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 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Falls Church, Virginia. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~... 
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Medical Solutions

Falls Church, VA
2 days ago
 ...Responsibilities Job Summary: This role is responsible for the review of medical records for appropriate admission status and...  ...second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking. Collaborates... 
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Employment Type PRN

Washington DC
1 day ago
 ...empower them. Providence Health Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all core functions...  ..., research briefs, provider resolutions) We welcome 100% remote work for residents who reside in the following state:... 
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Full time
Local area
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Providence Health & Services

Washington DC
a month ago
 ...Oversee utilization management and review of patients care delivery while in the hospital and provide clinical reviews and denial appeals where appropriate either during admission or post discharge. Providence caregivers are not simply valued – they’re invaluable.... 
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Providence Health & Services

Washington DC
6 days ago
 ...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 maintaining... 
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Local area
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Providence Health & Services

Washington DC
10 days ago
 ...our passion and drives every decision we make. Job Posting Title Physician Clinical Reviewer, MRx - Oncology - REMOTE Job Description Summary Key member of the utilization management team, and provides timely medical review of service requests that do not... 
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Prime Therapeutics

Washington DC
2 days ago
 ...Job Description Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Falls Church, Virginia. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40... 
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Medical Solutions

Falls Church, VA
7 days ago
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 ...Overview: We are seeking a dedicated and experienced Medical Review Manager to join our team. The ideal candidate will blend their...  ...fostering a collaborative and supportive work environment. Utilize extensive knowledge of Medicare regulations to inform decision-... 
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Get It Recruit - Healthcare

Potomac, MD
5 hours agonew
 ...projects . We're seeking motivated individuals who are looking to utilize their editorial skills and build a long-standing relationship...  ...include Education, Health, Money, Travel, Cars, News and 360 Reviews. We reach more than 40 million people monthly during moments... 
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U.S. News & World Report

Washington DC
2 days ago
 ...View a high volume of litigation documents with high productivity and accuracy Code for priv  Identify and assess the impact of review guidelines on documents   Qualifications : Must have an active law license Second Request Experience -  Excellent... 
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ManagedReview.com

Washington DC
26 days ago
About the Role: We are currently seeking a skilled Deal Review Consultant to join our dynamic Worldwide Sales and Operations Organization...  ...acquisition and retention! Please note: This position is remote-friendly. Employment Type: Full-Time Salary: $ 40,000.00 1... 
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Worldwide

Get It Recruit - Finance

Washington DC
14 days ago
 ...create results for the government. We are currently seeking Merit Reviewers with 10+ years of experience to join our team and fully...  ...Thrive Location: You will work as part of a dynamic team remotely. Required Experience/Skills: + Bachelors Degree + 10+ years... 
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Corner Alliance

Washington DC
3 days ago
 ...Job Summary: The Utilization Review RN is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential Responsibilities: Utilization Review. According... 
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Kaiser Permanente

Washington DC
more than 2 months ago
 ...consulting firm, is seeking qualified and available Associate Reviewer to support a Federal client in Washington, DC. The position is...  ...Insurance Life Insurance Plans 10 Paid Federal Holidays Jury Duty and Bereavement Leave Paid vacation time remote work
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Hamilton Enterprises, LLC

Washington DC
4 days ago
 ...Executive Director, Report Review Committee About the Company Prominent organization advancing science, engineering & medicine in local communities Industry Education Management Type Non Profit Founded 1863 Employees 1001-5000 Categories... 
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Local area

Confidential

Washington DC
1 day ago
We are seeking a highly qualified Lead Medical Review Specialist to join our team. The ideal candidate will bring a combination of experience and qualifications to ensure the highest standards of quality and production. Qualifications: Education and Licensure:... 
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Hourly pay
Full time

Get It Recruit - Healthcare

Potomac, MD
5 hours agonew
 ...Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team...  ...processes and information management. Hybrid or full-time remote work. This is position is contingent on contract award. In... 
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Serco North America

Washington DC
3 hours agonew
 ...Hendall is seeking an experienced Medical Review Specialist to perform Medicare claims...  ...and HCPCS Level II coding principles, and utilize Medicare policy knowledge and clinical experience...  .... Please note this is a full-time, remote position. The Medical Review... 
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Full time

Hendall Inc

Rockville, MD
8 days ago
 ...Hendall is seeking an experienced Medical Review Manager with experience and subject...  ...necessary. Please note this is a full-time, remote position. The MR Manager shall...  ...experience in the health insurance industry, a utilization review firm, or another health care... 
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Hendall Inc

Rockville, MD
8 days ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Falls Church, Virginia. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~... 
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medical solutions

Falls Church, VA
22 hours ago