- Elevance Health (Washington, DC)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Evolent (Washington, DC)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the… more
- AmeriHealth Caritas (Washington, DC)
- …When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines ... on clinical criteria. Using professional judgment, the Clinical Care Reviewer assesses the appropriateness of services, identifies care coordination opportunities,… more
- Immigration and Customs Enforcement (Washington, DC)
- …clinical and administrative nursing support, and collaborating with the IHSC Chief Nurse in the Nursing Services Unit to implement initiatives aimed at enhancing ... needed interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code of Ethics for Nurses with… 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) assists ... Vision, and Core Values of Cayuse. **Responsibilities** **Key Responsibilities:** The Registered Nurse (RN) assists with operation and all services rendered at the… more
- Georgetown Univerisity (Washington, DC)
- …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 patients in...to meet the evolving needs of the University. Such review may necessitate a change to a position's mode… more
- 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
- 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 and all ... Core Values of Cayuse. **Responsibilities** + Act as the nurse case manager for workers' compensation cases. + Provide...inform the Medical Director of all urgent matters. + Review and interpret spirometry tests (Pulmonary Function Test). +… more
- BioLife Plasma Services (Forestville, MD)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma Services is a subsidiary of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- Sunrise Senior Living (Alexandria, VA)
- …is to be a part of.** **Job ID** 2025-236117 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents and ... Resident Assessment/Evaluation process in accordance with state/provincial regulatory requirements + Review Physician Reports of all new residents as directed by… 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 ... Companies is potentially looking for a Clinical Research Coordinator III (Registered Nurse ) to support our government customer in Silver Spring, MD. DESCRIPTION OF… more
- CenterWell (Washington, DC)
- …EST.** + **Required to work every other holiday.** The **Care Manager, Telephonic Nurse ** helps to ensure optimal continuity of care for patients transitioning into ... and under established performance criteria. This is a work-from-home telephonic nurse position. **Essential Functions:** + Act as CenterWell Home Health… more
- Elevance Health (Washington, DC)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Fresenius Medical Center (Washington, DC)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:** + As… more
- St John's Community Services (Washington, DC)
- …is respectful of their rights and dignity. Essential Functions: The Registered Nurse works in collabo-ration with an interdisciplinary team to provide optimal health ... practices + Ensure completion of nursing assessments including record review , significant family member/provider interview, developmental history and current… more
- Erickson Living (Silver Spring, MD)
- …Village by Erickson Senior Living Join our Riderwood team as a Licensed Practical Nurse (LPN)! As a LPN you are responsible for providing clinical care to residents ... a timely and professional manner + Participating in the review of clinical indicator reviews - falls, wounds, nutrition,...by the State of Maryland as a Licensed Practical Nurse . + CPR certification required. + A passion to… more
- CVS Health (Baileys Crossroads, VA)
- …or Surrounding Areas. Monday-Friday Standard Business Hours. **Roles and Responsibilities** Nurse Case Manager is responsible for telephonically and/or face to face ... policies. Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit...required - 3+ years clinical experience as a Registered Nurse (ie med surg, behavioral health, acute care) -… more
- Highmark Health (Washington, DC)
- …Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support compliance with ... RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) + 3 years working with...Degree in Nursing + 1 year performing medical record review and data abstraction for cardiovascular registries + Proficient… more
- Datavant (Washington, DC)
- …+ 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification required + Must ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… more
- Fresenius Medical Center (Washington, DC)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... including efficient utilization of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and on-site state or… more