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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, MD10 days ago $21.27 - $34.62 per hour
...mask/shield Surgical hat (bouffant/cap) Long sleeve gown Utility gloves Impervious shoe covers/booties Disassembles,... ...guidelines. Respects length of time for lunch and break times. Reviews, signs, and adheres to UMCAP and/or departmental confidentiality...SuggestedWork at officeImmediate startUniversity of Maryland Medical System
Largo, MD11 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$33.4 - $50.13 per hour
...administrative duties. Attends management team meetings when scheduled. Completes information for monitoring quarterly and annual utilization review and other reports. Does related work as assigned Customer Service Greets customers in courteous, friendly,...SuggestedReliefInternshipWork at officeImmediate startShift workWeekend workUniversity of Maryland Medical System
Largo, MDa month ago$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- **$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
$30.78 - $43.09 per hour
...analyses on a variety of sample types. Maintains proper records and utilizes independent judgement to generate acceptable test results.... ...collection problems within minimal supervision. Monitors and reviews quality control data and quality assurance information to...SuggestedReliefShift workNight shiftUniversity of Maryland Medical System
Largo, MD6 days ago- 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
$54.42 - $81.64 per hour
...strategic initiatives. Ensures that all departmental standards are reviewed and updated as defined in policy. Administers Hospital and... ...for all levels of personnel within assigned departments. Utilizes Hospital Education as a resource. Maintains current, accurate records...SuggestedLocal areaUniversity of Maryland Medical System
Largo, MD10 days ago- .... # Training at least 3 days per week. Prefer 4-5 days. # Orientation is 6 weeks fulltime. What you will do: The Utilization Review (UR) Nurse performs UR and Payor management activities, which include prospective and/or retrospective chart and clinical systems...SuggestedRemote jobFull timeCasual workRelief3 days per week
- 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
- ...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...SuggestedFull timeWork at officeFlexible hours
Contact Government Services, LLC
Arlington, VA9 days ago $39.81 - $50.75 per hour
...specific patient population; serves as clinical resource for others, utilizes and integrates evidence into practice, functions effectively in... ...Compensation: Pay Range: $39.81-$50.75 Other Compensation (if applicable): ~ Review the 2024-2025 UMMS Benefits Guide...SuggestedRelocation packageShift workUniversity of Maryland Medical System
Largo, MD9 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...SuggestedFull timeLocal areaShift work
$50k - $60k
...statement reconciliations, reconciling credit card accounts, reviewing expense reports, posting journal entries, and assisting with payroll... ...the company. Most work accomplished in an office environment utilizing desktop computer and phone, directly interfacing with...SuggestedFull timeContract workFor contractorsWork experience placementWork at officeMonday to FridayFlexible hours- ...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...
$44.76 - $67.19 per hour
...record pertinent anatomical, pathological, and functional data. Reviews results for quality and completeness, refers to physician for... ...performs image capture using digital ultrasound equipment Correctly utilizes the PACS system to send images for interpretation and long-term...Contract workReliefWork at officeImmediate start- ...maintain compliance oversight, write sections, and coordinate reviews. Write clear, persuasive, and articulate proposal sections translating... ...proposal writing experience for federal, state, local, and utility contracts. Understanding of compliance with Government RFPs/...Work at officeLocal areaImmediate start
$65k
...sales performance inventory levels and key metrics. Regularly review and analyze customer data and feedback to identify buying... ...ability to multitask and prioritize effectively. Proficiency in utilizing point-of-sale systems. Ability to work full-time with...Full timeLocal areaNight shiftWeekend work$27.5 per hour
...support a respectful, culturally competent work environment. Review and respond to all emails and voicemails daily. Review, assign... ...properties remain well‑maintained and within budget. Investigate high utility bills and coordinate onsite inspections with utility providers...Hourly payFull timePart timeFor contractorsWork at officeMonday to Friday- ...Manages the compliance of all contracts including subcontracting utilization in support of our client’s Minority and Supplier Diversity &... ...as our client’s representative. Conducts bid-ready contract reviews to ensure completeness. In concert with the technical managers...Full timeContract workFor contractorsWork at officeLocal areaRemote work
$17.68 - $24.76 per hour
...insurance demographics, verifies insurance benefits and coverage by reviewing benefits collection in Epic, provides cost estimates, secures... ...department locations. Ensuring appropriate scheduling utilization. Maintains consistent contact with the Care Management team and...Work experience placementReliefWork at officeLocal areaShift workNight shiftAfternoon shift- ...Job Description Job Description Mandarin Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review workflows Examples: Privilege/Responsiveness Review...Contract workRemote work
Contact Government Services, LLC
Rockville, MD9 days ago - ...under the direction of the Clinical Manager to ensure the proper utilization of clinical resources to maximize care center capacity and... ...scheduled and performed timely. Prepares weekly clinician schedules. Reviews clinician schedules daily or more frequently as needed to...Work at office
$26 per hour
Job Description Job Description Lawyers on Demand – a Consilio Company is looking for U.S. Junior attorneys to work remotely for our client, a plaintiff’s firm. Details are as follows: Required: Any U.S. bar, active and in good standing. Remote from home...Price workImmediate startRemote workConsilio, LLC - Talent Solutions
Washington DC7 days ago$17.17 - $30.67 per hour
...of patients by providing routine, non‑professional nursing care utilizing advanced medical and surgical skills typically beyond the... ...attendance, punctuality, and sick‑unplanned absences guidelines. Reviews, signs, and adheres to the confidentiality statement. Qualifications...Hourly payFull timeWork at officeImmediate start$17.17 - $30.67 per hour
...of patients by providing routine, non‑professional nursing care utilizing advanced medical and surgical skills typically beyond the... ...guidelines. Respects length of time for lunch and break times. Reviews, signs, and adheres to UMCRH and/or departmental confidentiality...Work at officeImmediate start$26.14 - $36.59 per hour
...Responsibilities Appropriately screens walk-in patients and consults. Utilizes active listening skills to ascertain each patient's needs;... .... Respects length of time for lunch and break times. Reviews, signs, and adheres to UMCAP and/or departmental confidentiality...ReliefWork at officeImmediate startShift work- ...analyses on a variety of sample types. Maintains proper records and utilizes independent judgement to generate acceptable test results.... ...specimen integrity; seeks guidance when necessary. # Independently reviews and records quality control and determines the acceptability of...Part timeRelief
$34 - $55 per hour
...Job Description Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Essential Job Duties...Full timeLuminis Health
Lanham, MD11 days ago
