- MEDSTAR HEALTH (Washington, DC)
- …review of acute care services based on Medically Necessity criteria, the management of quality health care resources for achievement of desired outcomes, and ... in the clinical software system per Clinical Operations department's policy.Monitors utilization of all services for fraud and abuse.Performs pre-authorization and… more
- MEDSTAR HEALTH (Washington, DC)
- …date. Experience Prior clinical nursing experience preferred Licenses and CertificationsRN - Registered Nurse - State Licensure and/or Compact State Licensure in ... needs range from uncomplicated to highly complex. Receives supervision from the Nurse Leader and functional supervision from the clinical coach/designee. May at… more
- MEDSTAR HEALTH (Washington, DC)
- General Summary of PositionRN Case Manager (Discharge Planner)Are you an experienced acute care Registered Nurse looking to make a change or already an RN ... team? MedStar Georgetown University Hospital is seeking a patient-focused RN Case Manager to join our Case Management...populations during the acute hospital stay, promotes effective case management and utilization of resources, and works… more
- MEDSTAR HEALTH (Columbia, MD)
- …Required*Active DC or MD RN license Required*5-7 years' experience in Utilization Management with 3-5 years' experience in Utilization ... Ensures consistent application of evidence-based review practices with oversight and performance management of UR RN teams. Drives performance aligned with… more
- MEDSTAR HEALTH (Clinton, MD)
- …is a member of MedStar Health entity-based Division of Nursing's (DON) leadership/ management team and is responsible for one or more defined units/departments of ... of the Division of Nursing and MedStar Health. Facilitates the cost-effective utilization of available resources (human, material and financial) and ensures a high… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …Center (CLC) (Freedom Way East) Post-Acute Rehabilitation/Polytrauma and Long Term Care (LTC) Registered Nurse ( RN ) provides care and counseling of persons ... Community Living Center (Freedom Way East) Post-Acute Rehabilitation and Long Term Care Registered Nurse provides care and counseling of persons of health and… more
- KBR (Arlington, VA)
- …self-care. + Current licens ur e ; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker in one of any US State, the ... Title: Special Operations Nurse Case Manager / Case Manager Part-Time (National...care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential… more
- Lincoln Financial (Washington, DC)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... **What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where… more
