19 utilization review case manager jobs at 13 companies in Washington, DC
6d
Save
Mark Applied
Hide
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.
6d
Save
Mark Applied
Hide
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.
1w
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)
3w
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
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.
3w
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
1w
Save
Mark Applied
Hide
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
Save
Mark Applied
Hide
RN Team Lead Utilization Review
Clinton, Maryland, United States
$89k-$163k/yr HybridFull Time
3+ YOEBachelor's in Nursing, active RN licensure (MD/DC/compact), 3+ years acute care experience, BLS; CCM preferred; Utilization/Case Management experience and supervisory/mentoring skills.
4d
Save
Mark Applied
Hide
Clinical Medical Review Nurse (Remote)
Baltimore, Maryland, United States
$67k-$134k/yr RemoteFull Time
3+ YOERequires an RN license in VA, DC, or MD, high school diploma/GED, and 3 years of acute clinical experience plus case management, discharge planning, or utilization review experience.
Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, web-based technology, CPT, HCPCS
1mo
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
RN Team Lead Utilization Review
Clinton, Maryland, United States
$89k-$163k/yr OnsiteFull Time
3+ YOE1+ MgmtBachelor's in Nursing required, active RN state or compact licensure for DC/MD, 3+ years acute care experience, 2 years UM/Case Management preferred, 1+ year leadership preferred, CCM preferred, strong clinical judgment and communication.
2w
Save
Mark Applied
Hide
Director of Case Management
Baltimore, Maryland, United States
$58-$104/hr OnsiteFull Time
3+ YOE4+ MgmtMaster's degree required; 3-4 years of experience and progressive leadership preferred, with case management, social work, or utilization review experience required. Maryland or DC RN licensure required.
computer software applications
2w
Save
Mark Applied
Hide
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
1w
Save
Mark Applied
Hide
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
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.
2mo
Save
Mark Applied
Hide
SOCIAL WORKER (LCSW/LICSW)- FULL TIME
Washington, District of Columbia, United States
$40-$58/hr OnsiteFull Time
Bachelor's in social work required (Master's preferred). Utilization review/case management certification preferred. Prior acute care/case management/discharge planning experience preferred. Strong communication, confidentiality, and adaptability skills.
1w
Save
Mark Applied
Hide
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)
2w
Save
Mark Applied
Hide
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
1mo
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
Explore Jobs
Expand Your Job Search
Top Cities Near Washington for Utilization Review Case Manager
- Utilization Review Case Manager jobs in Baltimore, MD
- Utilization Review Case Manager jobs in Arlington, VA
- Utilization Review Case Manager jobs in Alexandria, VA
- Utilization Review Case Manager jobs in Frederick, MD
- Utilization Review Case Manager jobs in Gaithersburg, MD
- Utilization Review Case Manager jobs in Rockville, MD
- Utilization Review Case Manager jobs in Bowie, MD
- Utilization Review Case Manager jobs in Leesburg, VA
- Utilization Review Case Manager jobs in Manassas, VA
- Utilization Review Case Manager jobs in Annapolis, MD
- Utilization Review Case Manager jobs in College Park, MD
- Utilization Review Case Manager jobs in Fredericksburg, VA
- Utilization Review Case Manager jobs in Laurel, MD
- Utilization Review Case Manager jobs in Herndon, VA
- Utilization Review Case Manager jobs in Greenbelt, MD
- Utilization Review Case Manager jobs in Fairfax, VA
- Utilization Review Case Manager jobs in Westminster, MD
- Utilization Review Case Manager jobs in Hyattsville, MD
- Utilization Review Case Manager jobs in Takoma Park, MD
- Utilization Review Case Manager jobs in Vienna, VA