- STG International (Rockville, MD)
- …of the agreement and coordinating service delivery with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case ... to cost recover on all exams according to the Interagency Agreement (IAA). The Registered Nurse Case Review Specialist will ensure that complete exams… 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 ... setting. + A Registered Nurse that holds an active, unrestricted...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Annapolis, MD)
- …it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating all ... case management activities with members to evaluate the medical...- Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Battelle Memorial Institute (Arlington, VA)
- …Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government ... ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to...+ Current, full, active, and unrestricted license as a Registered Nurse in any US State, the… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… 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) ... and Core Values of Cayuse. **Responsibilities** **Key Responsibilities:** The Registered Nurse (RN) assists with operation and...nursing care with limited supervision + Act as the nurse case manager for workers' compensation cases.… more
- Alaka'ina Foundation Family of Companies (Silver Spring, MD)
- Clinical Research Coordinator III ( Registered Nurse ) Location MD - Silver Spring Job Code 13347 # of openings 1 Apply Now ... Family of Companies is potentially looking for a Clinical Research Coordinator III ( Registered Nurse ) to support our government customer in Silver Spring, MD.… more
- Cayuse Holdings (Washington, DC)
- **Overview** The Registered Nurse provides occupational health services to support the Health Unit (HU). The Registered Nurse (RN) assists with operation ... the Mission, Vision, and Core Values of Cayuse. **Responsibilities** + Act as the nurse case manager for workers' compensation cases. + Provide all other… more
- Immigration and Customs Enforcement (Washington, DC)
- …ensuring needed interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code of Ethics for ... and Certifications Required: a. Nursing License- Must be a Registered Nurse (RN).i. Maintains current/documented professional licensure. (It… more
- CVS Health (Washington, DC)
- …+ 3+ years of clinical experience in a healthcare setting. + 2+ years as a Registered Nurse (RN) or License Practical Nurse / License Vocational Nurse . ... it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health of Texas by ensuring compliance… more
- Datavant (Washington, DC)
- …experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification ... understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. +… more
- Chenega Corporation (Rockville, MD)
- …possess a current, active, full, and unrestricted license or registration as a professional nurse and Advance Practice Registered Nurse from a State, the ... Professional Services Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health… more
- Datavant (Washington, DC)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Deloitte (Washington, DC)
- …as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, ... degree in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …an onsite employment opportunity. Duties and Responsibilities + Perform referral review duties, collaborating with team leads, Product Line Leaders, Appointing ... the date referral was written. Collaborates with appointing center, case managers, product line nurses, providers, clinics, manage care...in MHS-GENESIS. If a patient is not showing as registered in MHS Genesis and eligible for care, the… more