ZipRecruiter

Log In

1

Medicare Rn Jobs in Washington (NOW HIRING)

Peraton

Medical Review Nurse- Medicare

Herndon, VA · On-site

$66K - $106K/yr

Medical Review Nurse- Medicare Job Locations US Requisition ID 2026-169533 Position Category ... Experience in the medical field as a Registered Nurse or other clinician, and/or experience in ...

New

Heartland Hospice

Registered Nurse

Fairfax, VA · On-site

What You'll Do as a Hospice RN / RN Case Manager: * Be the primary point of contact for patients ... e., Medicare, Medicaid, ACHC, and human resource management principles). Working Conditions:

Gentiva Hospice

Registered Nurse

Fairfax, VA · On-site

What You'll Do as a Hospice RN / RN Case Manager: * Be the primary point of contact for patients ... e., Medicare, Medicaid, ACHC, and human resource management principles). Working Conditions:

Peraton

Medical Review Nurse- Medicare

Reston, VA · On-site

$66K - $106K/yr

Medical Review Nurse- Medicare Job Locations US Requisition ID 2026-169533 Position Category ... Experience in the medical field as a Registered Nurse or other clinician, and/or experience in ...

New

USPI, INC.

PreOp PACU Registered Nurse

Bethesda, MD · On-site

$45 - $57/hr

RN PreOp PACU Surgical Specialty Center of Mid-Atlantic is hiring a PRN PreOp PACU RN. Surgical Specialty Center of Mid Atlantic is a Medicare Certified Ambulatory Surgical Center (ASC) with 1 ...

Fox Chase Healthcare

RN MDS Coordinator

Silver Spring, MD

$38.50 - $46.50/hr

RN MDS Coordinator Fox Chase Healthcare is looking for a Registered Nurse to fill a MDS role in a ... Medicare or Medicaid certified nursing homes. Our ideal candidate is organized, interested in ...

previous pagenext page

Showing results 21-40

All JobsMedicare Rn JobsMedicare Rn Jobs in Washington

Medicare Rn information

What are the key skills and qualifications needed to thrive as a Medicare RN, and why are they important?

To thrive as a Medicare RN, you need a comprehensive understanding of clinical nursing practices, Medicare regulations, and care coordination, typically supported by an active RN license and experience in case management or utilization review. Familiarity with Medicare documentation requirements, electronic health records (EHRs), and case management software is essential. Strong communication, attention to detail, and critical thinking skills help Medicare RNs effectively advocate for patients and collaborate with healthcare teams. These skills ensure compliance with regulations, optimize patient outcomes, and support efficient healthcare delivery within the Medicare system.

What does a Medicare RN do?

A Medicare RN is a registered nurse who specializes in providing care and managing cases for patients covered under Medicare, the federal health insurance program for people 65 and older or with certain disabilities. Their duties often include patient assessments, developing care plans, coordinating services, ensuring compliance with Medicare regulations, and educating patients and families about their healthcare options. They may work in hospitals, home health agencies, or long-term care facilities, helping to optimize patient outcomes while ensuring proper documentation for Medicare reimbursement.

What is the difference between Medicare Rn vs Home Health Nurse?

AspectMedicare RnHome Health Nurse
CredentialsRegistered Nurse license, Medicare certificationRegistered Nurse license, home health certification
Work EnvironmentHospitals, clinics, Medicare facilitiesPatients' homes, community settings
Employer & IndustryMedicare providers, healthcare agenciesHome health agencies, hospice services
Search & Comparison IntentMedicare Rn vs Home Health NurseMedicare Rn vs Home Health Nurse

Both Medicare Rns and Home Health Nurses are registered nurses working within the Medicare system. While Medicare Rns often work in clinics or hospitals providing Medicare-related care, Home Health Nurses focus on delivering nursing services directly in patients' homes. Both roles require RN licensure, but their work environments and employer types differ, reflecting their specific patient care settings.

What are the typical challenges Medicare RNs face when coordinating patient care across multiple providers?

Medicare RNs often encounter challenges related to coordinating care among various healthcare providers, such as physicians, specialists, and home health agencies. Navigating different documentation systems and ensuring timely communication can be complex, especially when managing patients with multiple chronic conditions. Effective organization, strong communication skills, and a thorough understanding of Medicare guidelines are essential for overcoming these challenges and providing seamless care transitions.

What are popular job titles related to Medicare Rn jobs in Washington?

For Medicare Rn jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Medicare Rn jobs in Washington look for?

The top searched job categories for Medicare Rn jobs in Washington are:

What cities in Washington are hiring for Medicare Rn jobs?

Cities in Washington with the most Medicare Rn job openings:

Medicare Rn jobs near you
Infographic showing various Medicare Rn job openings in Washington as of August 2026, with employment types broken down into 3% As Needed, 58% Full Time, 16% Part Time, and 23% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

Medical Review Nurse- Medicare

Peraton

Herndon, VA • On-site

$66K - $106K/yr

Other

Posted 3 days ago

New

Peraton rating

8.3

Company rating: 8.3 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

51st of 224 rated it services

Job description


Medical Review Nurse- Medicare
Job Locations
US
Requisition ID
2026-169533
Position Category
Business Controls
Clearance
No Clearance Required
Responsibilities

SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

We are looking to add a Nurse Reviewer to our SGS team of talented professionals.

What you'll do:

The position requires the individual to conduct medical record reviews and to apply sound clinical judgment to claim payment decisions. Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and to support the ongoing fraud investigations and requests for information. The incumbent will use a variety of tools to identify and develop cases for future administrative action, including referral to law enforcement, education, overpayment recovery. Will work with external agencies to develop cases and corrective actions as well as respond to requests for data and support.

    Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government
  • Research regulations and cite violations.
  • Conduct self-directed research to uncover problems in Medicare payments made to institutional and non-institutional providers.
  • Make claim payment decisions based on clinical knowledge
  • Telework available from any state

Essential Functions:

  • This position may require the incumbent to appear in court to testify about work findings.
  • Ability to compose correspondence, reports, and referral summary letters.
  • Ability to communicate effectively, internally and externally
  • Ability to handle confidential material.
  • Ability to report work activity on a timely basis.
  • Ability to work independently and as a member of a team to deliver high quality work
  • Ability to attend meetings, training, and conferences, overnight travel required

Qualifications

Required Qualifications:

  • 5 years with Bachelors degree or 3 years with a Masters degree.or 7 years with an Associates degree
  • Experience in the medical field as a Registered Nurse or other clinician, and/or experience in review of medical claims for coverage and medical necessity.
  • Current nursing license. Active license in the US
  • Strong investigative skills
  • Strong communication and organization skills
  • Strong PC knowledge and skills
  • US. citizenship is required

Desirable Qualifications:

The most competitive candidates will have:

  • Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud cases
  • Have a CPC (Certified Professional Coder) certificate.

Peraton Overview

Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can't be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we're keeping people around the world safe and secure.

Target Salary Range
$66,000 - $106,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual's experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.
EEO
EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

What Peraton employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Peraton logo

About Peraton

Sourced by ZipRecruiter

At Peraton, we re at the forefront of delivering the next big thing every day. We re the partner of choice to help solve some of the world s most daunting challenges, delivering bold, new solutions to keep people around the world safer and more secure.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Herndon, VA, US

Year founded

2017

View All Peraton Jobs

Apply