Search Results: 32,386 vacancies

General Job Information Job Summary The incumbent functions as a Utilization Review Specialist in Health Information Management. The Utilization Review Specialist performs studies/reviews of medical records to monitor and to determine that the quality of clients'... 
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Washington D.C.

Washington DC
1 day 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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Weekly pay
Holiday work
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Medical Solutions

Falls Church, VA
2 days ago
Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, Maryland to provide care to Active Duty heroes, their families, and retirees at Walter Reed National Military Medical... 
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The Arora Group

Bethesda, MD
3 days 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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Local area
Shift work

Providence Health & Services

Washington DC
9 days ago
 ...Description OVERVIEW Hendall is seeking an experienced Medical Review Specialist to perform Medicare claims review for payment accuracy...  ...ICD-10-CM, CPT-4, and HCPCS Level II coding principles, and utilize Medicare policy knowledge and clinical experience to make payment... 
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Full time
Remote job

Hendall Inc

Rockville, MD
5 days ago
 ..., in beautiful downtown Leavenworth in the foothills of the Cascade Mountains, is looking for a pool Admissions Coordinator/Utilization Review . Job Summary: This position is part of an integrated team serving patients and their families in both in-patient and outpatient... 
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Remote job

Cascade Medical Center

Washington DC
13 hours 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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Relief

Employment Type PRN

Washington DC
21 days ago
 ...know that to inspire and retain the best people, we must empower them. Providence Health Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all core functions in one or more of the following clinical teams: Prior-... 
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Full time
Local area
Remote job
Shift work

Providence Health & Services

Washington DC
a month ago
 ...Description Job Description Description The Clinical Review Specialist is responsible for proper clinical review and interpretation...  ...account notes, appeal letters, and denial/approval letters. Utilize TimeMatters to obtain work assignments and communicate claim... 
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Part time
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Healthcare Legal Solutions LLC

Washington DC
23 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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Full time
Local area
Shift work

Providence Health & Services

Washington DC
a month ago
 ...STG International is currently seeking a Case Review Specialist for Federal Occupational Health Services in Rockville, MD. Job Specific Duties and Responsibilities: Provide direct support to the mission of Federal Occupational Health (FOH), a component of the Program... 
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Immediate start
Remote job

STG International

Rockville, MD
2 days ago
 ...Job Description Job Description vTech Solution Inc is hiring Document Review Specialist at Richmond, VA 23219 About us: Job Duration: 11 Months Interview mode: Web Cam Interview Only Job Description. We are seeking detail-oriented Document Review Specialists... 
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vTech Solution

Washington DC
1 day ago
 ...visit our Employment Page . The Organic Program is currently seeking to fill a full time permanent Organic Certification Specialist - Handling Reviewer position in Washington State! WSDA Organic Program provides USDA organic certification to farms, processing facilities,... 
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Holiday work
Permanent employment
Full time
Local area
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State of Washington

Washington DC
4 days ago
Principal Consultant - Utility Revenue Requirements Specialist Job Title: Principal Consultant - Utility Revenue Requirements Specialist Location: Marlborough, MA or Washington, DC; also open to remote employees Company Description: Concentric Energy Advisors, Inc. ( )... 
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Remote job
Flexible hours

Concentric Energy Advisors, Inc.

Washington DC
3 days ago
 ...UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends ~Baltimore, MD ~GRACE MEDICAL CENTER ~CARE MANAGEMENT ~Part-time - Weekends - Day shift - 9:00am-5:30pm ~RN Other ~76078 ~Posted: March 21, 2024 Apply Now // Setting the... 
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Part time
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Day shift

LifeBridge Health

Laurel, MD
3 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... 
Weekly pay
Holiday work
Shift work

Medical Solutions

Falls Church, VA
27 days ago
 ...and District of Columbia. If interested send resume immediately to: ****@*****.*** Title: Certified Floodplain Reviewer (DOEE) - $50.00 – $55.00 per hr. Location: Department of Energy & Environment (DOEE) 1200 First Street NE, Washington, DC 2... 
Hourly pay
Holiday work
For contractors
Local area
Immediate start
Remote job
Monday to Friday

ROSS PROFESSIONAL SERVICES LLC

Washington DC
12 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... 
Holiday work
Full time
Local area
Relocation bonus
Shift work
Weekend work

Kaiser Permanente

Washington DC
more than 2 months ago
 ...members of the Seneca Nation. Great Hill is seeking 3 Medical Nurse Reviewers to support our Dept. of State contract. The position is remote,...  ...Roles and Responsibilities include, but are not limited to : Utilize a combination of information available in one or more Excel... 
Full time
Contract work
Remote job
Offshore
Flexible hours

Seneca Holdings LLC

Washington DC
4 days ago
 ...research and support using online tools What you’ll do: Utilize defined practices, procedures, and company policies to provide...  ...organizing, and entering data in federal and state tax returns for review Schedule customer meetings and follow-up when needed,... 

Paro.ai

Washington DC
7 days ago