11 utilization review case manager jobs at 8 companies in Manassas, VA
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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.
1w
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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
3d
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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
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).
3d
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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
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Case Reviewer
Maryland or Columbia
RemoteContract
Bachelor's degree in a related field; strong organization, communication, documentation, data entry, and computer skills. Utilization management, HCBS, and DME knowledge preferred.
E-Verify, Durable Medical Equipment (DME), Home and Community Based Services (HCBS)
1mo
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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
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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)
1d
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Clinical Document Integrity Specialist
Dover or Milford or Smyrna or Milton or Kent County or Sussex County or Philadelphia or Washington or Baltimore or Delaware
OnsitePart Time
5+ YOERegistered nurse with an associate degree in nursing and 5 years of acute-care Med/Surg or critical-care experience; utilization review, case management, or coding experience preferred.