Integrity Management Services
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Washington,DC
*This is a remote full-time employee position* Candidates MUST have 2-5 years of prior Medical Review experience.* Integrity Management Services, Inc. (IntegrityM) is an award-winning woman-owned small business...
Yoh
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Washington,DC
Employee Health Nurse needed for a contract opportunity with Yoh s client located in Palo Alto, CA! Top Skills You Should Possess Experience in hospital-based Employee...
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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Herndon,VA
Onsite Vaccination RNHerndon, 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 COVID-19...
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...
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...
CareFirst BlueCross BlueShield
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Owings Mills,MD
**Resp & Qualifications****Position Summary:**The Utilization Review Nurse will support the clinical review operations needed to assist its membership. This position is a member of a team of nurses, physicians, pharmacists, and program coordinators.
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...
Humana
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Bethesda,MD
**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...
Call 4 Health
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Washington,DC
Job Summary The Triage Registered Nurse will be part of a multidisciplinary team supporting general care processes, providers, and patients in an ambulatory community-based setting. The RN is responsible for...
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,...
Steward Health Care Network
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Washington,DC
Steward Health Care Network (SHCN) takes pride in its community-based care model, which drives value-added tools and services to our communities, patients, physicians, and hospitals across the continuum of care. In addition, Steward Health Care...
KePRO
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Washington,DC
Description Clinical Quality Manager Are you an experienced Clinical Manager looking for a new challenge? Do you value care management and quality improvement?Are you...
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 Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. Kepro...
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...
