ZipRecruiter

Log In

2

Part Time Optum Utilization Review Jobs in Washington

Encompass Health Corporation

Case Manager II

Bowie, MD · On-site

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

QRM Health

Physical Therapist Assistant

Dunn Loring, VA · On-site

$28 - $37/hr

August Healthcare at IliffPhysical Therapist Assistant (PTA) Full-Time | Part-Time | PRN $5,000 ... Participate in interdisciplinary team meetings, care conferences, and utilization reviews

Centerbrite Health

BCBA

Fairfax, VA · Hybrid

$90K - $110K/yr

This role is designed to be flexible from the start: come in part-time and grow into full-time as ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

Centerbrite Health

BCBA

Fairfax, VA · On-site +1

$90K - $110K/yr

This role is designed to be flexible from the start: come in part-time and grow into full-time as ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

LAUKOA

Dentist (Part-Time Weekends)

Arlington, VA · On-site

... on a part-time, "as needed" basis. Providers will support Soldier dental readiness and ... review, readiness documentation, and utilization of military dental readiness systems including ...

QRM Health

Physical Therapist

Annandale, VA

$1.6K - $2.1K/wk

August Healthcare at LeewoodPhysical Therapist (PT) Full-Time | Part-Time | PRN $10,000 Sign-On ... Participate in interdisciplinary team meetings, care conferences, and utilization reviews * Educate ...

QRM Health

Physical Therapist

Dunn Loring, VA

$1.6K - $2.1K/wk

August Healthcare at IliffPhysical Therapist (PT) Full-Time | Part-Time | PRN $10,000 Sign-On Bonus ... Participate in interdisciplinary team meetings, care conferences, and utilization reviews * Educate ...

Elaine Ellis Center of Health

Be Seen First

Licensed Clinical Social Worker

Washington, DC · On-site

$26 - $32/hr

This part time patient advocate position is responsible for enhancing the overall quality of care ... utilization reviews for the targeted population. · Perform other duties and assist with special ...

previous pagenext page

Showing results 21-40

All JobsOptum Utilization Review JobsPart Time Optum Utilization Review JobsPart Time Optum Utilization Review Jobs in Washington

Part Time Optum Utilization Review information

What is the difference between Part Time Optum Utilization Review vs Part Time Medical Coder?

AspectPart Time Optum Utilization ReviewPart Time Medical Coder
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical reviewer credentialsRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentRemote or office-based, reviewing patient records and insurance claimsRemote or office-based, reviewing and coding medical records
Employer & Industry UsageUsed mainly in health insurance and managed care companies like OptumUsed across healthcare providers, billing companies, and insurance payers

While both roles involve healthcare documentation, Part Time Optum Utilization Review focuses on evaluating medical necessity and insurance claims, whereas Part Time Medical Coder concentrates on accurately translating medical records into standardized codes. Both require healthcare knowledge but serve different functions within the healthcare industry.

What are the most commonly searched types of Optum Utilization Review jobs in Washington?

The most popular types of Optum Utilization Review jobs in Washington are:

What are popular job titles related to Part Time Optum Utilization Review jobs in Washington?

For Part Time Optum Utilization Review jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Part Time Optum Utilization Review jobs in Washington look for?

The top searched job categories for Part Time Optum Utilization Review jobs in Washington are:

What cities in Washington are hiring for Part Time Optum Utilization Review jobs?

Cities in Washington with the most Part Time Optum Utilization Review job openings:

Part Time Optum Utilization Review jobs near you

Case Manager II

Encompass Health Corporation

Bowie, MD • On-site

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago

Encompass Health rating

7.0

Company rating: 7.0 out of 10

Based on 423 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers

Job description


Case Manager Career Opportunity
Recognized for your abilities as a Case Manager
Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.
A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:
  • Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
  • Generous paid time off that accrues over time.
  • Opportunities for tuition reimbursement and continuous education.
  • Company-matching 401(k) and employee stock purchase plans.
  • Flexible spending and health savings accounts.
  • A vibrant community of individuals passionate about the work they do!

Become the Case Manager you always wanted to be
  • Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
  • Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.
  • Participate in planning for and the execution of patient discharge experience.
  • Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
  • Facilitate team conferences weekly and coordinate all treatment plan modifications.
  • Complete case management addendums and all required documentation.
  • Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
  • Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.
  • Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
  • Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
  • Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs of admission.
  • Perform assessment of goals and complete case management addendum within 48 hours of admission.
  • Educate patient/family on rehabilitation and Case Manager role; establish communication plan.
  • Schedule and facilitate family conferences as needed.
  • Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
  • Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
  • Make appropriate/timely referrals, including documentation to post discharge providers/physicians.
  • Ensure accuracy of discharge and payor-related information in the patient record.
  • Participate in utilization review process: data collection, trend review, and resolution actions.
  • Participate in case management on-call schedule as needed.

Qualifications
  • License or Certification:
    • Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
    • If licensure is required for one's discipline within the state, individual must hold an active license.
    • Must meet eligibility requirements for CCM® or ACM™ certification upon entry into this position OR within two years of entry into the position.
    • CCM® or ACM™ certification required OR must be obtained within two years of being placed in the Case Manager II position.
  • Minimum Qualifications:
    • For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an Associate Degree.
    • For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.
    • 2 years of rehabilitation experience preferred.

About Us
The Encompass Health Way
We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.

What Encompass Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Encompass Health logo

About Encompass Health

Sourced by ZipRecruiter

Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Birmingham, AL, US

View All Encompass Health Jobs

Apply