- Battelle Memorial Institute (Arlington, VA)
- …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 customer, ... and their families, ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to impactful research and analytics that drive… more
- Immigration and Customs Enforcement (Washington, DC)
- …with the IHSC Medical Quality Management Unit. SUPERVISORY CONTROLS: The Clinical Senior Nurse Specialist, Medical Asset Support Team (MAST) ... national process changes identified by unit chart reviews, nursing incident reports, Medical Quality Management Unit (MQMU) review /reports, and any corrective… more
- Georgetown Univerisity (Washington, DC)
- …shared dedication to making a difference in the world. Requirements Job Overview Clinical Research Nurse , CTSA/ Clinical Research Unit - Georgetown University ... The Clinical Research Nurse (CRN) provides expert, independent care...to meet the evolving needs of the University. Such review may necessitate a change to a position's mode… more
- AmeriHealth Caritas (Washington, DC)
- …Overview:** Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient ... When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health… more
- Georgetown Univerisity (Washington, DC)
- …shared dedication to making a difference in the world. Requirements Job Overview Clinical Research Nurse , CTSA/ Clinical Research Unit - Georgetown University ... . The Clinical Research Nurse (CRN) provides expert, independent care to...to meet the evolving needs of the University. Such review may necessitate a change to a position's mode… more
- Elevance Health (Washington, DC)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Clinical Fraud Investigator II** is responsible… more
- Humana (Washington, DC)
- …Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical record documentation and ... approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to… more
- Georgetown Univerisity (Washington, DC)
- …to making a difference in the world. Requirements Job Description The Nurse Practitioner, Department of Neurology/Memory Disorders - Georgetown University . This ... position offers the unique opportunity to combine research and clinical care as part of an interdisciplinary team in...Board certification as a Geriatric, Adult, Psychiatric, or Family Nurse Practitioner (NP) + Master of Science degree in… more
- Elevance Health (Washington, DC)
- …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....management experience and requires a minimum of 2 years clinical , utilization review , or managed care experience;… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …events, alerts, and device behavior in accordance with organizational policies and clinical practice guidelines. The Pacemaker Surveillance Nurse will examine ... Summary The Pacemaker Surveillance Nurse demonstrates performance and leadership that is broad...may include but is not limited to expertise in review and evaluation of remote device transmissions, following posting… more
- Humana (Washington, DC)
- …in preparation of cases prior to review by the Humana G&A Medicare Medical Directors. The Nurse reviews the medical documentation, researching claims, ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...Medical Directors on submitted G&A cases. The G&A Nurse will participate in initiatives which result in improved… more
- Humana (Washington, DC)
- …community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Behavioral Health Nurse 2 completes medical record reviews from medical … more
- Fresenius Medical Center (Washington, DC)
- …to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. + Delivers safe, effective care in a ... May be assigned to in-center patient care on an as needed basis + Review and comply with the Code of Business Conduct and all applicable company policies… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health… more
- Erickson Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living Join our team as the Nurse Manager, RN also known as the Clinical Manager! The Clinical Manager is an ... clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance...which builds on our mission, vision and values + Medical , dental and vision packages, including an annual reimbursement… more
- Sunrise Senior Living (Alexandria, VA)
- …NAME** Sunrise at Mount Vernon **Job ID** 2025-235275 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... administration, communication with resident support services and families, and maintaining clinical quality assurance while leading and demonstrating the Mission for… more
- Cayuse Holdings (Washington, DC)
- … Director with monitoring Local, State, and/or Federal mailboxes and inform the Medical Director of all urgent matters. + Review and interpret spirometry ... **Overview** **The Work:** The Registered Nurse provides occupational health services to support the...ensuring employee well-being, and upholding the highest standards of medical care. Our client provides a wide range of… more
- Erickson Living (Springfield, VA)
- …(LPN)/Licensed Vocational Nurse (LVN). The LPN/LVN is responsible for providing clinical care to residents in the neighborhood according to the nursing standards ... clinical condition, document findings in the resident electronic medical record, and notify the provider and/or RN when...a timely and professional manner + Participating in the review of clinical indicator reviews - falls,… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health… more
- CVS Health (Dumfries, VA)
- …of network management and clinical coverage policies. Through the use of clinical tools and information/data review , conducts an evaluation of member's needs ... RN/BH with current unrestricted Virginia state licensure required. + 3 years Clinical Experience (Preferably in Medical -Surgical Nursing, Behavioral Health, Long… more
