• Quadrant Inc (Washington, DC)
    Licensed Practical Nurse Washington, DC Pay From : $30 per hour MUST: The Licensed Practical Nurse must have experience: Licensed Practical Nurse license in ... and patient has been notified Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests under the collaboration of the… more
    Talent (11/01/25)
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  • JE Dunn Construction Company (Washington, DC)
    …Participates with the project team in preparation and presentation for all project review meetings, including the monthly review process. - Understands and ... awareness, experience and knowledge to identify problems and recommends solutions for review and implementation by the team. + Participates with project team in… more
    DirectEmployers Association (08/22/25)
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  • Washington Metropolitan Area Transit Authority (New Carrollton, MD)
    Advanced Practice Provider ( Nurse Practitioner) Job ID: 250879 Location: MD-Metro Bldg New Carrollton Full/Part Time: Full-Time Posting Open-Close 10/03/2025 - ... Wellness (OHAW) Department is seeking an experienced Advanced Practice Provider Nurse Practitioner to support both clinical and administrative functions within the… more
    DirectEmployers Association (10/04/25)
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  • Quadrant Inc (Woodbridge, VA)
    Registered Nurse Woodbridge VA Pay From: $40 Per Hour MUST: The Registered Nurse should have the following: 3+years of clinical experience as a Registered ... Nurse Experience supporting patients under moderate sedation Must have...administer medications including light sedation Obtain medical history and review procedures Provide patient education regarding post procedure care… more
    Talent (11/01/25)
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  • Nurse Reviewer I

    Elevance Health (Washington, DC)
    ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
    Elevance Health (11/04/25)
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  • Nurse Practitioner-Contract Medical…

    Chenega Corporation (Rockville, MD)
    …**Chenega Professional Services Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department ... closely with the Government and Contractor team trainers, physicians, and nurse practitioners. + Support management, administration, data, communication, and other… more
    Chenega Corporation (10/31/25)
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  • Clinical Reviewer , Nurse (Medical…

    Evolent (Washington, DC)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks ... cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
    Evolent (10/21/25)
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  • Utilization Management Reviewer

    AmeriHealth Caritas (Washington, DC)
    …When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines ... **Role Overview:** Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient… more
    AmeriHealth Caritas (09/01/25)
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  • Physician-Contract Medical Reviewer (CMR)

    Chenega Corporation (Rockville, MD)
    …Services Strategic Business Unit** company, is looking for a Physician- Contract Medical Reviewer (CMR) to support the Department of Health and Human Services (HHS), ... closely with the Government and Contractor team trainers, physicians, and nurse practitioners. + Support management, administration, data, communication, and other… more
    Chenega Corporation (10/14/25)
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  • Manager, Fraud & Waste Investigation…

    Humana (Washington, DC)
    …and help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical ... is complete, compliant and accurate to support optimal reimbursement. The Manager, Nurse Audit/ Review works within specific guidelines and procedures; applies… more
    Humana (11/04/25)
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