote U.S.) Job Summary: The Dental Physician Reviewer will oversee utilization review/management activities to include peer review, utilization review, fair hearings...Remote jobContract workReliefWork at officeLocal areaFlexible hoursShift workWeekend workAfternoon shift$28 - $33 per hour
...Acentra Health is looking for a Clinical Reviewer (SCA) to join our growing team. Job Summary The purpose of this position is to utilize clinical expertise during beneficiary interaction... ...Qualifications Active unrestricted LPN, RN or, Social Worker or other applicable...Remote jobContract workWork at officeLocal areaFlexible hours$37.33 - $61.81 per hour
...Description Job Description Registered Nurse (RN), Days, Cardiac/Telemetry Med Surg, Mon-... ...Resolves patient problems and needs by utilizing multidisciplinary team strategies.... ...knowledge by attending educational workshops; reviewing professional publications; establishing...Contract workWork at officeImmediate startHoward University Hospital
Washington DCa month ago$57.85k - $104.58k
...and standards; verify that corrective actions are implemented Review site-specific Health and Safety Plans (HASPs) for construction... ...HAZCOM standard A technical background in various process, utility, industrial and or mechanical systems and an understanding of associated...Permanent employmentFor contractorsWork at officeLocal areaImmediate startFlexible hoursLeidos
Springfield, VA22 days ago$40 - $41 per hour
...Registered Nurse (RN) - Intermediate Care Join to apply for the Registered Nurse... ...coordinates unit activities as needed Utilizes standards, guidelines and pathways for care... ...BSN completion date 3.) Submit a review of transcripts from the school indicating...Full timePart timeRemote workRelocation packageFlexible hoursShift workNight shiftWeekend workInova Health
Falls Church, VA2 days ago$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 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 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$1,650 - $1,770 per month
...Job Description Planet Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Clinton, Maryland... ...failure, sepsis, CVA/seizures, STEMI/NSTEMI, DKA, and more\n Utilize advanced ICU nursing skills: ventilator management, telemetry,...Weekly payPermanent employmentContract workShift workNight shiftWeekend workPlanet Healthcare
Clinton, MD26 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 DC15 days ago $41.67 - $50 per hour
...Living Join our team as the Nurse Manager, RN also known as the Clinical Manager! The... ...Ulcers, Medication Errors, Restraint Utilization, Re-hospitalization, Anti-psychotic utilization... ...all required training and competency reviews are completed according to federal, state...Full timeWork at officeLocal areaImmediate startRelocation packageMonday to FridayFlexible hoursDay shiftGreenspring Village by Erickson Senior Living
Springfield, VA19 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 DC1 hour agonew- 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
$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$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
Washington DC3 days ago
