Nurse case manager utilization review Jobs in Washington, DC | Glassdoor

Nurse case manager utilization review Jobs in Washington, DC

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  • 3.4
    MedStar Washington Hospital Center – Washington, DC
    1 days ago 17hr
    communication liaison between registered nurse case managers, social workers, on-site reviewers, patient financial services, outpatient… as a Case Manager. Knowledge of MS Office Suite required. Insurance/payer experience preferred/prior utilization review experience…
  • 3.1
    AmeriHealth Caritas – Washington, DC
    Est. Salary $72k-$93k
    1 days ago 1d
    off site work related activities. Preferred Managed Care or Utilization Review experience.… recognize care coordination opportunities and refer those cases as needed. The nurse/ social worker will apply medical health benefit policy…
  • 2.0
    Qualis Health – Washington, DC
    Est. Salary $79k-$105k
    28 days ago 28d
    encouraged to apply. Required Experience 5+ years of utilization review, case management, or other relevant work experience. 2+… and/or retrospective utilization management reviews. Required Skills Degree or diploma in nursing. Current, active, unrestricted…
  • Nurse Management – Odenton, MD
    Est. Salary $32k-$50k
    29 days ago 29d
    an assigned group of patients. The Case Manager will be responsible for the complete nursing process in the delivery of patient… just outside of Baltimore, MD. The RN Case Manager will report to the Manager of Case Management and assume responsibility for…
  • 4.2
    Accountable Healthcare Staffing – Alexandria, VA
    7 days ago 7d
    Registered Nurse - Local and Travel contracts 8 hour days…
  • Specialty Professional Services – Washington, DC
    27 days ago 27d
    communication liaison between registered nurse case managers, social workers, on-site reviewers, patient financial services, outpatient… as a Case Manager. Knowledge of MS Office Suite required. Insurance/payer experience preferred/prior utilization review experience…
  • 3.1
    AmeriHealth Caritas – Washington, DC
    Est. Salary $85k-$109k
    1 days ago 1d
    a clinical environment Required 1-2 years utilization management/case managment. Required solid PC skills required (Word,… Service Unit staffs, who are performing concurrent review, discharge planning, case management and other supportive functions.…
  • StaffDNA – Washington, DC
    5 days ago 5d
    Rehabilitation, Rehab Unit, Case Manager, Dialysis, Charge, Director of Nursing, Nursing Supervisor or Manager.… license Nursing Degree from an accredited program Associate's Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN)…
  • 4.2
    The Delta Companies – Washington, DC
    12 days ago 12d
    & Requirements Case Management Nurse - Case Manager - (CM RN) Utilization review nurses needed for top university… Case Management Nurse - Case Manager - (CM RN) Job ID: 335552 Discipline…
  • 3.2
    American Mobile Healthcare – Washington, DC
    Est. Salary $67k-$89k
    17 days ago 17d
    Description & Requirements Case Management Nurse - Case Manager - (CM RN) Utilization review nurses needed for top university hospital… rehabilitation centers, schools, and case management companies. Required Qualifications Utilization Review experience Medsurg experience…
  • 1.0
    BridgePoint Healthcare – Washington, DC
    Est. Salary $37k-$59k
    2 days ago 2d
    effectiveness through the integration of functions of case management, utilization review and management and discharge planning. Qualifications… care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing…
  • Therapy Employee Associated Management, LLC – Upper Marlboro, MD
    9 days ago 9d
    levels of care and contacting case managers/managed care organizations for pre-authorization reviews. The UR Coordinator will serve… Maryland The Utilization Review Coordinator (UR Coordinator) is responsible for being the point of contact for all Utilization Review…
  • 3.2
    Adventist HealthCare – Rockville, MD
    Est. Salary $47k-$75k
    10 days ago 10d
    to discharge. As a care manager, be responsible for obtaining authorization based on the review of each patient record and… care. You would also prepare and submit medical records in cases of appeal. And finally, assist the treatment team with information…
  • 3.4
    MedStar Health Research Institute – Washington, DC
    1 days ago 20hr
    . The Research Nurse Coordinator must possess organizational and prioritizing skills with the ability to manage multiple duties… priorities, and manage schedule to ensure that accurate work is accomplished within the required timepoints. Utilize critical thinking…
  • 3.6
    Comprehensive Health Services – Washington, DC
    Est. Salary $40k-$60k
    9 days ago 9d
    SCOPE: The Nurse Case Manager shall provide a full range of professional health nursing principles, practices, and… and staff. Minimum of two years nursing experience and shall be certified as a case manager by a recognized certifying organization…
  • 2.8
    URAC – Washington, DC
    EASY APPLY
    17 days ago 17d
    programs (i.e., utilization management, case management, health call center, and disease management) — registered nurse with a bachelor… three (3) years of managed care experience, to include one of the following: utilization management, case management, discharge…
  • 3.4
    Children's National Medical Center – Washington, DC
    Est. Salary $72k-$96k
    18 days ago 18d
    in clinical nursing. At least one year experience in Utilization Management with knowledge of utilization review criteria. Experience… Registered Nurse in District of Columbia Licensure & Certification Preferred/Desired: Current certification in Case Management…
  • 4.7
    MedPro Staffing – Falls Church, VA
    4 days ago 4d
    Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case… staffing agency, is seeking a quality Case Manager/ Utilization Review Registered Nurse (RN) for a travel assignment with one…
  • 3.2
    HealthSouth – Washington, DC
    Est. Salary $38k-$59k
    7 days ago 7d
    being placed in the Case Manager II position. Education, Training and Years of Experience: - For Nursing, must possess minimum… The Case Manager II (CM II) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization…
  • 4.3
    CareNational – Washington, DC
    EASY APPLY
    10 days ago 10d
    management. Knowledge of health care delivery system, utilization review and case review procedures. Computer skills to include Microsoft… The goal of the Supervisor is to ensure that nurse case managers effectively manage patients on an outpatient basis to assure the…
  • 3.4
    Children's National Medical Center – Washington, DC
    Est. Salary $72k-$96k
    30 days ago 30d+
    The Case Manager II will provide case management services to patients and their families or caregivers. Assist with assessment… the following areas: case management, designated/pediatric specialty, program/project development, utilization management, clinical…
  • 2.6
    Genesis Healthcare – Silver Spring, MD
    Est. Salary $52k-$70k
    28 days ago 28d
    with 5-7 years of recent clinical experience. 2. Case management, utilization review or discharge planning experience a plus. 3. Excellent… response to patient referrals from hospital case managers, physicians and managed care organizations. 2. Collaborate with Discharge…
  • 3.2
    HealthSouth – Washington, DC
    Est. Salary $38k-$59k
    25 days ago 25d
    being placed in the Case Manager II position. Education, Training and Years of Experience: - For Nursing, must possess minimum… The Case Manager II (CM II) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization…
  • 3.0
    Virginia Hospital Center – Arlington, VA
    Est. Salary $58k-$89k
    27 days ago 27d
    Job Details Purpose and Scope: The Case Manager is responsible for the collaborative process of assessment, planning… promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have a coordinated…
  • MJ Morgan Group – Washington, DC
    21 days ago 21d
    department. Support Case Management nurses to offer recommendations and clinical expertise to assist with review of cases using approved… RESPONSIBILITIES of the RN Case Management Supervisor: Manage and support Case Management nursing staff in the day-to-day operations…
  • 3.1
    etech – Silver Spring, MD
    Est. Salary $56k-$77k
    7 days ago 7d
    Keywords: case manager, case management, rn case manager, case manager-rn, registered nurse, utilization review, utilization management… Minimum 1 year of Case Management experience in a hospital setting • Experience conducting utilization review using screening tools…
  • 3.2
    Aetna – Chantilly, VA
    Est. Salary $49k-$76k
    1 days ago 12hr
    unrestricted Nursing/Registered Nurse (RN) License ; Required Minimum of 3-5 years of recent clinical experience in a patient case management… interdisciplinary care team, the case manager will identify complex, high-risk patients and proactively manage care including but not limited…
  • Etech Hi – Silver Spring, MD
    Est. Salary $56k-$76k
    25 days ago 25d
    Keywords: case manager, case management, rn case manager, case manager-rn, registered nurse, utilization review, utilization management… Minimum 1 year of Case Management experience in a hospital setting • Experience conducting utilization review using screening tools…
  • Prairie Quest, Inc. – Bethesda, MD
    8 days ago 8d
    searching for a Nurse Case Manager in the Bethesda. MD area. Responsibilities Provide professional case management services… Nurse Case Manager - Bethesda, MD At PQC, our employees are our best asset. Prairie Quest Consulting is an Equal Opportunity…
  • 3.0
    Virginia Hospital Center – Arlington, VA
    Est. Salary $72k-$96k
    28 days ago 28d
    Job Details Purpose and Scope: The Case Manager is responsible for the collaborative process of assessment, planning… promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have a coordinated…
  • 3.0
    Virginia Hospital Center – Arlington, VA
    Est. Salary $72k-$96k
    27 days ago 27d
    Certification Required Purpose and Scope: The Case Manager is responsible for the collaborative process of assessment… promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have a coordinated…
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