• Mgr Utilization Review RN

    Baylor Scott & White Health (Washington, DC)
    …and members. **Key Success Factors** + Demonstrable knowledge in discharge planning, case management , utilization review and different care levels. + ... more
    Baylor Scott & White Health (01/23/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Fort Washington, MD)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... more
    Fresenius Medical Center (12/31/24)
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  • Director - Acute Care Multi/Complex Care…

    Trinity Health (Silver Spring, MD)
    management or related field, with 2+ years in a leadership role in case management , utilization review , or similar areas. + Extensive understanding of ... more
    Trinity Health (11/06/24)
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  • Pre-Authorization Registered Nurse

    Humana (Arlington, VA)
    …supports the goal to put health first? The Prior Authorization, Registered Nurse , RN , Intern will review prior authorization requests for appropriate ... more
    Humana (01/15/25)
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  • Registered Nurse (Non-Practicing)…

    Ivyhill Technologies LLC (Bethesda, MD)
    management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of First ... more
    Ivyhill Technologies LLC (12/10/24)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Washington, DC)
    …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... more
    Highmark Health (01/07/25)
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  • Manager Healthcare Services - Virginia

    Molina Healthcare (Alexandria, VA)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse or LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA. ... more
    Molina Healthcare (01/23/25)
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  • Referral Management ( RN ) Traning…

    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 ... more
    Ivyhill Technologies LLC (12/10/24)
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  • RN Clinical Consultant, Claims Shared…

    Guardian Life (Washington, DC)
    …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... more
    Guardian Life (12/20/24)
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  • Dialysis Facility Administrator

    Fresenius Medical Center (Alexandria, VA)
    …dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. ... more
    Fresenius Medical Center (12/31/24)
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