Utilization Review Technician jobs in District of Columbia

Utilization Review Technician 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 Technician 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 Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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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 completion of utilization review using payer specific criteria; uses Interqual and MCG to determine medical necessity and appropriateness of inpatient or observation status ; serves as communication liaison between registered nurse case managers, social workers, on-site reviewers, patient financial services, outpatient areas and registration; and performs all functions in accordance with all applicable laws, regulations and MedStar Washington Hospital Center's philosophy, policies and standards.
  • 26 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...
  • 2 Months Ago

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Utilization Mgmt RN-Remote
  • medstar-pilot
  • Washington, DC FULL_TIME
  • Responsible for evaluating the necessity, appropriateness and efficiency of the use of medical services, procedures and facilities. Responsible for clinical review of acute care services based on Medi...
  • 4 Days Ago

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Small Business Utilization Specialist
  • Office of the Secretary of Housing and Urban Development
  • Washington, DC FULL_TIME
  • This position is located in the Department of Housing and Urban Development, Office of the Secretary of Housing and Urban Development, Office of Small and Disadvantaged Business Utilization (OSDBU). I...
  • 7 Days Ago

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Utilization Mgmt Specialist RN
  • MultiCare Health System
  • Working Virtually, DC FULL_TIME
  • You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities fo...
  • 8 Days Ago

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FSM Utilization Specialist
  • ProSidian Consulting, LLC
  • Washington, DC OTHER
  • Company DescriptionProSidian is a Management and Operations Consulting Services Firm focusing on providing value to clients through tailored solutions based on industry leading practices. ProSidian se...
  • 1 Month Ago

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Powertrain Calibration Technical Expert
  • TALENT Software Services
  • Auburn Hills, MI
  • Powertrain Calibration Technical Expert Job Summary: Talent Software Services is in search of a Powertrain Calibration T...
  • 5/13/2024 12:00:00 AM

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Technical Expert, Electrical
  • ASARCO LLC
  • Marana, AZ
  • Technical Expert, Electrical Employee Type: Salary City: Marana State/Territory: US-AZ Positions Open: 1 Site Name: Silv...
  • 5/13/2024 12:00:00 AM

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Activity Assessment Technical Expert
  • Delta Solutions & Strategies
  • Miami, FL
  • Delta Solutions & Strategies is seeking a Activity Assessment Technical Expert will provide the services necessary to su...
  • 5/13/2024 12:00:00 AM

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Ready Mix Technical Expert
  • Turner Mining Group
  • Indianapolis, IN
  • Turner Staffing Group - Ready Mix Technical Expert Opportunity Title: Ready Mix Technical Expert Job Summary: This posit...
  • 5/13/2024 12:00:00 AM

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Activity Assessment Technical Expert
  • Delta Solutions and Strategies
  • Miami, FL
  • Delta Solutions & Strategies is seeking a Activity Assessment Technical Expert will provide the services necessary to su...
  • 5/11/2024 12:00:00 AM

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Technical/Professional - Technician Technician
  • LanceSoft Inc
  • Bothell, WA
  • Job Description: Performs a variety of duties in the electronic, mechanical, electromechanical, and/or optical areas. Co...
  • 5/9/2024 12:00:00 AM

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Technical Specialist
  • Defenders
  • Boca Raton, FL
  • Company Overview: At ADT Commercial, we are in the business of helping people and organizations to protect what matters ...
  • 5/9/2024 12:00:00 AM

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System Integration Technical Expert
  • Traxen
  • Plymouth, MI
  • We are a Plymouth, Michigan based startup, developing cutting-edge technologies for Driver Assistance and Automated Driv...
  • 5/9/2024 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 Technician jobs
$70,203 to $97,953

Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020