Utilization Review Coordinator jobs in Washington, DC

Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Utilization Review/Denials Management Coordinator- Full Time- Southern Maryland Hospital
  • medstar
  • Clinton, MD FULL_TIME
  • The primary responsibility of the Utilization Review (UR) and Denials Management Nurse is to utilize clinical expertise to interface with contracted third party vendor, VPMA or designated Physician Advisor, Providers, case management staff and other associates to facilitate timely review of the appropriateness and medical necessity of the treatments, services, procedures, and facilities provided to patients on a case-by-case basis and to support optimal hospital throughput and appropriate reimbursement for services rendered.
  • 1 Month Ago

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Utilization Review Specialist - PRN
  • Dominion Hospital
  • Falls, VA FULL_TIME
  • Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review Specialist - PRN with Dominion Hospital you can be a part ...
  • 18 Days Ago

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Utilization Review Nurse
  • medstar-pilot
  • Washington, DC FULL_TIME
  • Under the direction of The Director of UM/Appeals assists in the administration of utilization functions, the Utilization Review Nurse, assesses patient insurance/status to facilitate appropriate comp...
  • 8 Days Ago

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Utilization Review Specialist
  • Department of Behavioral Healt
  • Washington, DC FULL_TIME
  • The incumbent functions as a Utilization Review Specialist in Health Information Management. The Utilization Review Specialist performs studies/reviews of medical records to monitor and to determine t...
  • 29 Days Ago

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Travel Utilization Review Registered Nurse
  • Aya Healthcare
  • Olney, MD FULL_TIME,CONTRACTOR,TEMPORARY
  • Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Olney, Maryland. This is a 13-week contract position that requires at least one year of exper...
  • 8 Days Ago

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Licensed Practical Nurse (LPN) - Utilization Review
  • The Arora Group
  • Bethesda, MD FULL_TIME
  • Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, Maryland to provide care to Active Duty heroes, their families, and retirees at Walter Reed National Militar...
  • 1 Day Ago

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0 Utilization Review Coordinator jobs found in Washington, DC area

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Legal Administrative Specialist (Victim-Witness Assistance Program Manager)
  • Offices, Boards and Divisions
  • Washington, DC
  • Summary This position serves as the Victim-Witness Assistance Program Manager within the Criminal Section of the Civil R...
  • 4/26/2024 12:00:00 AM

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Senior Contract Specialist II
  • XLA Associates
  • Washington, DC
  • Position Description: Senior Contract Specialist II (SCS II) Duties and responsibilities of the SCS II, including but ar...
  • 4/26/2024 12:00:00 AM

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Office Manager
  • ManTech International Corporation
  • Washington, DC
  • Secure our Nation, Ignite your Future Become an integral part of a diverse team while working at an Industry Leading Org...
  • 4/26/2024 12:00:00 AM

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Executive and Research Assistant
  • Cherokee Nation Businesses
  • Washington, DC
  • Job Description Executive and Research Assistant This position requires an active Secret clearance or the ability to obt...
  • 4/25/2024 12:00:00 AM

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Sr Field Coordinator (West)
  • J&J Family of Companies
  • Washington, DC
  • Sr Field Coordinator (West) - 2406170290W Description Abiomed, part of Johnson & Johnson MedTech, is a leading provider ...
  • 4/25/2024 12:00:00 AM

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Senior Administrative Assistant
  • AvantGarde, LLC
  • Washington, DC
  • Avantgarde, LLC (AG) seeks to engage a Senior Administrative Assistant supports the AG client on site at the United Stat...
  • 4/24/2024 12:00:00 AM

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Practice Support Administrative Assistant
  • Kirkland & Ellis LLP.
  • Washington, DC
  • About Kirkland & Ellis At Kirkland & Ellis, we are united in our ambition and drive to move forward. We share core value...
  • 4/24/2024 12:00:00 AM

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Utility Supervisor
  • Transdev Inc.
  • Fairfax, VA
  • Utility Supervisor Job Description OVERVIEW: The Utility Supervisor reports directly to the Maintenance Manager in fulfi...
  • 4/22/2024 12:00:00 AM

Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west. The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$89,737 to $111,161
Washington, District of Columbia area prices
were up 1.3% from a year ago

Utilization Review Coordinator in Fort Lauderdale, FL
Some review coordinator positions require that professionals have training and experience within a more specific field.
January 10, 2020
Utilization Review Coordinator in Asheville, NC
Schick Shadel Hospital is seeking a part-time (20 hours per week) Utilization Review Coordinator (UR Coordinator) to help oversee and perform the process of utilization review to ensure appropriate reimbursement by third party payers.
January 04, 2020
Utilization Review Coordinator in Jacksonville, FL
Excellent benefits, pay, small on-site employee gym, wonderful co-workers and managersFull Review.
January 04, 2020