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Utilization review nurse jobs in Frederick, MD

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  • Graduate Nurse- Germantown Hospital

    Holy Cross Health 4.2company rating

    Utilization review nurse job in Germantown, MD

    *Employment Type:* Full time *Shift:* *Description:* The Graduate Nurse* *works in a collaborative environment at Holy Cross Health within the Emergency Department to deliver excellent patient care as part of an interdisciplinary team providing evidence-based medicine and individualized patient care. This position is a great opportunity to work in an organization that focuses on treating the whole person physically, emotionally and spiritually. Must be authorized to work in the United States without work visa or sponsorship. *What You Will Do:* * Employment Type/Shift: Rotating Shift * Utilizes knowledge of the principles of growth and development appropriate to the patient's age to ensure that care provided meets the unique, physical and psychosocial needs of the patient. * May perform patient assessments after the initial assessment or after the first assessment of the shift performed by the registered nurse. *Minimum Qualifications:* * Intern/extern nursing student enrolled in a program from an accredited school of nursing or a Trinity Health approved program. * Nurse pending license having graduated from an accredited school of nursing or unlicensed under emergency conditions designation. *Position Highlights and Benefits:* * Comprehensive benefit packages available, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from first day of employment. * Work/Life balance with flexible schedules. * Free onsite parking. * Opportunities for advancement through the Clinical Advancement Program. * Our mission and core values are what drives each member of Holy Cross Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all. *Ministry/Facility Information:* Holy Cross Health is a Catholic, not-for-profit health system that serves the two most populous counties in Maryland, Montgomery and Prince George's, with a commitment to being the most trusted provider of health-care services in the area. Founded in 1963 by the Sisters of the Holy Cross, Holy Cross Health is a member of Trinity Health of Livonia, Michigan. Holy Cross Hospital, in Silver Spring, is one of the largest hospitals in Maryland, and Holy Cross Germantown Hospital is the first hospital in the nation built on a community college campus, enhanced by an educational partnership. The Holy Cross Health Network operates primary-care practices and affordable health centers, and offers a wide range of innovative, community-based health and wellness programs. Specialty care, home care and hospice services round out Holy Cross Health's high-quality and coordinated continuum of care that aims to improve health and let you live life on your own terms. *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $60k-76k yearly est. 3d ago
  • NP or PA - CVICU

    Johns Hopkins Medicine 4.5company rating

    Utilization review nurse job in Bethesda, MD

    Make it Happen at Hopkins! Schedule: Variable Shifts; PRN Suburban Hospital is a community-based, not-for-profit hospital serving Montgomery County and the surrounding areas. As a member of Johns Hopkins Medicine, we are committed to providing world-class care and advancing medical knowledge through research and education. Join us in our mission to deliver outstanding cardiovascular care and make a difference in the lives of our patients. We look forward to welcoming you to our team! Suburban Hospital, a member of Johns Hopkins Medicine, is seeking a dedicated and experienced Acute Care Nurse Practitioner or PA to join our Cardiovascular Intensive Care Unit (CVICU) team. Our CVICU provides specialized care for patients with severe cardiovascular conditions, and we are looking for a motivated professional to contribute to our patient-centered approach. Responsibilities: Provide comprehensive care to critically ill cardiovascular patients in the CVICU. Perform advanced diagnostic and therapeutic procedures under the supervision of attending physicians. Collaborate with a multidisciplinary team including surgeons, cardiologists, nurses, and other healthcare professionals to develop and implement patient care plans. Monitor and evaluate patient progress, adjusting care plans as necessary. Educate patients and their families about their conditions, treatments, and post-discharge care. Participate in quality improvement initiatives and contribute to the continuous enhancement of patient care standards. Maintain accurate and timely documentation of patient care activities in the electronic health record system. Qualifications: Master's or Doctorate degree from an accredited Acute Care Nurse Practitioner program. Current certification as an Acute Care Nurse Practitioner. Licensure as a Nurse Practitioner in the state of Maryland. Previous experience in a critical care setting, preferably in cardiovascular intensive care. Strong clinical skills and the ability to work effectively in a fast-paced, high-stress environment. Excellent communication and interpersonal skills. Commitment to providing high-quality, patient-centered care. Benefits: Opportunities for professional development and continuing education. Supportive and collaborative work environment. Access to Johns Hopkins Medicine's extensive resources and expertise. Salary Range: Minimum 81.51/hour - Maximum 81.51/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $50k-72k yearly est. 11h ago
  • Senior Review Coordinator

    Telligen 4.1company rating

    Utilization review nurse job in Maryland City, MD

    As a Senior Review Coordinator, you will be responsible for conducting utilization review/medical management for all services, including training/mentoring other team members, and performing preliminary research on requested topics. In addition, you may provide technical assistance, medical record review, and support to provider staff and physician reviewers.Essential Functions You will perform prospective, concurrent, or retrospective utilization review/medical management for all services including appropriateness of quality of care based on contract, state, or URAC requirements. You will screen individual situations according to specific criteria to determine if care is appropriate. You will refer cases that fail to meet screening criteria to peer reviewer. You will coordinate and participate in peer-to-peer review as warranted. With prior management approval, you may deviate from criteria with proper justification to authorize the service. You will serve as liaison between peer reviewer, provider, facility and/or subscriber. You will coordinate and participate in appeal process as directed by management. You will train or serve as a mentor to team members and physician reviewers to ensure reviews and appeals are conducted thoroughly and within specified time frames. You will perform preliminary research on topics such as experimental or cosmetic services, coverage determinations, coding or standards of care. You will document review and special project results in workflow documentation system, ensuring data is accurate and timely. You will assist in compliance reporting. You will perform miscellaneous duties as assigned. Requirements Four-year degree in health care or two or three-year degree in nursing or related field and/or equivalent training and/or experience 3+ years recent experience working in a clinical environment Current MD state RN license Because of the nature and immediacy of the work, the ability to maintain regular and predictable attendance is essential. We are unable to consider candidates outside of the United States, candidates in the state of California, or those in US Minor outlying islands and territories Preferred Skills Oral/Written Communication Professional Image Attention to Detail Teamwork Technical Expertise Judgment Relationship Building Influencing Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions. Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and helth shape the future of health. Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed. While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate. Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
    $68k-83k yearly est. Auto-Apply 60d+ ago
  • Peri-Anesthesia Nurse, On Call, Kensington MOB

    Kaiser Permanente 4.7company rating

    Utilization review nurse job in North Kensington, MD

    Provides quality patient care for pre-operative and post-operative patients, in accordance with nursing philosophy and approved standards. Essential Responsibilities: Performs within the established standard of pre- and post- anesthesia nursing and critical care nursing. Utilizes the standard of care in the assessment, planning, implementation and evaluation of the surgical patient in the delivery of pre-operative and post-operative nursing care. Formulates care plans based on individual assessment of physiologic functions and problems identified pre-operatively and intra-operatively. Provides nursing care utilizing clinical knowledge and expertise, reacting immediately to adverse physiological changes within seconds, to reverse and revive the patients physiological functions. Renders nursing care following aseptic techniques. Assembles and communicates appropriate information in verbal or written reports in order to maintain continuity of care. Executes proper use of equipment and supplies used in the pre-operative area and the recovery (Stage I and Stage II) area. Participates in the Perioperative Services quality assurance program. Promotes personal and professional growth by actively participating in continuing education programs. Participates in the professionalism of the Perioperative Services by adhering to the standards. May be required to administer conscious sedation after appropriate training and competency requirements are met Assumes other related duties as directed. Basic Qualifications: Experience A minimum of two (2) years current PACU or critical care experience required. Education High School Diploma or GED required. License, Certification, Registration This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire. Registered Nurse License (Virginia) within 6 months of hire AND Registered Nurse License (Maryland) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hire Registered Nurse License (District of Columbia) within 6 months of hire Basic Life Support from American Heart Association Pediatric Advanced Life Support Advanced Cardiac Life Support Additional Requirements: Good oral and written communication skills required. Proficiency in the use of applicable computer software required. Preferred Qualifications: Recent PACU experience preferred. BSN preferred.
    $59k-79k yearly est. 3d ago
  • Nurse Case Manager I

    Elevance Health

    Utilization review nurse job in Ashburn, VA

    Shift: Monday - Friday; 8:30am - 5:00pm EST Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. How you will make an impact: Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Minimum Requirements: Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states. For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Multi-state licensure is required if this individual is providing services in multiple states. Preferred skills, capabilities, and requirements: Certification as a Case Manager and a BS in a health or human services related field preferred. Previous OB/NICU experience preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $61k-88k yearly est. Auto-Apply 60d+ ago
  • Nurse Case Manager I

    Carebridge 3.8company rating

    Utilization review nurse job in Ashburn, VA

    Shift: Monday - Friday; 8:30am - 5:00pm EST Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. Minimum Requirements: * Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is required if this individual is providing services in multiple states. * For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. * Current and active RN license required in applicable state(s). * Multi-state licensure is required if this individual is providing services in multiple states. Preferred skills, capabilities, and requirements: * Certification as a Case Manager and a BS in a health or human services related field preferred. * Previous OB/NICU experience preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $63k-82k yearly est. Auto-Apply 60d+ ago
  • IVF Nurse Coordinator

    CCRM Fertility

    Utilization review nurse job in Rockville, MD

    Job Description Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility's diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment. For more information, visit *************** Work Location: Department: Clinical Your Schedule: Monday - Friday; 7:30am-4:00pm; Possible evening, weekend, and holiday rotations. What We Offer Our Team Members: Generous Paid time-off (PTO) and paid holidays Medical, Dental, and Vision Insurance Health benefits eligible the first day of the month following your start date. 401(k) Plan with Company Match (first of the month following 2 months of service) Basic & Supplement Life Insurance Employee Assistance Program (EAP) Short-Term Disability Flexible spending including Dependent Care and Commuter benefits. Health Savings Account CCRM Paid Family Medical Leave (eligible after 1 year) Supplemental Options (Critical Illness, Hospital Indemnity, Accident) Professional Development, Job Training, and Cross Training Opportunities Bonus Potential 401(k) Plan with Company Match (first of the month following 2 months of service) Professional Development, Job Training, and Cross Training Opportunities Potential for Over-time Pay (Time and a half) Holiday Differential Pay (Time and a half) Weekend Shift Differential Pay ($4.00 per hour) How You Will Make an Impact: The IVF Nurse Coordinator (RN) plays a crucial role in the fertility treatment process and will make a significant impact through patient care, support, assessment, education, and counseling. The IVF Nurse Coordinator (RN) provides comprehensive care, support, and coordination throughout the IVF journey. Their role is pivotal in helping patients navigate the complexities of fertility treatments while striving for the best possible outcomes. What You Will Do: The IVF Nurse Coordinator (RN) is responsible for providing individualized nursing care to CCRM's fertility patients through treatment coordination, medication management, patient advocacy, and outcome monitoring. This position collaborates closely with the physicians to coordinate patient care and treatment and consult with patients regarding treatment protocols, medications, and/or required testing procedures. The IVF Nurse Coordinator is expected to function independently in the role as well as in a team environment. The IVF Nurse Coordinator reports to the IVF Nurse Supervisor. Assess patients' medical histories, reproductive health, and any underlying conditions that may impact fertility and ensure appropriate data is entered in EMR. Collaborate with physicians to determine suitable treatment plans for individual patients. Educate patients on the IVF process (procedures, infertility testing, insemination, in vitro (IVF) fertilization, FET, and egg vitrification, etc.), medications, potential side effects, and lifestyle factors that may affect treatment success. Provide emotional support and counseling to each patient throughout their CCRM Journey. Guide patients on how to self-administer medications and monitor progress; adjust medication dosages based on patients' responses and communicate any concerns to the medical team. Coordinate and schedule surgery and ART appointments, diagnostic tests, and procedures, and ensure all consents are signed and patients adhere to the treatment timeline. Monitor established pregnancies via ultrasonography and lab tests, through the first 8-12 weeks of pregnancy (annotated in EMR). Serve as a liaison between patients and the medical team, relaying vital information, test results, and treatment instructions; answering any questions or concerns promptly. Advocate for patients, ensuring their needs and preferences are taken into consideration and help patients make informed decisions about their care. Maintain accurate and up-to-date patient records, documenting all aspects of the IVF treatment in the EMR (i.e., medication administration, test results, progress notes, physician orders, etc.). Ensure patients understand results, discuss potential reasons for failure, and explore alternative treatment options or modifications to the treatment plan. Perform intrauterine inseminations, as directed. Verify all communicable disease testing is complete, accurate, and appropriate. Other duties as assigned. What You Bring: Associate Degree or higher in Nursing, from an accredited school of nursing required. Current State Registered Nurse (RN) license (without limitations) required. Active BCLS/ACLS certification required. 3+ years RN experience preferred. 2+ years of previous experience in women's health, fertility, OB/GYN, preferred. Working Conditions: The physical demands described here are representative of those which should be met, with or without reasonable accommodation (IAW ADA Guidelines), by an employee to successfully perform the essential functions of this job. This job operates in a professional office and clinical setting. This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets. While performing the duties of this job, the employee is regularly required to communicate with others. The employee is frequently required to sit; will occasionally stand and/or walk; use hands and fingers to grasp, pick, pinch, type; and reach with hands and arms. Employees should have the visual acuity to perform an activity such as: preparing and analyzing data and figures, viewing a computer terminal, extensive reading, and operation of standard office machines and equipment. CCRM's Compensation: The salary range represents the national average compensation for this position. The base salary offered will vary based on location, experience, skills, and knowledge. The pay range does not reflect the total compensation package. Our rewards may include an annual bonus, flexible work arrangements, and many other region-specific benefits. Pre-Employment Requirements: All offers of employment are conditional upon the successful completion of the CCRM Fertility onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees. Equal Employment/Anti-Discrimination: We are an equal-opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
    $75k-99k yearly est. 2d ago
  • Clinical Nurse - Case Manager

    Saratoga Medical Center 4.3company rating

    Utilization review nurse job in Falls Church, VA

    Job Description Saratoga Medical is hiring for a Clinical Nurse, Case Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great full-time opportunity with telework available. Please see the qualifications below and submit your resume if you are interested in being considered. Required Qualifications: Bachelor's degree in Nursing, Master's preferred, or other clinically related Health Service degree. Department of Defense Program Management (PM) experience preferred, minimum 2 years within the last 5 years. Experience in the operations and organization of the Department of Defense Military Health System desired. Saratoga Medical Center, Inc. is an equal opportunity employer and will not discriminate in recruiting, hiring, training, promotion, transfer, discharge, compensation or any other term or condition of employment on the basis of race, religion, color, age (over age 39), sex, national origin, or on the basis of disability if the employee can perform the essential functions of the job, with a reasonable accommodation if necessary.
    $64k-82k yearly est. 30d ago
  • FT Overnight Nurses- Emmitsburg

    Maryland Treatment Centers, Inc. 3.5company rating

    Utilization review nurse job in Emmitsburg, MD

    About Us Maryland Treatment Centers Inc., also known as Mountain Manor Treatment Centers- Emmitsburg provides a comprehensive continuum of treatment for persons with problems involving substance use. We feature specialty services for young adults and adults. Clinical programs include assessment, residential/inpatient, detoxification, day treatment, intensive outpatient and outpatient substance abuse, dual diagnosis, mental health, special education and prevention services. Mountain Manor treatment programs are accredited by the Joint Commission (JCAHO). Mountain Manor Emmitsburg is looking for Full-Time Night Shift Registered Nurses and Licensed Practical Nurses. Shift: 8PM-8:30AM Responsibilities The overall responsibility is to: Assist the nursing department in the delivery of care to patients Administer medication to patients Perform basic medical check-ups Providing patient care Updating records Completing documentation Requirements Requires a medication certification/license issued in the State of Maryland
    $58k-87k yearly est. 9d ago
  • Neurology APP (Nurse Practitioner or Physician Assistant) NP or PA

    Inova Health System 4.5company rating

    Utilization review nurse job in Leesburg, VA

    Inova is looking for a dedicated PRN Neurology Advanced Practice Provider (NP/PA) to join the team. Sign-on bonus and relocation assistance eligible. Positions available for various specialty areas. Stroke | General Neurology Inova Neuroscience is a regional leader in the diagnosis, treatment and research of complex neurological conditions involving the brain, spine and nervous system. With twelve specialized programs, the Institute is the largest program of its kind in Northern Virginia. Our highly trained and nationally recognized physicians treat a wide range of conditions, including neurotrauma, spine conditions, epilepsy, movement disorders, brain and spinal tumors, memory disorders and stroke and cerebrovascular disease. Our comprehensive research program is committed to the advancement of treatment protocols. Inova Neuroscience and Spine Institute employs a multidisciplinary approach so that patients and their families experience expert, coordinated care from diagnosis through rehabilitation. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules. Neurology Advanced Practice Provider (NP/PA) Job Responsibilities: Patient Care Management: Provides safe, holistic, and patient-centered care for a defined patient population under the supervision of a physician. Independently assesses, diagnoses, and initiates medical treatments in accordance with Virginia nurse practitioner licensure regulations. Neurology Expertise: Acts as a subject matter expert in Neurology and performs necessary procedures as required. Team Collaboration: Communicates effectively and works collaboratively with the healthcare team to achieve optimal patient outcomes. Demonstrates respect for all clinical disciplines and promotes an integrated care approach. Evidence-Based Practice: Follows evidence-based guidelines and protocols to guide care. Uses data and insights to improve patient care and clinical practice. Professional Development: Engages in lifelong learning to enhance clinical practice. Mentors and provides guidance to others while demonstrating leadership in decision-making and problem-solving. Minimum Requirements: Work schedule: PRN Education: Masters in Advanced Clinical Practice or graduate of a post masters certificate program for nurse practitioners, OR certificate from an education program that is accredited by the Council of Nurse Anesthesia Educational Programs/Schools, American College of Nurse Midwives, American Association of Colleges of Nursing of the National League for Nursing. For physician Assistants, graduate of an accredited Physician Assistant program and certification by National Commission on Certification of Physician Assistants. Experience: No experience required. Certification: Basic Life Support (BLS) upon start Licensure: Licensed Physician Assistant or Nurse Practitioner; If Nurse Practitioner: RN Compact License(depending on State of primary residence) AND a license (or eligibility for) as a nurse practitioner or physician assistant in the Commonwealth of Virginia AND a "Practice Agreement" signed by sponsoring/ supervising physician(s), AND a written "Scope of Practice/Protocol" signed by the supervising physician, AND "Drug Enforcement Administration License" (if prescribing controlled substances) Payer Credentialing: Ability to successfully complete the credentialing process by third-party payors and Ability to enrolled as a CMS Medicare/Medicaid payor Medical Staff Credentialing: Successful completion of credentialing for Medical Staff membership and appropriate clinical privileges sufficient to perform all required services Preferred Qualifications: Minimum of one year of experience in Neurology Applicants may be considered for current and future opportunities for PRN positions. Positions available for various facilities, shifts and specialty areas. Stroke | General Neurology Facilities: Inova Alexandria Hospital 4320 Seminary Rd, Alexandria, VA 22304 Inova Fairfax Medical Campus 3300 Gallows Rd, Falls Church, VA 22042 Inova Fair Oaks Hospital 3600 Joseph Siewick Dr, Fairfax, VA 22033 Inova Loudoun Hospital 44045 Riverside Pkwy, Leesburg, VA 20176 Inova Mount Vernon Hospital 2501 Parkers Ln, Alexandria, VA 22306 Shifts: All (Day shift) Specialty Areas: Inpatient and Outpatient Facilities
    $60k-84k yearly est. Auto-Apply 60d+ ago
  • Post-Acute NP/PA - Full time in Northern, MD region!

    PAS 4.2company rating

    Utilization review nurse job in Westminster, MD

    Our Post-Acute team provides medical services for various Skilled Nursing, Rehabilitation, Long Term Care and Assisted Living facilities. Deliver compassionate patient care working on our growing post-acute care team. Essential Job Functions: Competently perform exams and complete assessments and treatment plan. Adhere to Adfinitas policies for frequency of overseeing the care of and reviewing the notes related to specific episodes of care for patients of the skilled nursing facility. Facilitate the patient's transition within and between health care settings, e.g. admitting, transferring, and discharging patients. Collaborate with multidisciplinary team members. Submit accurate and timely charges for all professional services performed REQUIREMENTS 1+ years of experience as an Advanced Practice Provider in an acute role, preferably long-term care or skilled nursing facility or similar inpatient experience required Graduate of an accredited school and program, respective to role (PA-C, or NP) Licensure to practice medicine in good standing, with the state governing body Federal DEA certification in good standing State CDS in good standing Capable of being successfully credentialed at designated locations Possess strong clinical skills and demonstrate competency in providing comprehensive health care including evaluation, diagnosis and treatment Flexibility and organizational skills to work autonomously Proven skills, knowledge base, and judgment necessary for independent clinical decision making Excellent organizational, time management and problem-solving skills Ability to function effectively as part of a multi-disciplinary team Effective oral and written communication skills Demonstrate commitment to high ethical standards and healthcare compliance. Ability to work in stressful situations. Strong computer skills, including various EMR systems. ABOUT US - ADFINITAS HEALTH Adfinitas Health is a rapidly growing and multispecialty medical practice. Founded in 2007, we are a physician-owned and managed company, providing high-quality, cost-effective clinical management services across the full continuum of care in hospitals, critical care and post-acute facilities. We recruit and train the best and brightest medical professionals and offer career advancement, leadership training and education, and the ability to practice at the top of one's license. Our physicians, nurse practitioners, and physician assistants are supported by a dedicated team of business professional to ensure that the administrative and operational components of care are properly managed - allowing our providers to focus on patient care and quality improvement. BENEFITS FOR FULL TIME Competitive salary and bonus package Comprehensive benefits including Health, dental, vision, CME, 401k, ST/LT disability and life insurance Paid Time Off Leadership and training programs available Malpractice insurance with tail, 100% company paid Cross-training opportunities Incentives for improved productivity and quality care Manageable caseloads Flexibility in scheduling Recognition of service outside of work We offer flexibility and work-life balance. Adfinitas Health is a government contractor and an Equal Opportunity/Affirmative Action Employer. It is Adfinitas Health's policy that all personnel-related decisions are made without regard to race, color, religion, sex, national origin, age, disability, marital or veteran status, or any other protected status.
    $52k-72k yearly est. 60d+ ago
  • Part-Time Nurse

    NCCF

    Utilization review nurse job in Bethesda, MD

    Weekend Shift: Friday - Sunday Responsible for coordinating overall health and wellness services for residents in the Greentree Adolescent Program-Residence. Essential Duties and Responsibilities: Develops and maintains policies and procedures for planning, implementing, and monitoring of medical treatments for all resident. Maintains and updates records of medical records for each resident, including results of developmental assessment and child immunization records. Monitors and maintains records of medication administration to ensure compliance with doctors' orders. Provides training to staff in First Aid/CPR, medication administration and monitoring, infection control, and the prevention and/or management of health emergencies, in compliance with the state and local licensing requirements. Conducts medical screening assessment on all new resident and ensured the community is free from communicable disease. Coordinates and monitors all medical, dental and eye care appointments, ensuring compliance with all state licensing regulations. Ensures correct administration of medication and monitoring of the results of treatment. Functions as part of the multi-disciplinary treatment team in developing individual treatment plans and intervention strategies for working with residents. Functions as a liaison between NCCF, staff psychiatrists, school health personnel, referring physicians and clinical staff. Provides consultation to staff regarding health issues. Obtains medical supplies, including prescriptions when indicated. Maintains contact with healthcare providers and identifies additional providers based on resident needs. Develops and facilitates the health education groups for resident. Non-Essential Duties and Responsibilities: · Performs TB tests on employees and clients and maintains accurate records in employee files. · Advocates for residents by presenting the healthcare needs of children and families to appropriate decision making bodies at the local and state level where indicated. · Keeps abreast of current issues in the health field. · Participates in community education activities as indicated. Minimum Position Requirements: · BSN or RN plus three (3) years of experience · Direct patient care experience with children and adolescents, preferably in residential settings. · Excellent written and oral communication skills · Commitment to and understanding of the residential treatment milieu and relevant teamwork orientation. · Demonstration of cross-cultural competencies · An attitude compatible with the goals and purposes of the National Center for Children and Families. Physical Demands/Work Environment: While performing the responsibilities of the job, the employee is required to talk and hear. The employee is often required to sit and use their hands and fingers to handle or feel. The employee is occasionally required to stand, walk, reach with arms and hands, climb or balance, and stoop, kneel, crouch or crawl. Vision abilities required y this job require close vision working with a computer monitor. While performing the duties of this job, employee is occasionally exposed to moving mechanical parts and vehicles. The noise level in the work environment is usually quiet to moderate. While performing the responsibilities of the employee's job, these work environment characteristics are representative of the environment the Human Resources Director will encounter. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the job. Salary: $40 - $42.44 per Hour
    $40-42.4 hourly 60d+ ago
  • Suburban Hospital CV PA/NP (Intrastaff)

    Intrastaff

    Utilization review nurse job in Bethesda, MD

    Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the strength of our service. Intrastaff is unique because it's one of the very few agencies where a person has the benefit of being a temporary employee and also feels like a member of a large organization. Working at Hopkins means joining a culturally diverse team that includes some of the best nurses, physicians and allied health professionals in the world. Directly or indirectly, you'll have exposure to cutting-edge technology and groundbreaking medical research. Responsibilities The APP works collaboratively within a multidisciplinary health team and provides comprehensive and age-appropriate care to both well and/or ill patients. Educates patients and/or intervenes in acute or chronic illness. Work Schedule: 0630-1900/ 1830-0700, 2-3 shifts/week 4-12 Patients, max 4 ICU level Central line/Arterial line insertion, Chest tube removal/insertion, Pacer wire removal-#0-4 per day Qualifications -Must have CV recovery experience -ACLS, CALS preferred Master's or Doctorate from an accredited ACNP or PA program -Current Acute care NP license or board-certified physician assistant -EPIC experience $150/hr
    $48k-82k yearly est. Auto-Apply 44d ago
  • IV Infusion Nurse

    Kalologie Virginia 3.7company rating

    Utilization review nurse job in Arlington, VA

    Job Description With two decades of excellence, Kalologie Medspa stands as a premier destination for aesthetic and wellness treatments. Our team of highly trained experts is renowned for their personalized approach, providing safe, effective, and medically-proven treatments that achieve exceptional results. We are proud of our team based culture, with a genuine focus on well-being. As we continue to expand, we remain committed to our core values and a passionate pursuit of excellence. Position Overview: e are seeking experienced Registered Nurses(RN) to perform IV Infusion Therapy at our location at Club Studio in Arlington. You thrive working in a fast-paced environment and are always willing to learn more and strengthen your skills to deliver the best service and results. The ideal candidate would have specialized training in infusion therapy. Key Responsibilities: Prepare and set up the IV infusion. Foster a calming atmosphere and closely monitor the IV administration process. Conduct client consultations to create customized treatment plans and deliver services that meet individual needs and goals. Educate clients on treatment processes, including detailed pre- and post-care instructions. Address client inquiries, respond to their needs, and manage expectations effectively. Ensure client safety and satisfaction throughout all treatments. Promote and suggest relevant retail products and additional services offered by the company. Maintain and sanitize equipment and manage inventory of products. Adhere to established treatment protocols. Keep detailed records, including client charts. Build and maintain a strong client base. Participate in training sessions and meetings as needed. Perform other assigned duties as required. Occasionally travel to other locations for training purposes. Qualifications: Active license as a Registered Nurse (RN), Nurse Practitioner (NP), Physician Assistant (PA) in the state of employment. Minimum of 2 years of relevant experience preferred. Experience in a clinical setting is a plus. Exceptional interpersonal and communication skills, with the ability to effectively interact with clients, colleagues, and managers. Ability to multitask, stay attentive to client needs, and adapt to business requirements. Strong team player with the ability to take initiative and work independently. Availability to work evenings and weekends is required. Kalologie offers a competitive salary with flexible schedules, generous service discounts, and ongoing training opportunities on new techniques, equipment and products. We promote continued growth and development through our rapidly expanding medical aesthetic clinics.
    $51k-71k yearly est. 24d ago
  • Radiology Safety Nurse, Tysons

    VHC Health 4.4company rating

    Utilization review nurse job in McLean, VA

    Qualifications Purpose & Scope: Across all levels, the registered professional nurse is responsible for the direct and indirect total nursing care of his / her assigned patients. He / She is also responsible for the supervision of assigned personnel. The position requires knowledge of both department and hospital policies and procedures relevant to the delivery of nursing care. Interpretive skills, frequent interactive and consultative associations, along with management and supervisory skills are inherent in the position. The ability to retrieve, communicate or otherwise present information in a written, auditory or visual fashion is essential. The primary method to express or exchange ideas is through the spoken word. Written, telephone, and manual dexterity skills are required for this position. The Critical Safety Nurse (Radiology) will promote and maintain quality patient care before, during and after radiologic procedures. The Critical Safety Nurse (Radiology) will receive hand-off communication at the time of transport to radiology, monitor and care for the patient during transport to and from radiology, during wait times and while the exam is performed, and provide hand-off communication when the patient is delivered back to the patient's primary place of care within Virginia Hospital Center. The Critical Safety Nurse (Radiology) will promote and maintain quality patient care for outpatients before, during and after radiologic procedures requiring a nurse. These include, but are not limited to, monitoring patients with pacemakers in MRI, providing medications to patients for exams requiring these administrations, and assessing both inpatients and outpatients for contrast reactions and extravasations. The Critical Safety Nurse (Radiology) will communicate with and ensure quality patient care is being provided by having a good working relationship with the radiologists in the Imaging Department. Education: Bachelor's degree in nursing is required. Experience: Five years of healthcare/medical - nursing/patient care experience is preferred. Five years of experience in a critical care setting is preferred. Certification/Licensure: Licensed as a Registered Nurse by the Virginia Department of Health Professions or compact state licensure in nursing is required. BLS certification required. ACLS certification required. CCRN certification or PCCN preferred. CRN certification preferred. Registered Nurses on designated units are required to maintain certain certifications. New to practice area nurses or new graduates have 1 year to complete the specialty requirements below. ACLS: ED, ICU, CVICU, Cardiac Cath Lab, Cardiopulmonary Rehab, Bronch Suite, Interventional Radiology, Radiology Safety Nurses, Step down Units (3A, 3B, 4B), 6A, 6B, 7A, Labor and Delivery, Hemodialysis, Respiratory Therapy, Float pool, GI Unit, and PACU PALS: PACU: Pediatric Nurses, ED NRP: NICU, Mother Baby, Labor and Delivery De-escalation training: BHU, ED Per policy ACLS or PALS cards stand as showing competence in BLS Skills per American Heart Association Guidelines. If an employee holds current ACLS or PALS certification, this meets the requirement for BLS in their job description. They do not need to also carry a separate BLS certification.
    $51k-71k yearly est. 19d ago
  • Winter Nature Experience Nurse

    Carroll County, Md 3.9company rating

    Utilization review nurse job in Westminster, MD

    Information * Pay Range (Grade): $21.40 (Y000) * Other Compensation Offered: Overtime * Employment Type: Seasonal Contract * Organization: Recreation & Parks - Parks - Hashawha * Reports to: Park Manager, Hashawha * Classification: Non-Exempt (42002) Who We Are At Carroll County Government, we look for people who are eager to engage in meaningful work that positively impacts our community. As public servants, our sense of purpose and motivation to work hard starts with the value we place on relationships with coworkers, community partners, and those we serve. We strive to build collaborative and passionate teams, with opportunities to learn and explore new possibilities in a welcoming workplace. As a team, we are committed, inspired, and connected to make a difference in the community. What You Will Do As the Winter Nature Experience Nurse, you will administer first aid and medication while keeping detailed records. Working under the direction of the Park Manager, you will also provide programming support for Winter Nature Experience staff. The work you do will help participants to have a safe camp experience. Essential Duties * Provide nursing support and first aid for Winter Nature Experience. * Administer medication to attendees based on instructions from guardian and/or physician. * Keep a detailed record of medication administration and any incidents requiring first aid. * Provide programming support for Winter Nature Experience staff. * Ensure all work is complete and timely to support department goals. Evaluate feedback and procedures to improve efficiency. * Invite collaboration and seek learning opportunities. Proactively assist peers to create a supportive work environment. * Exhibit integrity, ethics, and fiscal responsibility. How You Will Succeed Your Skills * Nursing Procedures (Intermediate) * Universal Precautions (Intermediate) Your Strengths * Service Excellence * Decision Making * Collaborating with Others * Digital Literacy * Continuous Learning * Safety Focus * Professionalism * Problem Solving * Managing Resources You Might Be a Good Fit If Education and Experience * High school diploma or general education diploma (GED) * 2 or more years of experience in nursing field or providing nursing duties in a residential facility setting * A comparable amount of education and experience may be substituted for the minimum requirement. Required Licenses and Certifications * Certified Nursing Assistant or equivalent * CPR, AED, First Aid, and Blood Borne Pathogen certification Additional Information * Requires criminal background check as condition of employment. Working Conditions * Frequent exposure to potentially adverse weather conditions. * Frequent exposure to potentially adverse environmental conditions, including, but not limited to, chemicals, noise, and airborne particles. * Frequent physical activity: standing/walking, pushing/pulling, bending, reaching, lifting and carrying, climbing steps, squatting, stooping, and related activities. * Must wear appropriate PPE as required. Why You Will Love Working Here Carroll County Government is dedicated to fostering a culture focused on the total well-being of our employees. Find out more here: Carroll County Government | Carroll County, Maryland (carrollcountymd.gov) Carroll County Government is an Equal Opportunity Employer. The County Commissioners of Carroll County recognize the rights of all people, including County employees, to equal opportunity. Discrimination against County employees on the basis of race, color, religion, age, gender, national origin, sexual orientation, marital status, physical or mental disability is strictly prohibited. The Americans with Disabilities Act, Titles I and II, applies to County government employment. If you have questions, suggestions, or complaints, please contact Kristy L. Bixler, Director, Human Resources and Carroll County Government Americans with Disabilities Coordinator for Employment, at the Department of Human Resources (************) or Md. Relay 711/************. The mailing address is 225 North Center Street, Westminster, Maryland 21157. Questions or need assistance? Please contact us at ***************************, via telephone at ************ or stop by our office at 225 N. Center Street, Room 100, Westminster, MD 21157 during normal business hours. Disclaimer: This job description may not be inclusive of all assigned duties, responsibilities, or aspects of the job described, and may be amended at any time at the sole discretion of the Employer.
    $62k-76k yearly est. 37d ago
  • ECT Nurse (Baltimore/Washington Campus), Part Time

    Sheppard Pratt Careers 4.7company rating

    Utilization review nurse job in Elkridge, MD

    • Provides care to patients in the ECT suite. • Responsible for identified pre-operative, intra-operative, and post-operative nursing care activities involved in carrying out ECT (electroconvulsive therapy), which has been prescribed for the treatment of selected inpatients or outpatients at SP and frequently requires the use of independent judgment. • Communicates with patients based on an understanding of the developmental needs of children, adolescents, and/or geriatric population. • Works collaboratively with the anesthesiologist and those physicians who have been identified as qualified to administer ECT at this facility. #LI-SH1
    $50k-75k yearly est. 33d ago
  • Post-Acute NP/PA - Part time

    Adfinitas Health

    Utilization review nurse job in Chevy Chase, MD

    Our Post-Acute team provides medical services for various Skilled Nursing, Rehabilitation, Long Term Care and Assisted Living facilities. Deliver compassionate patient care working on our growing post-acute care team. Essential Job Functions: * Competently perform exams and complete assessments and treatment plan. * Adhere to Adfinitas policies for frequency of overseeing the care of and reviewing the notes related to specific episodes of care for patients of the skilled nursing facility. * Facilitate the patient's transition within and between health care settings, e.g. admitting, transferring, and discharging patients. * Collaborate with multidisciplinary team members. * Submit accurate and timely charges for all professional services performed REQUIREMENTS * Desired 1+ years of experience as an Advanced Practice Provider in an acute role, preferably long-term care or skilled nursing facility or similar inpatient experience required * Graduate of an accredited school and program, respective to role (PA-C, or NP) * Licensure to practice medicine in good standing, with the state governing body * Federal DEA certification in good standing * State CDS in good standing * Capable of being successfully credentialed at designated locations * Possess strong clinical skills and demonstrate competency in providing comprehensive health care including evaluation, diagnosis and treatment * Flexibility and organizational skills to work autonomously * Proven skills, knowledge base, and judgment necessary for independent clinical decision making * Excellent organizational, time management and problem-solving skills * Ability to function effectively as part of a multi-disciplinary team * Effective oral and written communication skills * Demonstrate commitment to high ethical standards and healthcare compliance. * Ability to work in stressful situations. * Strong computer skills, including various EMR systems. ABOUT US - ADFINITAS HEALTH Adfinitas Health is a rapidly growing and multispecialty medical practice. Founded in 2007, we are a physician-owned and managed company, providing high-quality, cost-effective clinical management services across the full continuum of care in hospitals, critical care and post-acute facilities. We recruit and train the best and brightest medical professionals and offer career advancement, leadership training and education, and the ability to practice at the top of one's license. Our physicians, nurse practitioners, and physician assistants are supported by a dedicated team of business professional to ensure that the administrative and operational components of care are properly managed - allowing our providers to focus on patient care and quality improvement. BENEFITS FOR FULL TIME * Competitive salary and tiered bonus package * Comprehensive benefits including Health, dental, vision, CME, 401k, ST/LT disability and life insurance * Paid Time Off * Leadership and training programs available * Malpractice insurance with tail, 100% company paid * Cross-training opportunities * Incentives for improved productivity and quality care * Manageable caseloads * Flexibility in scheduling * We offer flexibility and work-life balance. * Minimal call coverage * Average 15 patients per day Advantages of working with Adfinitas * Competitive compensation package with bonuses and incentives based on quality and productivity * Comprehensive benefits including Health, dental, vision, CME, 401k, ST/LT disability and life insurance * Malpractice insurance with tail coverage * Leadership and training programs available * Cross-training opportunities * Manageable caseloads * Flexibility in scheduling * Recognition of service outside of work Adfinitas Health is a government contractor and an Equal Opportunity/Affirmative Action Employer. It is Adfinitas Health's policy that all personnel-related decisions are made without regard to race, color, religion, sex, national origin, age, disability, marital or veteran status, or any other protected status.
    $48k-82k yearly est. 60d+ ago
  • Neurology APP (Nurse Practitioner or Physician Assistant) NP or PA

    Inova Health System 4.5company rating

    Utilization review nurse job in Fairfax, VA

    Inova is looking for a dedicated PRN Neurology Advanced Practice Provider (NP/PA) to join the team. Sign-on bonus and relocation assistance eligible. Positions available for various specialty areas. Stroke | General Neurology Inova Neuroscience is a regional leader in the diagnosis, treatment and research of complex neurological conditions involving the brain, spine and nervous system. With twelve specialized programs, the Institute is the largest program of its kind in Northern Virginia. Our highly trained and nationally recognized physicians treat a wide range of conditions, including neurotrauma, spine conditions, epilepsy, movement disorders, brain and spinal tumors, memory disorders and stroke and cerebrovascular disease. Our comprehensive research program is committed to the advancement of treatment protocols. Inova Neuroscience and Spine Institute employs a multidisciplinary approach so that patients and their families experience expert, coordinated care from diagnosis through rehabilitation. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules. Neurology Advanced Practice Provider (NP/PA) Job Responsibilities: Patient Care Management: Provides safe, holistic, and patient-centered care for a defined patient population under the supervision of a physician. Independently assesses, diagnoses, and initiates medical treatments in accordance with Virginia nurse practitioner licensure regulations. Neurology Expertise: Acts as a subject matter expert in Neurology and performs necessary procedures as required. Team Collaboration: Communicates effectively and works collaboratively with the healthcare team to achieve optimal patient outcomes. Demonstrates respect for all clinical disciplines and promotes an integrated care approach. Evidence-Based Practice: Follows evidence-based guidelines and protocols to guide care. Uses data and insights to improve patient care and clinical practice. Professional Development: Engages in lifelong learning to enhance clinical practice. Mentors and provides guidance to others while demonstrating leadership in decision-making and problem-solving. Minimum Requirements: Work schedule: PRN Education: Masters in Advanced Clinical Practice or graduate of a post masters certificate program for nurse practitioners, OR certificate from an education program that is accredited by the Council of Nurse Anesthesia Educational Programs/Schools, American College of Nurse Midwives, American Association of Colleges of Nursing of the National League for Nursing. For physician Assistants, graduate of an accredited Physician Assistant program and certification by National Commission on Certification of Physician Assistants. Experience: No experience required. Certification: Basic Life Support (BLS) upon start Licensure: Licensed Physician Assistant or Nurse Practitioner; If Nurse Practitioner: RN Compact License(depending on State of primary residence) AND a license (or eligibility for) as a nurse practitioner or physician assistant in the Commonwealth of Virginia AND a "Practice Agreement" signed by sponsoring/ supervising physician(s), AND a written "Scope of Practice/Protocol" signed by the supervising physician, AND "Drug Enforcement Administration License" (if prescribing controlled substances) Payer Credentialing: Ability to successfully complete the credentialing process by third-party payors and Ability to enrolled as a CMS Medicare/Medicaid payor Medical Staff Credentialing: Successful completion of credentialing for Medical Staff membership and appropriate clinical privileges sufficient to perform all required services Preferred Qualifications: Minimum of one year of experience in Neurology Applicants may be considered for current and future opportunities for PRN positions. Positions available for various facilities, shifts and specialty areas. Stroke | General Neurology Facilities: Inova Alexandria Hospital 4320 Seminary Rd, Alexandria, VA 22304 Inova Fairfax Medical Campus 3300 Gallows Rd, Falls Church, VA 22042 Inova Fair Oaks Hospital 3600 Joseph Siewick Dr, Fairfax, VA 22033 Inova Loudoun Hospital 44045 Riverside Pkwy, Leesburg, VA 20176 Inova Mount Vernon Hospital 2501 Parkers Ln, Alexandria, VA 22306 Shifts: All (Day shift) Specialty Areas: Inpatient and Outpatient Facilities
    $59k-84k yearly est. Auto-Apply 60d+ ago
  • New Graduate Nurse Residency

    VHC Health 4.4company rating

    Utilization review nurse job in Arlington, VA

    Job Description New Graduate RN Residency: VHC Health Nurse Residency Program is based on the Vizient and American Association of Colleges of Nursing (Vizient/AACN) Nurse Residency Programâ„¢. The Vizient/AACN Nurse Residency Program (NRP) is designed to effectively support new nurse graduates as they transition into their first professional roles. Built on an evidence-based curriculum developed by experts from academic medical centers and nursing schools across the country, the program focuses on three critical areas: leadership, patient outcomes, and professional role. Hospital Information: VHC Health is a 453-bed not-for-profit Hospital and teaching facility that has been delivering high quality care to the Washington, DC metropolitan area for over 75 years. Recent accomplishments include recognition by Newsweek as a 2025 "World's Best Hospital" and VHC becoming the Washington Commanders Football provider for women's health. VHC Health is a designated Level II Trauma Center and a recognized Magnet Facility by the American Nurses Credentialing Center. At VHC Health, we are always striving to provide continued excellence and growth for our employees as well as top notch care for our patients and that is made clear with our recent accomplishments! Goals: One of the primary goals of the program is to improve the residents' critical thinking/clinical reasoning skills and ability to understand and use outcomes data to promote patient safety Further develop effective decision-making skills related to clinical judgment and performance Provide clinical nursing leadership at the point of care Strengthen your commitment to the profession of nursing Evolve in the formation of an individual professional development plan Incorporate research-based evidence linked to practice outcomes into the care he or she provides Structure of the residency program: Full-time Employment; schedules vary by department At least 6-8 weeks of unit-specific orientation and preceptorship will be integrated into program (new graduate RN will work the same schedule as preceptor) Program lasts about 1 year and Residents will meet regularly as a cohort once a month for four hours with access to preceptors and expert resident facilitators Completion of an evidence-based project Mentoring on a professional development plan Nurse and program evaluation, including completion of the required Vizient/AACN and institutional surveys Responsibilities Pay & Benefits: Commensurate with experience. Team members are eligible to receive benefits on the first day of the month following the date of hire, with 30 days to apply for benefits of choice. Employee-Led Engagement and Wellness Committee dedicated to make work a fun and healthy place to work Annual Employee Survey - Your Voice is Heard at VHC! Paid Major Holidays Generous Paid Time Off / Vacation / Sick Time Health Insurance Dental Insurance Tuition Reimbursement Student Loan Repayment Career Counseling, Leadership Development and Training Clinical and Research Pathways Eligible Annual Merit Review and Merit Increases Employee Assistance Program (EAP) Flexible Spending Accounts (FSA) Health Savings Account (HSA) Health Fitness & Education Class Discounts Employee Wellness Benefits Hospital Discount for Employees and Family VHC Health Outpatient Pharmacy VHC Retirement Program Workforce Enhancement Program Work/Life Discounts Program Free onsite parking Commuter Benefits Family Leave 401(k) + Match and much more! Qualifications Purpose & Scope: Across all levels, the registered professional nurse is responsible for the direct and indirect total nursing care of their assigned patients. The RN is also responsible for the supervision of assigned personnel. The position requires knowledge of both department and hospital policies and procedures relevant to the delivery of nursing care. Interpretive skills, frequent interactive and consultative associations, along with management and supervisory skills are inherent in the position. The ability to retrieve, communicate or otherwise present information in a written, auditory or visual fashion is essential. The primary method to express or exchange ideas is through the spoken word. Written, telephone, and manual dexterity skills are required for this position. Education: Associate's in Nursing Required or, Bachelor's in Nursing Required Experience: New Graduate: under one year of Nursing/Patient Care in an acute care setting Certification/Licensure: Licensed as a Registered Nurse by the Virginia Department of Health Professions required or, Compact State Licensure in Nursing required BLS certification required
    $51k-71k yearly est. 20d ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in Frederick, MD?

The average utilization review nurse in Frederick, MD earns between $50,000 and $91,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in Frederick, MD

$67,000
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