- George Mason University (Fairfax, VA)
- …ordered by providers. In addition, the Clinic Nurse participates in peer review , CQI, risk management , utilization review , and provides ... a safe and orderly flow of patients through the clinic. The Clinic Nurse participates in student immunization review and administration, allergy treatment… more
- Kaiser Permanente (Washington, DC)
- …PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... Description: Job Summary: The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The… more
- Sunrise Senior Living (Arlington, VA)
- … per state regulations. A minimum of two (2) years' experience in a nurse management position within a skilled nursing environment including hiring staff, ... at higher education institutions *Higher wage rates *Changes in management *Improved health and wellness benefits starting January 2025...If you're currently an ADON, Unit Manager, or Charge Nurse ready to take the next step in your… more
- AmeriHealth Caritas (Washington, DC)
- …Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... overtime, and weekends based on business needs **Responsibilities** + Conduct utilization management reviews by assessing medical necessity, appropriateness of… more
- Humana (Washington, DC)
- …leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse , with a focus on our 5+ million Medicare ... members. The Director, Physician leadership will lead Medical Directors performing utilization management for Medicare inpatient and behavioral medicine case… more
- Sharecare (Washington, DC)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
- LifePoint Health (Warrenton, VA)
- …Work Experience* *Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management , discharge planning, and ... and other members of the healthcare team to ensure proper case management and effective discharge planning. . Monitors patient and family satisfaction. Responds… more
- BAYADA Home Health Care (Falls Church, VA)
- …operations. This individual will be responsible for overseeing the day-to-day management of the agency, ensuring high-quality patient care, regulatory compliance, ... metrics including admission rates, re-hospitalizations, visit productivity, and clinician utilization . + Collaborate with referral sources, physicians, hospitals, and… more
- GetWellNetwork, Inc. (Washington, DC)
- …Manager will take the Get Well program to the next level by driving nurse engagement, focusing on increased utilization , and leading projects of functionality to ... Well's Client Service Manager is responsible for effective product utilization and successful outcomes for the Get Well system...of the Get Well system by conducting quarterly account review meetings pertaining to account roadmap; conduct nurse… more
- Highmark Health (Washington, DC)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- Erickson Living (Springfield, VA)
- …clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management /Safety ... clinical practice and processes in accordance with the Erickson Senior Living Management Policies and Procedures and nursing standards of practice. + Ownership of… more
- Sunrise Senior Living (Arlington, VA)
- …per state regulations. + A minimum of two (2) years' experience in a nurse management position within a skilled nursing environment including hiring staff, ... education institutions * Higher wage rates * Changes in management * Improved health and wellness benefits starting January...**If you're currently an ADON, Unit Manager, or Charge Nurse ready to take the next step in your… more
- Somatus (Falls Church, VA)
- …and auditing + Ability to work closely with the Director and Clinical Nurse Manager to manage the day-to-day activities and workload of the facility staff, ... feedback in the form of the annual performance evaluation during the performance review process. Obtains feedback and input regarding the staff performance from the… more
- Sunrise Senior Living (Mclean, VA)
- …per state regulations. + A minimum of two (2) years' experience in a nurse management position within a skilled nursing environment including hiring staff, ... education institutions * Higher wage rates * Changes in management * Improved health and wellness benefits starting January...the highest quality standards for well-being. + Ensures proper utilization of the Resident Care Plan by all team… more
- KBR (Arlington, VA)
- …compliance in meeting care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... risk management issues in order to improve practice, and ensure...full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker in one of… more
- Erickson Living (Springfield, VA)
- …loss, and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management /Safety (PI/RM/S) ... a plus. + Minimum 3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager, etc.). + Experience with an electronic medical record (EMR) system… more
- HCA Healthcare (Reston, VA)
- …capital equipment requests + You will be responsible for the fiscal management of department; assure proper utilization of organization's financial resources ... organizational and department goals + You will utilize talent review data for pipeline development + You will foster...and/or experience + Currently licensed as a registered professional nurse in the state in which he or she… more
