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138 utilization review nurse jobs in Washington, DC

Clinical Resource Coordinator

Washington Hospital Center 57 Reviews Washington, DC

Assesses patients for clinical appropriateness for an acute hospital setting and establishes plans for effective management of the continuum of care… Washington Hospital Center

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DC CONTRACT Utilization Review Nurse (RN) -- Managed Care – easy apply

CareNational Healthcare Services, LLC 2 Reviews Washington, DC

The Utilization Review Nurse is responsible for utilization management and utilization review for… CareNational Healthcare Services, LLC

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Utilization Review Nurse - Medical Review

Johns Hopkins Medicine 100+ Reviews Glen Burnie, MD

Responsible for receipt, screening and authorization of pre-treatment/service inpatient and outpatient services for the JHHC membership, coordinating… Johns Hopkins Medicine

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Utilization Review Nurse - Maryland

Anthem 34 Reviews Hanover, MD

The Utilization Review RN is responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize… Anthem

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Utilization Review Nurse - Maryland

1-800 CONTACTS 82 Reviews Hanover, MD

The Utilization Review RN is responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize… 1-800 CONTACTS

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Clinical Resource Coordinator

Washington Hospital Center 57 Reviews Washington, DC

Assesses patients for clinical appropriateness for an acute hospital setting and establishes plans for effective management of the continuum of care… Washington Hospital Center

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Registered Nurse, Utilization Management

Evolent Health 67 Reviews Arlington, VA

Review clinical information for medical necessity and appropriate level-of-care for patien… StartWire

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Registered Nures (RN) - UM Nurse Consultant – new

Aetna 100+ Reviews McLean, VA

- Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. - Requires an RN with… Beyond.com

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Staff Development Coordinator (RN)

Regency Care of Arlington Arlington, VA

Maintains attendance and tardy records for all nursing staff. Reviews time sheets/punc… Beyond.com

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HEDIS Medical Field-Based Chart Reviewer/Collector (RN/LPN/CNA/MA)

Inovalon 100+ Reviews Washington, DC

Inovalon is currently recruiting RNs, LPNs, CNAs and Medical Assistants to perform medical record reviews in the field. Inovalon offers highly… Beyond.com

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RN (Registered Nurse)

Maxim Home Healthcare 100+ Reviews Arlington, VA

include: * Perform and coordinate the initial assessments and ongoing reassessments of the patients status. * Document patient case information… Beyond.com

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Associate Vice President of Quality and Regulatory Management

Virginia Hospital Center 25 Reviews Arlington, VA

• Current Virginia License preferred B. Experience: • Ability to communicate with medical and hospital personnel at all organizational levels… TopUSAJobs

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Nurse Case Manager

Barker Search LLC Silver Spring, MD

s, stop loss insurance benefits to evaluate liability/compensability and to make recommendations. • Compose clinical correspondence and… TheLadders.com

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UR CASE MANAGER

Inova 100+ Reviews Fairfax, VA

Registered Nurse Utilization Review Case Manager… Inova

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RN, Case Manager - Case Management

Adventist HealthCare 27 Reviews Rockville, MD

Minimum of 5 years recent nursing experience with a broad clinical nursing background and case management. Experience in Utilization review and case… Beyond.com

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Nurse Auditor

Navigant 100+ Reviews Gaithersburg, MD

TheNurse Auditoris responsible for monitoring, evaluating and facilitating the revenue collection and clinical documentation process associated with… Beyond.com

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Nurse Auditor

Virginia Hospital Center Arlington, VA

-- P Purpose and Scope: The objective of the Nurse Auditor is to assure the accuracy and timeliness of the recognition of patient service revenue in… TopUSAJobs

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