- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- Advanced Practice Provider ( Nurse Practitioner) Job ID: 250879 Location: MD-Metro Bldg New Carrollton Full/Part Time: Full-Time Posting Open-Close 10/03/2025 - ... Wellness (OHAW) Department is seeking an experienced Advanced Practice Provider Nurse Practitioner to support both clinical and administrative functions within the… more
- JE Dunn Construction Company (Washington, DC)
- …Participates with the project team in preparation and presentation for all project review meetings, including the monthly review process. - Understands and ... awareness, experience and knowledge to identify problems and recommends solutions for review and implementation by the team. + Participates with project team in… more
- Elevance Health (Washington, DC)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Chenega Corporation (Rockville, MD)
- …**Chenega Professional Services Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department ... closely with the Government and Contractor team trainers, physicians, and nurse practitioners. + Support management, administration, data, communication, and other… more
- Evolent (Washington, DC)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks ... cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- AmeriHealth Caritas (Washington, DC)
- …When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines ... **Role Overview:** Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient… more
- Chenega Corporation (Rockville, MD)
- …Services Strategic Business Unit** company, is looking for a Physician- Contract Medical Reviewer (CMR) to support the Department of Health and Human Services (HHS), ... closely with the Government and Contractor team trainers, physicians, and nurse practitioners. + Support management, administration, data, communication, and other… more
- Humana (Washington, DC)
- …and help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical ... is complete, compliant and accurate to support optimal reimbursement. The Manager, Nurse Audit/ Review works within specific guidelines and procedures; applies… more
- Immigration and Customs Enforcement (Washington, DC)
- …clinical and administrative nursing support, and collaborating with the IHSC Chief Nurse in the Nursing Services Unit to implement initiatives aimed at enhancing ... needed interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code of Ethics for Nurses with… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... in the management of complex patient situations utilizing the nurse process. Demonstrates the ability to identify and issue,...and care provided Effectively functions independently as the Charge Nurse in an assignment managing the care of a… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …and referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the...of Specialty Care Referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, complying with Referral and… more
- Cayuse Holdings (Washington, DC)
- **Overview** **The Work:** The Registered Nurse provides occupational health services to support the Clients Health Unit (HU). The Registered Nurse (RN) assists ... Vision, and Core Values of Cayuse. **Responsibilities** **Key Responsibilities:** The Registered Nurse (RN) assists with operation and all services rendered at the… more
- HCA Healthcare (Reston, VA)
- …Registered Nurse Freestanding ED opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock ... in their positions. Join our Team as a(an) Registered Nurse Freestanding ED and access programs to assist with...certifications and job skills. Apply today for our Registered Nurse Freestanding ED opening and continue to learn! **Job… more
- HCA Healthcare (Reston, VA)
- …learning is important to you, we encourage you to apply for our Registered Nurse PACU opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a(an) Registered Nurse PACU and access programs to assist with every...certifications and job skills. Apply today for our Registered Nurse PACU opening and continue to learn! **Job Summary… more
- HCA Healthcare (Reston, VA)
- …Do you want to join an organization that invests in you as a(an) Registered Nurse - RN Cardio? At Reston Heart Surgery Specialists, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Registered Nurse - RN Cardio like you to be a part...regarding medications and treatment instructions You will maintain and review patients' records including posting tests and examination results… more
- Sharecare (Washington, DC)
- …To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of the ... manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered and...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
- HCA Healthcare (Falls Church, VA)
- …Mental Health Nurse - RN opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock the ... positions. Join our Team as a(an) Children's Mental Health Nurse - RN and access programs to assist with...job skills. Apply today for our Children's Mental Health Nurse - RN opening and continue to learn! **Job… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Behavioral Health Nurse (BHN) Clinician Case Manager - Intensive Community Treatment Services Print ... (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/5055258) Apply Behavioral Health Nurse (BHN) Clinician Case Manager - Intensive Community Treatment… more
- Humana (Washington, DC)
- …community and help us put health first** The NICU Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and ... for the care and wellbeing of members. The NICU Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require interpretation and independent… more
- Elevance Health (Washington, DC)
- …a dynamic and adaptable workplace. Alternate locations may be considered. The **Medical Management Nurse ** will be responsible for review of the most complex or ... **Medical Management Nurse ** **Location:** Washington, DC. This role requires associates...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more
