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- ...innovative, patient-centered approach and unwavering commitment to compassionate care. We are currently seeking a dedicated Utilization Reviewer to join our dynamic team. Why Choose Capital Region? Professional Growth: We invest in your future with robust continuing...SuggestedRelocation package
University of Maryland Medical System
Largo, MD9 days ago $46.3 - $91.32 per hour
...RN - Utilization Review at Providence Health and Services summary: The RN - Utilization Review nurse applies clinical expertise to determine appropriate patient admission status in accordance with regulatory and reimbursement guidelines. This role supports utilization...SuggestedFull timeLocal areaShift work- **$5,000.00 SIGN ON BONUS** **Role Overview** Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing...SuggestedRemote workRelocation packageMonday to FridayFlexible hoursAfternoon shift
$89.07k - $162.8k
General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high...Suggested- ...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...SuggestedLocal areaFlexible hours
- Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration... ...Clinical Review Nurse for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct concurrent and...SuggestedContract workRemote work
$85k - $103k
...Proficient in EHR software, telehealth platforms Doxy & VSee and utilizing Microsoft 365, Microsoft Teams. About LifeStance Health... ...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...SuggestedFull timeWork at officeRemote workRelocation packageFlexible hoursLifeStance Health
Fort Washington, MD24 days ago$96k - $119k
...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites... ...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...SuggestedFull timeWork at officeRemote workRelocation packageFlexible hoursLifeStance Health
Fort Washington, MD24 days ago$47 - $70.54 per hour
...promote staff retention. Develops and implements clinical utilization strategies which support clinical pathways, discharge planning... ...4 Other Compensation (if applicable): MIP Bonus Eligible Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS...SuggestedFull timeTemporary workShift workAfternoon shiftUniversity Of Maryland Medical System
Fort Washington, MD11 days ago$82k - $113.28k
...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites... ...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...SuggestedFull timePart timeRemote workRelocation packageFlexible hoursLifeStance Health
Fort Washington, MD18 days ago$76k - $100k
...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites... ...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...SuggestedFull timeWork at officeRemote workFlexible hoursLifeStance Health
Fort Washington, MD14 days ago$82k - $113.28k
...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites... ...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...SuggestedFull timePart timeRemote workRelocation packageFlexible hoursLifeStance Health
Fort Washington, MD18 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
- Utilization Review Physician Advisor- (MD/DO) Fairfax, VA, United States Job Identification: 672755 Posting Date: 09/02/2025, 12:52 PM Job Schedule: Full time Locations: Inova Center for Personalized Health Job Description Inova Fairfax Medical Campus is looking...SuggestedFull timeRemote work
$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...SuggestedPermanent employmentFor contractorsWork at officeLocal areaImmediate startFlexible hoursLeidos
Fort Washington, MD4 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...Full timeLocal areaShift work
$35.01 - $59.01 per hour
...solving and crisis intervention when performing patient care. Reviews electronic medical records and physician orders throughout work... ...all inclusive. Complies with all policies and standards. Utilized all organizational resources effectively and efficiently....Full timeShift workNight shift- ...Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple...
- ...following: Verifies client information by interviewing client; reviewing and/or recording medical history; confirming purpose of... ...therapy treatment principles, techniques, materials and equipment utilization Knowledge of state and federal accreditation Strong verbal and...Full timeFlexible hours
- ...national success in the Offensive Cyber Operations (OCO) domain. By utilizing a unique blend of technology, intelligence, and operations... ...include but not limited to: coordination with all stakeholders, review and advice on requirement and contract documentation, market...Ongoing contractContract workWork at officeLocal area
- ...departments to achieve optimal results while minimizing risk. Draft, review and negotiate a wide variety of commercial agreements... ...privacy and contractual matters. Effectively manage and oversee utilization of outside law firms to provide cost-effective legal services....Contract work
$39.92 - $54.11 per hour
...is, at minimum, a competent practitioner. This level clinician utilizes the nursing process in providing patient care and patient/family... ...: Shift differentials/Sign-on and Relocation Bonus eligible Review the 2024-2025 UMMS Benefits Guide Like many employers, UMMS...Relocation packageShift workUniversity Of Maryland Medical System
Fort Washington, MD21 days ago- ...Description Job Description Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level Department: Legal... ...; - Produces a variety of written documents and materials utilizing a wide range of office software applications; - Establishes...Full timeWork at officeFlexible hours
Contact Government Services, LLC
Washington DC8 days ago $35.68 - $64.71 per hour
...test results and calibration from equipment for the physician review. Modifies treatment and testing plans to appropriate pediatric... ...Completes all paperwork for each patient visit taking care to utilize the correct codes and documentation for follow-up. Offers instruction...Full time- ...the DVPS Ensure Accountability and Adoption Coordinate and review weekly SWPPP inspections and maintain permits Coordinate... ...business processes to meet identified business needs, acquiring and utilizing the necessary resources and skills within agreed parameters of...Full timeLocal area
$47.09 - $78.27 per hour
...for working with leadership to promote proper and efficient utilization of quality services. Participates in program development,... ...Duties: ~ Provides evaluation and treatment services including review of pertinent historical information, performance of specific...Full timeTemporary work- ...cost savings to be achieved. The Purchasing Business Analyst reviews stakeholder requirements to ensure reporting is developed in alignment... ...-solving to address business needs and issues Ability to utilize department specific technologies to solve business challenges...Full timeWork at officeLocal area
- ...national success in the Offensive Cyber Operations (OCO) domain.By utilizing a unique blend of technology, intelligence, and operations... ..., and update enterprise financial/resourcesdata. · Compile and review program spend plans and weekly financial products.Recommend remediation...Temporary workWork experience placementWork at officeRemote work
- ...literacy and skills JOB DUTIES & RESPONSIBILITIES Assist with Reviewing monthly statements for accuracy Provide assistance with maintaining... ...Post Daily Cash (if applicable) Maintain Accurate bed hold utilization log. Notify resident/responsible party at start and end of bed...Full timeWork at officeHome officeFlexible hours
$63k - $97.45k
...meet sales, profit, payroll, and productivity goals; maintain and utilize payroll system to ensure accurate inputs, adjustments, and... ...Supervise store operations as needed in absence of Store Manager Review front end schedules prior to posting Manage store community relations...Full timePart timeTraineeshipLocal area
