9 utilization review case manager jobs at 6 companies in Herndon, VA
1w
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Utilization Review Case Manager - Partial Hospitalization Program
Annapolis or Bowie or Lanham
$82k-$123k/yr OnsitePart Time
2+ YOEBachelor's degree and two years of utilization review or utilization management experience required. Assesses medical necessity, manages referrals, reviews records, and coordinates with payors.
1w
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Utilization Review Case Manager - Partial Hospitalization Program
Annapolis or Lanham
$82k-$123k/yr HybridPart Time
2+ YOEBachelor's degree and two years of utilization review or utilization management experience. Requires clinical assessment, medical necessity review, authorization, documentation, payer coordination, and appeals experience.
1mo
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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
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Utilization Reviewer
Largo, Maryland, United States
OnsiteFull Time
Active Maryland RN licensure (or compact eligibility) required; utilization/case management and acute care experience preferred; CPUR preferred; strong communication and analytical skills.
2w
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Case Manager Registered Nurse (674845)
Bethesda, Maryland, United States
$43-$67/hr OnsiteFull Time
2+ YOEBSN required, 2+ years of clinical nursing experience, valid RN license, and basic CPR required. Case management, discharge planning, utilization review, and case management certification preferred.
none
1mo
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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).
4d
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LPN Case Manager Clinical Authorization
Washington, District of Columbia, United States
$33-$53/hr OnsiteFull Time
1+ YOEValid Maryland or District of Columbia LPN license, 1–2 years of utilization review experience, and 3–4 years of diverse clinical experience. Computer proficiency with Word, Excel, and PowerPoint preferred.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
3w
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Director of Case Management
Baltimore, Maryland, United States
$58-$104/hr OnsiteFull Time
3+ YOE4+ MgmtMaster's degree in nursing, healthcare administration, business administration, or related field; RN licensure in Maryland or DC; 3–4 years of experience in case management, social work, or utilization review; progressive leadership preferred.
computer software applications
3w
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Nurse Audit Specialist, Remote
Linthicum Heights or Maryland or United States
RemoteFull Time
4+ YOEActive Maryland RN registration, four years of professional nursing experience, and two years of utilization review, quality assurance, or case management experience. Requires audit, communication, negotiation, and computer skills.
MIDAS