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Part Time Optum Utilization Review Jobs in Washington

Hospital Rounder- Nocturnist (PRN)

Silver Spring, MD · On-site

$135/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

We invite applications for a part-time Hospital Rounder- Nocturnist at Holy Cross Hospital. Unlike ... Support patient throughput, utilization management, and quality initiatives by ensuring timely ...

Hospital Rounder- Nocturnist (PRN)

Arlington, VA · On-site

$135/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

We invite applications for a part-time Hospital Rounder- Nocturnist at Virginia Hospital Center ... Support patient throughput, utilization management, and quality initiatives by ensuring timely ...

Hospice Physician

Woodbridge, VA

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Monitor pharmacy utilization, ensuring appropriate medication prescribing and administration ... We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): * Competitive Pay * 401(k) ...

Hospice Physician

Fairfax, VA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Monitor pharmacy utilization, ensuring appropriate medication prescribing and administration ... Benefits for All Associates (Full-Time, Part-Time & Per Diem): * Competitive Pay * 401(k) with ...

Hospice Physician

Fairfax, VA

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Monitor pharmacy utilization, ensuring appropriate medication prescribing and administration ... We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): * Competitive Pay * 401(k) ...

Hospice Physician Designee

Beltsville, MD

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Monitor pharmacy utilization, ensuring appropriate medication prescribing and administration ... We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): * Competitive Pay * 401(k) ...

Hospice Physician Designee

Beltsville, MD

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Monitor pharmacy utilization, ensuring appropriate medication prescribing and administration ... Benefits for All Associates (Full-Time, Part-Time & Per Diem): * Competitive Pay * 401(k) with ...

Showing results 41-60

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 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:

$120K/yr

Full-time, Part-time

Re-posted 13 days ago


Job description

This position is located in the Department of Health and Human Services, Administration for Children and Families, headquartered in Washington, District of Columbia.
Qualifications:
WHAT WE ARE LOOKING FOR
Minimum Qualifications: You must have one year specialized experience to perform successfully the duties of the position. To be creditable, specialized experience must have been equivalent to at least the GS-12 grade level in the Federal service performing ALL of the following:
  • Collaborating with management officials to develop budget estimates, spending plans, funding requirements, and detailed budget justifications supporting organizational goals and mission priorities.
  • Preparing, reviewing, and evaluating budget requests and supporting documentation to ensure accuracy, completeness, and compliance with applicable laws, regulations, policies, and financial management guidance.
  • Performing budget formulation and execution activities for assigned programs, including developing funding plans, monitoring budget performance, and ensuring alignment with organizational objectives.
  • Conducting budget analyses and prepared financial reports, briefings, and recommendations to support management decision-making and resource planning efforts.
  • Advising managers on budgetary policies, procedures, and funding strategies to ensure efficient and effective utilization of available resources.

Documenting experience: IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Qualifications are based on breadth/level of experience. In addition to describing duties performed, applicants must provide the exact dates of each period of employment (from MM/YY to MM/YY) and the number of hours worked per week if part time. As qualification determinations cannot be made when resumes do not include the required information, failure to provide this information may result in disqualification. Applicants are encouraged to use the USAJOBS Resume Builder to develop their federal resume.
Do not copy and paste the duties, specialized experience, or occupational application questionnaire from this announcement into your resume as that will not be considered a demonstration of your qualifications for this position.
In accordance with Office of Personnel Management policy, federal employees are assumed to have gained experience by performing duties and responsibilities appropriate for their official series and grade level as described in their position description. Experience that would not normally be part of the employee's position is creditable, however, when documented by satisfactory evidence, such as a signed memorandum from the employee's supervisor or an SF-50 or SF-52 documenting an official detail or other official assignment. The documentation must indicate whether the duties were performed full time or, if part time, the "percentage of times" the other duties were performed. It is expected that this documentation is included in the employee's official personnel record. In order to receive credit for experience in your resume that is not within the official series and grade level of your official position, you must provide a copy of the appropriate documentation of such experience as indicated above.
Experience refers to paid and unpaid experience, including volunteer work done through national Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to gain employment. You will receive credit for all qualifying experience, including volunteer experience. If such experience is on a part-time basis, you must provide the average number of hours worked per week as well as the beginning and ending dates of the experience so it can be fully credited.
OPM Qualification General Policies WebsiteEducation:Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: http://www.ed.gov.
Note: Applications can be accepted from students who expect to complete qualifying education within 9 months from the date of application. Education was completed successfully before the applicant can be appointed.Employment Type: OTHER