- Elevance Health (Washington, DC)
- RN Utilization Review Nurse (Washington DC Medicaid) JR149756 **Location** : This role requires associates to be in-office 4 days per week, Monday - ... located at 609 H. Street NE. The **Medical Management Nurse ** is responsible for review of the...experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or… more
- AmeriHealth Caritas (Washington, DC)
- …Associate's Degree in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred. + A Registered Nurse ( RN ) license in the District of Columbia in ... efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination,… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare Operations ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...cost diagnoses. + Independently perform difficult and complex assessment, review , coordination, planning, monitoring, evaluation and analysis of cases.… more
- Fresenius Medical Center (Hyattsville, MD)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Sharecare (Washington, DC)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of ... of Specialty Care Referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, complying with Referral and...RM Team. Requirements Qualified candidate must be a Licensed Registered Nurse ( RN ), with an… more
- Amergis (Columbia, MD)
- Salary: $53 / Hour The Registered Nurse - Hospice Case Manager is responsible for providing care, comfort and supportto terminally ill patients. The Registered ... the delivery of hospice patient carein various settings. The Registered Nurse demonstrates the abilityto make clinical...in the managementof patient care. Position Details: + Position: RN Hospice Case Manager (Home Health- Based) + Location:… more
- Ivyhill Technologies LLC (Bethesda, MD)
- … Nurse and the the RM Reviewers. Requirements Qualified candidate must be a Licensed Registered Nurse ( RN ), with an unencumbered active RN license ... Ivyhill is currently seeking to hire Referral Management ( RN ) Training Manager to support its contract with...all incoming RM staff to be able to accurately review referrals utilizing the Specialty Referral Guideline (SRG) compliance… more
- Erickson Living (Springfield, VA)
- …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... (skilled nursing, long term care, assisted living or hospital) is required. + Current Registered Nurse license for the state in which they operate. + Current… more
- Sunrise Senior Living (Arlington, VA)
- …of approved college / school of nursing + Maintains a current state license as a Registered Nurse per state regulations. + A minimum of two (2) years' experience ... **If you're currently an ADON, Unit Manager, or Charge Nurse ready to take the next step in your...the highest quality standards for well-being. + Ensures proper utilization of the Resident Care Plan by all team… more
- Sunrise Senior Living (Fairfax, VA)
- …of approved college / school of nursing + Maintains a current state license as a Registered Nurse per state regulations. + A minimum of two (2) years' experience ... the highest quality standards for well-being. + Ensures proper utilization of the Resident Care Plan by all team...and service delivery as measured in the Quality Services Review (QSR) process and institutes with follow up measures… more
- Johns Hopkins University (Columbia, MD)
- …fluids with blood borne pathogens. **Minimum Qualifications** + Master's Degree in nursing. + Registered Nurse license and certified as a Nurse Practitioner ... The Department of Emergency Medicine is seeking a **_Sr. Nurse Practitioner_** to work collaboratively within a multidisciplinary health care team. Responsible for… more
- Lincoln Financial (Washington, DC)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position...Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's it like… more
- HCA Healthcare (Fairfax, VA)
- …you passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse Float Pool position and spend more time at the bedside with ... the patient. We are looking for Float Pool OR RN 's that are willing to float to our three...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… more
- HCA Healthcare (Reston, VA)
- …set us apart from any other healthcare provider. We are seeking an Operating Room Nurse to join our healthcare family. **We are now offering a $20,000 sign on bonus ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Dulles, VA)
- …and personal growth, we encourage you to apply for our PRN Operating Room Nurse opening. We review all applications. Qualified candidates will be contacted for ... have the career opportunities as a PRN Operating Room Nurse you want with your current employer? We have...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Immigration and Customs Enforcement (Washington, DC)
- …background in health care with extensive direct patient care experience as a registered nurse or advanced practice provider ( Nurse Practitioner/Physician ... preferably in correctional or detention setting. Case management and utilization review experience preferred. Correctional experience preferred. PHYSICAL… more
- Immigration and Customs Enforcement (Washington, DC)
- …extended periods of time. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Must be a Registered Nurse , Advanced Practice Registered Nurse or ... cases. Utilize IHSC electronic health record for IHSC noncitizen patients. Review , prioritize, initiate, assign and disseminate all serious clinically significant… more
- KBR (Washington, DC)
- …compliance in meeting care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... + 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 District of… more
- KBR (Washington, DC)
- …compliance in meeting care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... and self-care. + Current licensure; full, active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker in one of any US State, the… more