Average salary: $125,933 /yearly
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- ...Innovation/Utility Specialist Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our... ...individuals with disabilities. California residents click here to review your privacy rights. It is unlawful in Massachusetts to...SuggestedFull timePart timeLocal areaImmediate startMonday to Friday
Ehrlich Pest Control
Springfield, VA2 days ago $81k - $110k
Avalon Health Care Management is now hiring a Case Manager of Utilization Management and Authorizations to join our team! Avalon Health... ...by managing authorizations, utilization management, concurrent review, and payor coordination while ensuring smooth transitions of care...SuggestedFull timeContract workTemporary workImmediate start- 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 provider requests, gathering necessary medical...SuggestedRemote workMonday to FridayFlexible hoursWeekend work
$18 - $20 per hour
Utilization Review Coordinator Primary Purpose To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. Are you an ideal candidate? We are looking for enthusiastic...SuggestedWork at officeLocal 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
- We are seeking a DC licensed RN to perform utilization management reviews, ensuring healthcare services are medically necessary and meet quality standards. The role involves reviewing treatment plans, consulting with providers, documenting decisions, and supporting care...Suggested
$95k
...or able to secure new DOT Health Card • Able to hand-lift and utilize two-wheeler, lift gate and/or other equipment to move and/or... ...federal laws and regulations. Please click on the following links to review: (1) our EEO Policy ; (2) the "EEO is the Law" poster and...SuggestedFull timeLocal areaImmediate startRelocation packageShift workNight shiftPerformance Foodservice
Springfield, VA2 days ago- A leading healthcare solutions provider is seeking a Clinical Care Reviewer to evaluate medical necessity for inpatient and outpatient services. This role involves reviewing provider requests, making determinations based on clinical guidelines, and collaborating with healthcare...SuggestedRemote job
- A leading medical review company in Washington is seeking a Utilization Management Nurse Reviewer. The role involves assessing medical necessity, reviewing patient records, and collaborating with healthcare providers to optimize care. Candidates must have a valid nursing...SuggestedRemote job
$90.87 - $154.33 per hour
A health services company is seeking a remote Physician Clinical Reviewer specializing in dermatology. The ideal candidate will provide medical review of service requests, discuss cases with physicians, and ensure proper documentation of communications. This role requires...SuggestedRemote job- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...SuggestedRemote jobFor contractorsMonday to FridayFlexible hours
$90k - $100k
...nonprofit treatment provider in Washington D.C. seeks a Clinical Review Clinician to oversee the clinical review process for substance... ...’s degree, active DC licensure, and extensive experience in utilization management. This full-time position offers competitive...SuggestedFull time- Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full‑time and on‑site. It is also available as a remote/hybrid position. The Utilization Review Physician Advisor (Advisor) conducts...SuggestedFull timeRemote workFlexible hours
$223.8k - $313.1k
...clinical determinations and uphold compliance with national guidelines. In this remote position, you will utilize your MD or DO degree and medical expertise to review care requests while collaborating with healthcare teams. A minimum of 5 years of patient care experience...SuggestedRemote job- A healthcare organization in Washington D.C. is seeking a Clinical Utilization Review Nurse (RN) for a remote position. This full-time PRN role involves assessing medical necessity and quality of healthcare services through utilization reviews. The ideal candidate will...SuggestedRemote jobFull timeReliefWeekend workAfternoon shift
$15 - $20.64 per hour
...with leadership team. Prepare for customer appointments by reviewing the customer profiles, favorites and preparing a fitting room.... ...Maintain David's Bridal hourly sales productivity standards by utilizing the 5-Step Selling Process. Supports all cash wrap...Hourly payPart timeAll shiftsWeekend workWeekday work- ...proactive recommendations to address challenges. Conduct regular reviews of staffing numbers and their impact on budgetary allocations,... ...strategic adjustments as necessary to optimize resource utilization. Prepare accurate and timely monthly budget status reports,...
$130k - $165k
...guidelines and correct accounting codes are used for billing. Review customer tasks for contract support to ensure they are within... ...procedures, business processes, and contract requirements. Utilize company and customer SharePoint portals to manage day-to-day operations...Full timeContract workTemporary workFor contractorsWork at officeRemote workShift work$52.26 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...Minimum wageFull timeLocal areaShift work$60.63k - $107.49k
...is seeking a Care Management Coordinator to support comprehensive, quality cost-effective care. This role requires 1-2 years utilization review experience and an active DC LPN license. Key responsibilities include identifying potential case management candidates and maintaining...- A healthcare solutions company is seeking a Clinical Reviewer - LPN/LVN or RN for a remote role in the U.S. Responsibilities include... ...must possess an active license, with 2+ years of experience in Utilization Review. The role requires strong clinical assessment skills and...Remote jobShift work
$18 - $20 per hour
A leading claims management company in Washington is seeking a Utilization Review Coordinator. This role involves assigning utilization review requests, verifying data, and supporting clinical staff. Ideal candidates should have administrative experience, preferably in...$2,331 - $2,561 per month
A healthcare staffing agency has an immediate opening for a Utilization Review Registered Nurse in Washington, DC. This role requires at least 1 year of experience and prefers candidates with previous charge nurse experience. The position offers competitive weekly pay...Weekly payImmediate start- A health management firm is seeking a DC licensed RN to perform utilization management reviews. Responsibilities include reviewing treatment plans, consulting with providers, and ensuring healthcare services are necessary and meet quality standards. The ideal candidate...
- ...featuring contemporary programming and digital acumen. The company utilizes industry-leading revenue management tools that efficiently... ...effective training according to Highgate Hotel standards, and the review of previous and future sales and operations efforts. Meet...TraineeshipWork at officeWorldwide
- ...presentations; track/coordinate/monitor internal and external tasks; review/edit incoming and outgoing correspondence for accuracy, content... ...or Federal government. Shall have demonstrated experience utilizing MS Office Suite (MS Word, Excel, PowerPoint, Outlook)....Work at office
$160k - $200k
...reports and financial oversight of Platform operation resource utilization. Moderate travel may be required for attending meetings or... ...systems integration engineers. ~ Experience writing and/or reviewing technical reports to ensure they meet the desired government requirement...Contract work- ...documents for procurement of supplies, service and equipment. Review funding requests for accurateness and necessary approvals prior... ...to address challenges. Provide analytical support by utilizing law enforcement databases and software tools. Analyze data to...For contractorsWork at officeLocal area
$55.2k - $126k
...support to leading major process re-engineering projects. You'll utilize deep expertise to manage projects, advise leadership, mentor... ...benefits by visiting the Resource page on our Careers site and reviewing Our Employee Benefits page. Salary at Booz Allen is determined...Full timeContract workPart timeWork at officeLocal area- ...records created or held by PEO offices is conducted, created, and reviewed for accuracy Ensure that an approved Office File Plan (OFP)... ...System (MET) Knowledge of DAWIA Demonstrated experience utilizing standard business application software for presentations, word...Work at office
