Nurse Manager, Utilization Review

About the Role:We are seeking a skilled Nursing Utilization Review Specialist to join our team at MedStar Health. In this role, you will play a critical part in ensuring high-quality patient care by conducting admission, concurrent, and retrospective case reviews.Job Summary:The Nursing Utilization Review Specialist conducts thorough reviews of patients'...

Utilization Review Nurse Are you a LPN or an RN licensed in Washington, D.C. with Utilization Review experience? We are hiring for a Fully Remote Utilization Review Nurse to work with a leading healthcare organization in the DMV! Details are outlined below, interviews are actively going on, apply today!! Overview Ensure that patients receive the right...

Utilization Review Nurse Are you a LPN or an RN licensed in Washington, D.C. with Utilization Review experience? We are hiring for a Fully Remote Utilization Review Nurse to work with a leading healthcare organization in the DMV! Details are outlined below, interviews are actively going on, apply today!! Overview Ensure that patients receive the right...

Utilization Review Nurse Are you a LPN or an RN with Utilization Review experience? We are hiring for a Utilization Review Nurse in Washington, D.C! This is a great opportuntiy to work with a leading healthcare organization in the DMV! Details are outlined below, interviews are actively going on, apply today!! Overview Day to day Health plan experience...

Job Title: Utilization Review RN Location: REMOTE, must be licensed RN in D.C.. Job Description Health plan experience Hospital experience Interqual is preferred. Miliman works as well. Experience in health plans reviews (dermal medicine, home health, rehab) Pediatric inpatient admissions is a plus Authorization, long term care, skilled nursing,...

Job DescriptionThis is a dynamic opportunity to lead utilization review efforts in an acute care setting.About the RoleAs a Utilization Review Case Manager Lead, you will be responsible for conducting admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care. You will collaborate with medical staff and...

About the RoleMedix is seeking a skilled and experienced Utilization Review Nurse to join our team. This role requires strong clinical knowledge, excellent communication skills, and the ability to work independently in a fast-paced environment.Job SummaryWe are looking for a dedicated RN with experience in utilization review, particularly in health plans and...

Overview of Utilization Review Nurse RoleWe are seeking an experienced Utilization Review Nurse to join our team in Washington, D.C.This is a great opportunity to work with a leading healthcare organization in the DMV, leveraging your expertise in health plan reviews and utilization management.Responsibilities:Conduct daily health plan reviews, ensuring...

We're seeking a skilled nurse case manager to join our team in Washington, District of Columbia. This 13-week position offers flexibility and high pay.Job DescriptionThis role involves utilizing strong clinical skills to manage cases efficiently and effectively.Specialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours,...

This position will manage activities and staff of the Utilization Review and Clinical Documentation Improvement departments.Supervise and evaluate the daily work of these teams in accordance with departmental and organizational policies. Provide education within the departments and the organization at large on clinical care, levels of care, and financial...

This position will manage activities and staff of the Utilization Review and Clinical Documentation Improvement departments.Supervise and evaluate the daily work of these teams in accordance with departmental and organizational policies. Provide education within the departments and the organization at large on clinical care, levels of care, and financial...

We are seeking a talented travel nurse RN with expertise in utilization review to join our team at Medical Solutions. As a travel nursing professional, you will have the opportunity to work with top healthcare systems and organizations across the country.Estimated Salary Range: $145,000 - $175,000 per yearJob Description:As a travel nurse RN case manager for...

About This OpportunityWe're seeking a skilled Utilization Review specialist to join our team as a Travel Nurse RN in Washington, District of Columbia.This 13-week contract offers a unique opportunity for healthcare professionals to showcase their expertise and dedication while exploring new horizons. As a key member of our team, you'll work closely with...

Job OverviewWe are seeking a highly skilled Utilization Review Specialist to join our team at Medstar. In this role, you will play a crucial part in ensuring high-quality patient care by conducting thorough reviews of medical records.

We are seeking a skilled RN with experience in Utilization Review to join our team as a travel nurse.About the RoleSpecialty: Utilization ReviewDuration: 13 weeksShift: 8 hours, daysEmployment Type: TravelThis role is ideal for professionals who enjoy working in a fast-paced environment and have excellent communication skills.ResponsibilitiesProvide...

Job SummaryClinical Utilization Managers play a vital role in ensuring that patients receive the most appropriate level of care while minimizing unnecessary costs. At MedStar Health, we seek a seasoned RN with expertise in utilization review and case management to join our team as a Clinical Utilization Manager.About the RoleIn this critical position, you...

Major purpose of this job: The Accreditation Reviewer is an expert in the content and interpretation of accreditation programs and standards. Primary responsibilities include analyzing accreditation application documentation and conducting validation reviews. Key additional responsibilities include participating in the standards development/revision process,...

Job SummarynTech Workforce is seeking a results-driven Utility Program Manager to oversee various electric utility distribution programs and projects.The salary for this position is approximately $90,000 per year, commensurate with experience.About the Position:This is a leadership role that requires strategic thinking and problem-solving skills.The ideal...

Job DescriptionWe are seeking a skilled Clinical Review Specialist to join our team at Healthcare Legal Solutions LLC.Salary: $45+ per hour, with eligibility for monthly bonuses after 90 days of employment and potential benefits including 401k, health insurance, disability insurance, and commuter benefits upon conversion to full-time.Responsibilities:Draft...

Job SummaryThis position provides in-depth analysis and expertise in coding and utilization review for Homecare patients and clinical staff. A key aspect of this role is to identify areas of improvement and optimize resource allocation to ensure accurate reimbursement.Key ResponsibilitiesDevelop and deliver coding education programs for clinical and...