- The George Washington University Hospital (Washington, DC)
- …for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care. Provides ... care to patients in a competent, capable, caring and efficient manner. Care provided is appropriate to the age of the patients served. Role models organizational values Provides real-time feedback to staff to improve performance Leads/Participates in… more
- Cognizant (Washington, DC)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Washington, DC)
- …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- CVS Health (Washington, DC)
- …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team.… more
- CVS Health (Washington, DC)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Fresenius Medical Center (Clinton, MD)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- CVS Health (Washington, DC)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Ivyhill Technologies LLC (Bethesda, MD)
- Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center ... and referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of… more
- AmeriHealth Caritas (Washington, DC)
- …standards in a fast-paced, high-volume environment. **Licensure:** + An active and unencumbered Registered Nurse license in the District of Columbia is required. ... SIGN ON BONUS** **Role Overview:** Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for… more
- Trinity Health (Silver Spring, MD)
- …Overview - Day 1 Benefits, 10k Sign-on Bonus & More** As a Home Health Registered Nurse , you'll provide in-home skilled nursing care to patients by developing ... this role offers a rewarding opportunity to apply your clinical expertise in a more independent, patient-focused environment. **Why...an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of… more
- Evolent (Washington, DC)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- Erickson Living (Springfield, VA)
- …(skilled nursing, long term care, assisted living or hospital) is required. + Current Registered Nurse license for the state in which they operate. + Current ... by Erickson Senior Living Join our team as the Nurse Manager, RN also known as the Clinical... clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance… more
- Sharecare (Washington, DC)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Trinity Health (Germantown, MD)
- …you will need:** + Current licensure by the Maryland State Board as a Registered Nurse + BLS certification (issued through the American Heart Association) + ... Opportunities to advance within the organization **Description:** The Nurse in Charge/ Nurse Supervisor (NIC) is a designated clinical leader for a patient… more
- Trinity Health (Silver Spring, MD)
- …licensure by the Maryland State Board of Nursing or Compact State as a Registered Nurse . + BLS certification (American Heart Association) + Department specific ... Advancement Program + **Location:** Holy Cross Health, Silver Spring, MD **Description:** The Nurse Supervisor is a designated clinical leader for a patient care… more
- HCA Healthcare (Dulles, VA)
- …Crisis Intervention must be obtained within 30 days of employment start date** + ** Registered Nurse ** + **Bachelors Degree** + **2 years as a Nursing Manager, ... **Description** **Introduction** Do you have the career opportunities as a Nurse Manager Behavioral Health you want in your current role? We invest in what matters… more
- BrightSpring Health Services (Arlington, VA)
- …a Medicare certified home health agency generally required + Currently licensed as a Registered Nurse (RN), in good standing in state of residence (additional ... Our Company BrightSpring Health Services Overview RN Director Home Health Clinical Practice Hybrid- Remote with 80% Travel Full-Time Provide oversight, leadership… more
- Howard University Hospital (Washington, DC)
- …nursing experience 3+ years nursing leadership experience in a hospital setting Current Registered Nurse License for the District of Columbia BLS through ... Clinical Nursing Administration Per Diem: As needed With...patients. The incumbent assists in the formulation of a nurse float pool and coordinates the daily use of… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …or + Licensed Nurse Practitioner (LNP) + Experience handling clinical documentation and insurance requirements, service utilization management, and ... the Youth & Family Service System. Provides management of clinical service utilization including client flow through...and Family Therapist, Licensed Substance Abuse Treatment Practitioner or Clinical Nurse Specialist. + In addition, to… more
- Sunrise Senior Living (Silver Spring, MD)
- …of approved college / school of nursing + Maintains a current state license as a Registered Nurse per state regulations + A minimum of two (2) years' experience ... not limited to the essential functions listed as follows: ** Clinical Care Delivery Operations** + Directs, supervises the management...highest quality standards for well being. + Ensures proper utilization of the Resident Care Plan by all team… more
