UnitedHealth Group
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Ashburn,VA
Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...
University of Utah
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Ashburn,VA
Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...
Sentara Health
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Manassas,VA
City/State Manassas, VA Work Shift First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA This is aFull...
Americare
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Ashburn,VA
Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...
Sentara Health
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Woodbridge,VA
City/State Woodbridge, VA Work Shift Rotating Overview: Nurse Professional Development Generalist Flexi - Day Shift Overview A Nurse Professional...
MedWatch LLC
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Ashburn,VA
Medical Review Specialist Scope: The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and confirming the medical necessity of hospital admissions and/or...
BlueCross BlueShield of South Carolina
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Ashburn,VA
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or...
MedStar Health
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Washington,DC
About this Job: General Summary of Position The Pulmonary Nurse Navigator coordinates care for patients with acute and chronic pulmonary conditions, serving as a clinical resource throughout diagnosis, treatment, and follow-up.
Avosys Technology
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Ashburn,VA
ABOUT AVOSYS Avosys is a growing integrator of professional, technological and management solutions services. Founded in 1998, Avosys provides services nationwide to Federal, Commercial, Local and State clients. We recognize the...
Premier Health
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Ashburn,VA
Position: Virtual Nurse-RN Department: Virtual Nursing Facility: Premier System Support Shift: Full-time 7:00am-7:30pm/ 72 Hours Per Pay *This is...
Incredible Health
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Ashburn,VA
Hospitals on Incredible Health are actively hiring and accepting applications in the Washington, DC area for the following position: Registered Nurse - Wound Care. Nurses with experience in any of the following areas are strongly encouraged to apply:...
Sentara Health
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Woodbridge,VA
City/State Woodbridge, VA Work Shift Third (Nights) Overview: Sentara Lake Ridge is hiring a Full Time/Night Shift Registered Nurse Unit Coordinator! Registered Nurse Unit...
MVP Health Care
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Ashburn,VA
Join Us in Shaping the Future of Health Care At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we...
TotalMed Staffing
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Ashburn,VA
Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...
Trinity Health
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Ashburn,VA
Job Title Utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness, accuracy and...
ShiftKey, LLC
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Chantilly,VA
Build your own schedule. Take control of your career. Looking for RN jobs that fit your life? If you're tired of having no control over your schedule or just want to earn more money, PRN shifts could be what you're looking for! ShiftKey...
Cohere Health
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Ashburn,VA
Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...
Hireops Staffing Llc
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Ashburn,VA
Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...
Virtual Vocations
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Ashburn,VA
Focused on auditing outpatient and specialty claims, the full-time Clinical Auditor RN will utilize coding and clinical chart validation expertise to ensure accuracy, medical necessity, and appropriateness of services delivered, while working in a...
Umpqua Health
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Ashburn,VA
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health...
Aveanna Healthcare
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Fairfax,VA
Position: Clinical Supervisor (RN) Join a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the nation, with a growing presence and an...
UNIVERSITY OF VIRGINIA
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Ashburn,VA
The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...
Virtual Vocations
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Ashburn,VA
Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Specialist will review medical records for medical necessity, level of care, and authorization compliance while ensuring timely appeal submissions and...
