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  •  ...The Supervisor for Utilization Management provides a key role in leading, facilitating...  ...reimbursement environment. Integrating and coordinating the work processes and information...  ...patient care delivery to each task, clinical review and or quality improvement project.... 
    Suggested
    Full time
    Local area
    Shift work

    Providence Health & Services

    Washington DC
    more than 2 months ago
  •  ...residents of the District of Columbia. The position serves as a Utilization Review Specialist that organizes, implements, and evaluates health...  ..., such as prior authorizations and medical necessity. Coordinates utilization management activities with DHCF program areas,... 
    Suggested
    Permanent employment
    Work at office
    Monday to Friday

    DC Department of Human Resources

    Washington DC
    3 days ago
  •  ...including years of relevant experience, level of education, and previous staff and/or governance experience at APA. The Peer Review Coordinator is a skilled communicator and customer service representative, who ensures a high-quality peer review process for authors,... 
    Suggested
    Work experience placement
    Local area
    Remote work
    Flexible hours

    American Psychological Association

    Washington DC
    4 days ago
  • Description The 340B Coordinator will manage and work with the 340B Program Manager on maintaining the hospital's 340B drug...  ...fully implemented in all areas of qualified use. Audit, review, and monitor utilization records and 340B purchasing accounts to ensure software... 
    Suggested
    Full time
    Contract work
    Work experience placement
    Relief
    Shift work

    Children's National Health System

    Silver Spring, MD
    21 hours ago
  •  ...being of the community at large. The Shift Coordinator, on a shift to shift basis, directs the...  ...and all clinical issues. ~ Utilize multidisciplinary approach to meeting patient...  ...- practicing Stop, Think, Act and Review in order to self-check behavior and performance... 
    Suggested
    Work experience placement
    Shift work

    Children's National Hospital

    Washington DC
    13 hours 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...  ...based on established department standards. Coordinates education and training for staff and other health care providers... 
    Suggested
    Part time
    Work at office
    Local area
    Shift work
    Afternoon 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
    4 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
    3 days ago
  • $85.21k - $145.1k

    Position Summary The Contract Manager - Utility Services - Zones manages the Utility Services...  ...connection renewal program Plans and coordinates contract personnel on tasks associated...  ...specifications Performs the design, review, and distribution of sewer house connection... 
    Suggested
    Contract work
    For contractors
    Work at office
    Local area
    Work visa
    Night shift
    Weekend work

    Washington Suburban Sanitary Commission

    Silver Spring, MD
    13 hours ago
  •  ...experienced Program Manager - Grant Solicitation & Peer Review Support for an upcoming opportunity to lead planning, coordination, and oversight of all solicitation and peer...  ...reports on technical progress and resource utilization to stakeholders, including NASA Program... 
    Suggested
    Contract work
    For contractors
    Work at office

    Manhattan Strategy Group

    Bethesda, MD
    4 days ago
  • $51.43 - $79.84 per hour

     ...chance to focus on what really matters - our patients. The Utilization Review (UR) Nurse has a strong clinical background blended with a...  ...documentation based on established department standards. • Coordinates education and training for staff and other health care providers... 
    Suggested
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Washington DC
    2 days ago
  • Overview Position TitleCase Manager (Utilization Review), Registered Nurse (RN) or MSW Job Description Purpose & Scope The Case Manager is...  ...ensures that identified and referred patients have a coordinated continuum of care in accordance with JCAHO and hospital guidelines... 
    Suggested

    Virginia Hospital Center

    Arlington, VA
    2 days ago
  •  ...closely with an interdisciplinary team, coordinating discharge plans and making appropriate referrals...  ...Pathways Eligible ~ Annual Merit Review and Merit Increases ~ Employee...  ...implement and coordinate discharge plans utilizing available and appropriate community resources... 
    Suggested
    Flexible hours
    Weekend work

    VHC Health

    Arlington, VA
    21 days ago
  •  ...Staffing At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts... 
    Suggested
    Permanent employment
    Temporary work
    Zero hours contract
    Shift work
    Weekend work

    Prime Staffing

    Washington DC
    5 days ago
  •  ...Staffing At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts... 
    Suggested
    Permanent employment
    Temporary work
    Zero hours contract
    Shift work

    Prime Staffing

    Washington DC
    12 days ago
  •  ...response to cardiovascular emergencies, including arrhythmias, acute myocardial infarction (heart attack), or respiratory failure. \n ~ Utilize advanced equipment, such as defibrillators, and collaborate with the healthcare team in high-pressure situations. \n \n \n ~\... 
    Zero hours contract
    Immediate start
    Shift work
    Night shift

    Magnet Medical

    Washington DC
    5 days ago
  • $65.43k

     ...opening and closing facilities Charges and discharges materials utilizing our own RefTab system. Informs patrons of LRD procedures and...  ...hire a finalist, rescind an offer of employment to a finalist or review and may terminate the employment of a current employee based on... 
    Full time
    H1b
    Work at office
    Local area
    Immediate start
    Flexible hours
    Afternoon shift

    University of the District of Columbia

    Washington DC
    2 days ago
  •  ...admission through discharge. Serves as liaison to on-site external reviewers. Uses Midas for recording reviews and tracking denials. Adds...  ...in applicable field of study required Six months psychiatric utilization review either for hospital or external review organization... 
    Local area
    Flexible hours

    Universal Health Services

    Washington DC
    2 days ago
  • $40k - $52.3k

     ...caring community and help us put health first The UM (Utilization Management) Administration Coordinator 2 contributes to administration of utilization...  ...including outbound calls to provider offices when required. Review resources and data to facilitate positive outcomes... 
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Live out
    Work at office
    Remote work
    Work from home
    Home office
    Flexible hours
    Shift work

    Humana Inc

    Washington DC
    1 day ago
  • $32 - $35 per hour

     ...recognised for delivering network construction, utility, and engineering services across...  ...communities. The team is hiring an OSP Permit Coordinator to manage permitting processes for...  ...and regional permitting authorities. Review engineering drawings and prepare... 
    Hourly pay
    Permanent employment
    Work at office
    Local area
    Flexible hours
    Washington DC
    a month ago
  • Overview UAT Coordinator Work from home within Oregon, Washington, Idaho or Utah Build a career...  ...the software development lifecycle, and utilize vast knowledge of testing techniques...  ...business work streams from user perspectives, review business/system requirements and... 
    Immediate start
    Work from home
    Flexible hours

    Cambia Health Solutions

    Washington DC
    13 hours ago
  • Growth Coordinator LOCATION: On Site (McLean, VA) (minimum 3 days per week) Overview The Growth...  ...Proposal Operations and operates as a "utility infielder" to support a wide variety of...  ...Conduct market and industry research. Review portals daily to identify pre- and post-... 
    Contract work
    Temporary work
    Work at office
    Local area
    Remote work
    Shift work
    Afternoon shift
    3 days per week

    EmergencyMD

    Washington DC
    2 days ago
  • $17.9 - $26.8 per hour

     ...clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The...  ...in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution... 
    Hourly pay
    Temporary work
    Private practice
    Work at office
    Local area
    Immediate start
    Flexible hours

    Cardinal Health

    Washington DC
    6 days ago
  • $25 - $28 per hour

     ...$28.00 Position Purpose The Treatment Coordinator plays a vital role in managing patient...  ...patients and provide detailed estimates. Review insurance coverage and assist patients...  ...Independent decision‑making skills and utilization of sound judgement. Equal Employment... 
    Work at office

    Oral Surgery Partners

    Washington DC
    1 day ago
  • $19.35 - $25 per hour

    Overview The Facilities Coordinator will be given the unique opportunity to learn new skills...  ...technical aptitude with the ability to utilize MS Word, Excel, Power Point, Internet manipulation...  ...laws. For further information, please review the Know Your Rights notice from the... 
    Hourly pay
    Temporary work
    Long distance
    Flexible hours
    Weekend work
    Afternoon shift

    MLB

    Washington DC
    1 day ago
  •  ...position of Person-Centered Planning (PCP) Coordinator This position reports to the Director...  ...as completing cross check comparisons/reviews of the Person-Centered Plan (PCP)...  ...errors and resolve issues. · Monitor utilization of PCP services through regular audits... 
    Full time
    Temporary work
    Work at office
    Remote work
    Work from home

    Compass Maryland

    Beltsville, MD
    5 days ago
  •  ...incumbent serves as a Maternal Health Coordinator responsible for aligning maternal health...  ...and fee-for-service programs; analyzes utilization of maternal health services; makes recommendations...  ...government agencies. Assists with the review of maternal health utilization and... 
    Work at office
    Monday to Friday

    Dept of Health Care Finance

    Washington DC
    2 days ago
  •  ...for an Environmental, Health and Safety Coordinator in Washington DC area. This individual will...  ...your private information, please review Insight Global's Workforce Privacy Policy...  ...weekly - Strong computer skills; ability to utilize different safety software including... 
    Monday to Friday

    Insight Global

    Washington DC
    20 days ago
  • $98.32k

     ...sufficiency of investigative coverage before referring cases for review. Responsible for processing timely routine updates, for...  ...raised before certifying complete coverage. Guidance may also be utilized by other Personnel Security Specialists directing or conducting... 
    Contract work
    For contractors
    Interim role
    Work at office
    Overseas

    Clearance Jobs

    Washington DC
    1 day ago
  • $45k - $50k

    Coordinator, Student Engagement and Traditions Join to apply for the Coordinator, Student Engagement...  ...and programs. In addition, the position utilizes strong project management and...  ...service minded orientation. Ability to review one’s own and others work and information... 
    Full time
    Internship
    Work at office
    Local area
    Night shift
    Afternoon shift
    3 days per week

    American University

    Washington DC
    2 days ago