Mitchell Martin
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Washington,DC
GREAT POSITION FOR THOSE WHO WANT TO BE REMOTE AND CONTINUE THEIR WORK AS A RN! A national Managed Care Organization with over 25 million members has an immediate need for Utilization Review RN s to work 100% remote. This is at...
Vatica Health
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Washington,DC
Vatica is one of the most innovative and fastest growing healthcare technology companies. We are always looking for great people to join our diverse team. The QI Clinical Coder will independently review cases, ensuring accurate ICD-10-CM risk...
Vatica Health
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Baltimore,MD
Vatica is one of the most innovative and fastest growing healthcare technology companies. We are always looking for great people to join our diverse team. The QI Clinical Coder will independently review cases, ensuring accurate ICD-10-CM risk...
CareNational
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Charles Town,WV
Onsite Vaccination RNCharles Town, VA * Full Time, Benefits Available, CONTRACT position, expected to last 6 months, possibly longer! *** Daily shifts run 10am 7pm, with staffing needed every day, including weekends! ** *** Position to support...
KePRO
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Washington,DC
Description Medical/Behavioral Health RN Clinical Assessor The Medical/Behavioral Health RN Clinical Assessor reviews prior authorization requests for medical services. The reviewer is required to review clinical...
Kendall & Associates
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Washington,DC
Kendall & Associates is a direct hire, professional recruitment firm. We are currently working on a recruiting search to find a Nurse Claims Auditor for placement on a remote/direct placement position with a Massachusetts based...
CareNational
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Arlington,VA
Onsite Vaccination RN Arlington, VA * Full Time, Benefits Available, CONTRACT position, expected to last 6 months, possibly longer! *** Daily shifts run 10am 7pm, with staffing needed every day, including...
Luminis Health
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Lanham,MD
*Position Objective:* Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. *Essential Job...
CareFirst BlueCross BlueShield
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Washington,DC
**Resp & Qualifications****PURPOSE:**The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to...
Cardinal Health
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Stafford,VA
Your safety is our top priority. We regularly consult with medical professionals on best practices in COVID-19 prevention to protect our employees. We train our employees on these best practices and regularly clean our sites in accordance with CDC...
Humana
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Washington,DC
**Description**The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse...
Anthem
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Alexandria,VA
Description SHIFT: Day JobSCHEDULE: Full-timeResponsible for working primarily with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information required to preauthorize...
Presidential Transportation
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Baltimore,MD
Presidential Transportation - Outrageous Pay Rate! $55/hourApply today with confidence! Limited openings available!Start asap!Schedule: 7 days a week, pending schedule from the state, at least 16+hours/week likely much more, 8 hour shiftsNOW...
NURSING.com
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Washington,DC
Who is NURSING.com? We are a small and formidable force in creating change in education. Our website content is viewed over 50,000,000 times per year in all UN Nations. We are the fastest growing nursing education startup. We are an all-in-one...
Kaiser Permanente
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Fairfax,VA
Responsible for medical triage of members using established protocols, note taking via online ANS (Advice Note System) and providing specified diagnostic results to members. Responsible to collaborate with on-site physicians, on-call physicians, HCT,...
LifeBridge Health
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Baltimore,MD
POSITION SUMMARYThe UR Nurse is part of the Care Management team at Sinai Hospital. The UR Nurse's schedule is full-time, Monday through Friday, with weekend rotation. Conducts concurrent and retrospective chart review for clinical, financial and...
KePRO
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Washington,DC
Description Case Manager: Registered Nurse or Licensed Clinical Social Worker - Fully Remote In this very meaningful role, your work will help to open up space in hospitals for those who urgently...
Humana
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Bethesda,MD
**Description**Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud & Waste Manager at Humana, you will...
Howard University Hospital
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Washington,DC
With over 150 years of caring for our community and each other in the Washington DC area, Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care. Howard University Hospital is the nations only teaching...
Evolent Health
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Arlington,VA
**It s Time For A Change ****Your Future Evolves Here**At New Century Health we are pioneering a new era of specialty care, focused on engaging with payers and providers to improve the quality of care for patients diagnosed with cancer and heart...
Recovery Centers of America
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Waldorf,MD
Nurses at RCA at Capital Region work within a collaborative environment across departments. Between nursing, clinical, facilities, admin, recovery support, and leadership teams, we value communication, safety of our employees and patients, as well as...
Gallman Consulting
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Washington,DC
Large specialty practice seeks an Infusion Float Nurse RN for their DC office, five days a week, normal schedule.JOB TITLE: Infusion NurseDUTIES:The infusion nurse is responsible for assessing, planning, implementing and evaluatingpatient s course of...
Professional Case Management
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Baltimore,MD
PCM TRIALS provides quality, in-home clinical trial visits for various Sponsors and CROs. We're the only company that hires, trains, certifies, tests, and manages our own Certified Mobile Research Nurses (CMRNs). Our mission is to bring clinical...
Tuscany Enterprises
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Washington,DC
Large specialty practice seeks an Infusion Float Nurse RN for their DC office, five days a week, normal schedule.JOB TITLE: Infusion NurseDUTIES:The infusion nurse is responsible for assessing, planning, implementing and evaluatingpatient s course of...
