- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... will be required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW: + Initiate, perform and complete assigned duties… more
- Elevance Health (Arlington, VA)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. Obtains intake ... given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- GE Aerospace (Washington, DC)
- …with senior members of the ITC team and relevant stakeholders to prepare authorization applications for approval to the US Department of State, Directorate of ... Requirements:** + Bachelors Degree or equivalent experience and 6 years of prior relevant trade experience + Experience with International Traffic in Arms… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …facilities or private hospitals; performing basic eligibility, co-pays and pre- authorization requirements for specific coverage (ie, TRICARE, sharing agreements, ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more
- Humana (Annapolis, MD)
- …-or- compact state license. + Over 1 year of Utilization Management ( prior authorization ) experience working in managed care settings/environments (health plan). ... update training for UM nurses. + Develops programs to improve UM nurse competencies (critical thinking skills, interpreting criteria, communication with providers to… more