8 utilization review case manager jobs at 4 companies in Leesburg, 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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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.
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6d
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LPN Case Manager Clinical Authorization
Washington, District of Columbia, United States
$33-$53/hr OnsiteFull Time
1+ YOEMaryland or District of Columbia LPN license required, 1–2 years utilization review experience, and 3–4 years diverse clinical experience. Computer and utilization review knowledge required; office productivity skills preferred.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
6d
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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
2w
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Prior Authorization/Financial Analyst II
Washington, District of Columbia, United States
$60k-$102k/yr HybridFull Time
3+ YOEAssociate's degree and 3–4 years of patient billing or insurance claim verification experience required. Claims processing, reimbursement, utilization review, or case management experience preferred.
Medical Records, Electronic Health Records (MR/EHR)
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