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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...  ...to focus on what really matters - our patients. The Utilization Review (UR) Nurse has a strong clinical background blended with a... 
    Suggested
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Washington DC
    1 day 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... 
    Suggested
    Full time
    Local area
    Shift work

    Providence Health and Services

    Washington DC
    3 days ago
  •  ...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... 
    Suggested
    Flexible hours
    Weekend work

    VHC Health

    Arlington, VA
    23 days ago
  • $28.37 - $37 per hour

     ...Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer RN - PRN 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... 
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    Contract work
    Relief
    Work at office
    Local area
    Remote work
    Flexible hours
    Weekend work
    Afternoon shift

    Acentra Health

    McLean, VA
    2 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... 
    Suggested
    Full time
    Local area
    Shift work

    Providence Health and Services

    Washington DC
    4 days 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... 
    Suggested
    Full time
    Local area
    Shift work

    Providence Health & Services

    Washington DC
    more than 2 months ago
  •  ...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... 
    Suggested
    Permanent employment
    Work at office
    Monday to Friday

    DC Department of Human Resources

    Washington DC
    5 days ago
  • $2,950 per week

     ...Prime Staffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job...  ...Cath Lab Salary information and unbiased reviews from leading Travel Nurse Agencies...  ...our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing... 
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    Permanent employment
    Temporary work
    Shift work

    Prime Staffing

    Arlington, VA
    2 days ago
  • $115k

     ...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... 
    Suggested
    Work at office
    Local area
    Immediate start
    Relocation package
    Monday to Friday
    Flexible hours
    Day shift

    Erickson Living

    Springfield, VA
    5 days 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... 
    Suggested
    Work at office

    Molina Healthcare

    Washington DC
    1 day ago
  • Job Description Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role is a full-time on-site position with remote/hybrid options as applicable. The Utilization Review Physician Advisor (Advisor)... 
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    Full time
    Remote work

    Inova Health

    Fairfax, VA
    1 day 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-... 
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    Contract work
    Remote work

    SPECTRAFORCE

    Washington DC
    1 day ago
  •  ...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... 
    Suggested
    Permanent employment
    Temporary work
    Shift work

    Prime Staffing

    Arlington, VA
    18 days 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/... 
    Suggested
    Daily paid
    Relocation
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    MedStar Health

    Washington DC
    3 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... 
    Suggested
    For contractors
    Remote work

    Dane Street

    Washington DC
    5 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... 
    Contract work
    Remote work

    Comagine Health

    Washington DC
    1 day ago
  •  ...the highest quality standards for well being. Ensures proper utilization of the Resident Care Plan by all team members. Ensures...  ...corrective actions in a timely manner. Researches, documents and reviews all incidents of abuse, neglect and misappropriation of funds;... 
    Work at office
    Local area
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Sunrise Senior Living

    Fort Belvoir, VA
    10 days 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 employment
    For contractors
    Work at office
    Local area
    Immediate start
    Flexible hours

    Leidos

    Springfield, VA
    25 days ago
  • $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 job
    Contract work
    Work at office
    Local area
    Flexible hours

    Acentra Health

    Mc Lean, VA
    1 day ago
  • $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 job
    Contract work
    Relief
    Work at office
    Local area
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Acentra Health

    Mc Lean, VA
    5 days ago
  •  ...looking for a dedicated Registered Nurse (RN) Cardiovascular Intermediate Care to join...  ...coordinates unit activities as needed Utilizes standards, guidelines and pathways for...  ...anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating... 
    Full time
    Relocation package
    Flexible hours
    Shift work
    Night shift
    Weekend work

    Inova Health System

    Falls Church, VA
    3 days ago
  • $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... 
    Contract work
    Work at office
    Immediate start

    Howard University Hospital

    Washington DC
    3 days ago
  •  ...looking for a dedicated Registered Nurse (RN) Cardiac Telemetry to join the team. This...  ...unit activities as needed Utilizes standards, guidelines and pathways for care...  ...anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating... 
    Full time
    Relocation package
    Flexible hours
    Night shift
    Rotating shift
    Day shift

    Inova

    Falls Church, VA
    2 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 time
    Work experience placement
    Relocation package
    Rotating shift

    Children's National Hospital

    Washington DC
    5 days ago
  •  ...specializes in assisting with minimally invasive procedures that utilize imaging techniques such as fluoroscopy, CT scans, and...  ...instruments, and supplies are available and functioning. \n ~ Review patient information, medical history, and previous imaging studies... 
    Zero hours contract
    Immediate start
    Shift work

    Magnet Medical

    Fairfax, VA
    18 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 pay
    Part time

    Comagine Health

    Washington DC
    1 day 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 time
    Part time
    Remote work
    Relocation package
    Flexible hours
    Shift work
    Night shift
    Weekend work

    Inova Health

    Falls Church, VA
    5 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 area
    Relocation

    MedStar Health

    Washington DC
    2 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/... 
    Relocation
    Shift work

    MedStar Health

    Washington DC
    2 days 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 placement
    Relief
    Shift work
    Rotating shift

    Children's National Hospital

    Washington DC
    5 days ago