27 utilization management nurse jobs at 14 companies in Washington, DC
1mo
Save
Mark Applied
Hide
Utilization Management Nurse
Annapolis or Lanham
$34-$55/hr HybridFull Time
3+ YOECurrent Maryland RN license, BSN (or ADN with equivalent experience; BSN to be completed within 5 years), 3 years acute care nursing, chart review and utilization management experience, EPIC proficiency.
EPIC
1mo
Save
Mark Applied
Hide
Utilization Management CoordinatorNE
Glen Burnie, Maryland, United States
$41-$61/hr OnsitePart Time
3+ YOEActive Maryland RN license, graduation from accredited nursing program, BSN preferred, 3 years clinical experience, knowledge of utilization review and case management, ongoing professional development.
3d
Save
Mark Applied
Hide
Utilization Review Nurse (Full-Time)
Towson, Maryland, United States
$68k-$110k/yr OnsiteFull Time
5+ YOEMaryland RN license and BSN, or ASN with enrollment in a BSN program. Requires 5 years acute-care experience, including 2 years utilization review and case management experience.
InterQual, MCG, Electronic Medical Records (EMR)
1w
Save
Mark Applied
Hide
Utilization Review Nurse - Managed Care (673794)
Hanover or Maryland or Virginia or Pennsylvania or Delaware or Florida or United States
$40-$61/hr RemoteFull Time
3+ YOEUnencumbered Maryland or Compact State RN license, 3+ years acute care RN experience, 1+ year managed care or utilization review experience, and knowledge of InterQual criteria.
InterQual
1mo
Save
Mark Applied
Hide
Director Utilization Management MedStar Family Choice
Washington, District of Columbia, United States
$121k-$238k/yr OnsiteFull Time
8+ YOE5+ MgmtProvides enterprise UM leadership; requires bachelor's in nursing/social work/related, RN licensure in MD/DC, 8+ years managed care experience, 5+ years UM leadership, InterQual experience, strong data and communication skills.
InterQual, ASAM
1mo
Save
Mark Applied
Hide
Director Utilization Management MedStar Family Choice
Washington, District of Columbia, United States
$121k-$238k/yr OnsiteFull Time
8+ YOE5+ MgmtRequires RN licensure in MD/DC, 8+ years managed care experience, 5+ years UM leadership, experience with InterQual, strong data/financial skills, and executive communication.
InterQual
3w
Save
Mark Applied
Hide
Registered Nurse Utilization Review
Baltimore, Maryland, United States
$81k-$116k/yr HybridFull Time
Maryland RN credential required; diploma from accredited nursing school or equivalent licensure; experience in utilization/case management preferred; knowledge of clinical documentation and payer regulations.
1w
Save
Mark Applied
Hide
Utilization Review Manager (Behavioral Health Supervisor)
Fairfax, Virginia, United States
$85k-$148k/yr OnsiteFull Time
3+ YOE3+ MgmtMaster's degree in social work, psychology, counseling, or nursing plus 3 years clinical experience, or doctorate plus 1 year. Virginia licensure eligibility, driver's license, and supervisory expertise required.
Microsoft Excel, electronic documentation systems
1mo
Save
Mark Applied
Hide
Nurse CARE Manager, Wellness Center & Case Management
Bethesda, Maryland, United States
$84k-$148k/yr HybridFull Time
5+ YOEActive Maryland RN license, 5+ years nursing experience, BLS/CPR required, occupational health or case management certification (or progress toward), strong clinical assessment and communication skills, ability to perform utilization review and coordinate care.
2w
Save
Mark Applied
Hide
Nurse Case Manager
Towson, Maryland, United States
$81k-$122k/yr HybridFull Time
3+ YOEMaryland RN license required, 3-5 years nursing experience, case management/utilization review preferred, BSN preferred, CCM/WCCM/MCRSP certifications preferred, familiarity with Windows, Microsoft Word and Microsoft Excel.
Windows, Microsoft Word, Microsoft Excel
2mo
Save
Mark Applied
Hide
Referral Management (Non-Nurse) Reviewer
Bethesda, Maryland, United States
$24/hr OnsiteFull Time
2+ YOEAssociate's degree, 2+ years in utilization/referral/authorization/claims processing, U.S. citizenship with ability to obtain Public Trust clearance, knowledge of InterQual/Milliman/SRGs, familiarity with MHS/TRICARE/HIPAA, and Microsoft Office proficiency.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Microsoft Outlook, MHS-GENESIS, Genesis Work Lists, External Provider Referral Online (EPRO)
3w
Save
Mark Applied
Hide
Case Management Director
Fredericksburg, Virginia, United States
OnsiteFull Time
3+ YOELead day-to-day case management operations; 3+ years hospital-based case management including utilization review and discharge planning; CCM/ACMTM preferred; RN license required if applicable; bachelor\u0002s degree (BSN for nurses).
1mo
Save
Mark Applied
Hide
Manager for Case Management- Bayview Location
Baltimore, Maryland, United States
$95/hr OnsiteTemporary
5+ YOE1+ MgmtCurrent RN licensure in MD, CPR required, ACM or CCM certification within 2 years, 5+ years case management experience, 1+ year leadership experience, knowledge of utilization management and Medicare regulations.
3w
Save
Mark Applied
Hide
Transition of Care RN
Washington or California or Connecticut or Florida or Georgia or Illinois or Indiana or Maryland or Missouri or New Jersey or New York or North Carolina or Pennsylvania or South Carolina or Tennessee or Virginia
FieldFull Time
1+ YOEActive multi-state RN license, bachelor’s in nursing, case management certification preferred, ≥1 year clinical/utilization review experience, EMR/Medent and Microsoft Office proficiency, strong communication and judgment.
EMR, Medent, Microsoft Excel, Microsoft Word
2w
Save
Mark Applied
Hide
Case Manager
Baltimore, Maryland, United States
$37-$66/hr OnsiteFull Time
3+ YOEDegree in nursing and valid RN license required; 3 years clinical experience; medical/surgical, managed care, case management, and utilization review (MCG) experience preferred.
MCG
1mo
Save
Mark Applied
Hide
Case Manager II
Washington, District of Columbia, United States
$87k-$145k/yr OnsiteFull Time
5+ YOEMaster's degree required, active DC RN license required, 5 years' experience with at least 3 years in acute inpatient care, case management/utilization management certification preferred.
STAR
Explore Jobs
Expand Your Job Search
Top Cities Near Washington for Utilization Management Nurse
- Utilization Management Nurse jobs in Baltimore, MD
- Utilization Management Nurse jobs in Arlington, VA
- Utilization Management Nurse jobs in Alexandria, VA
- Utilization Management Nurse jobs in Frederick, MD
- Utilization Management Nurse jobs in Gaithersburg, MD
- Utilization Management Nurse jobs in Rockville, MD
- Utilization Management Nurse jobs in Bowie, MD
- Utilization Management Nurse jobs in Leesburg, VA
- Utilization Management Nurse jobs in Manassas, VA
- Utilization Management Nurse jobs in Annapolis, MD
- Utilization Management Nurse jobs in College Park, MD
- Utilization Management Nurse jobs in Fredericksburg, VA
- Utilization Management Nurse jobs in Laurel, MD
- Utilization Management Nurse jobs in Herndon, VA
- Utilization Management Nurse jobs in Greenbelt, MD
- Utilization Management Nurse jobs in Fairfax, VA
- Utilization Management Nurse jobs in Westminster, MD
- Utilization Management Nurse jobs in Hyattsville, MD
- Utilization Management Nurse jobs in Takoma Park, MD
- Utilization Management Nurse jobs in Vienna, VA