This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with ...
PART TIME WEEKEND SECURITY NEEDED- START ASAP IN SILVER SPRING, MD SCHEDULE: WHITE OAK - SILVER ... reviewing your application! Master Security is an Equal Opportunity/Affirmative Action Employer ...
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PART TIME WEEKEND SECURITY NEEDED- START ASAP IN SILVER SPRING, MD SCHEDULE: WHITE OAK - SILVER ... reviewing your application! Master Security is an Equal Opportunity/Affirmative Action Employer ...
PART-TIME WEEKEND EVENING SHIFT SECURITY OFFICER START ASAP in LANDOVER, MD REQUIREMENTS: At Master ... reviewing your application! Master Security is an Equal Opportunity/Affirmative Action Employer ...
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PART-TIME WEEKEND EVENING SHIFT SECURITY OFFICER START ASAP in LANDOVER, MD REQUIREMENTS: At Master ... reviewing your application! Master Security is an Equal Opportunity/Affirmative Action Employer ...
BCBA (Part-time) (Remote)
Fairfax, VA · Remote
$80 - $110/hr
Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... MondayFriday daytime hours, no weekends Work Location (Hybrid) Job Types: Part-time
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BCBA (Part-time) (Remote)
Fairfax, VA · Remote
$80 - $110/hr
Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... MondayFriday daytime hours, no weekends Work Location (Hybrid) Job Types: Part-time
Physician Auditor
Millersville, MD · On-site +1
$189K - $238K/yr
Remote Type: Part-Time *This position is contingent upon the successful award of the associated ... Minimum Requirements: * 10+ years clinical practice; experience in peer review, utilization review ...
Physician Auditor
Millersville, MD · On-site +1
$189K - $238K/yr
Remote Type: Part-Time *This position is contingent upon the successful award of the associated ... Minimum Requirements: * 10+ years clinical practice; experience in peer review, utilization review ...
Able to work 7-day rotational work schedule, including nights, weekends and holidays We've got you ... For further information, please review the Know Your Rights notice from the Department of Labor.
Able to work 7-day rotational work schedule, including nights, weekends and holidays We've got you ... For further information, please review the Know Your Rights notice from the Department of Labor.
Inpatient Care Navigator/Discharge Planner RN or SW, Per Diem Day Shift, Care Navigation
Silver Spring, MD · On-site
$48/hr
... Utilization Review staff on any denials, issues or barriers to discharge Identify services and ... Every other weekend (Saturday and Sunday), or every Saturday, or every Sunday, as scheduled ...
Inpatient Care Navigator/Discharge Planner RN or SW, Per Diem Day Shift, Care Navigation
Silver Spring, MD · On-site
$48/hr
... Utilization Review staff on any denials, issues or barriers to discharge Identify services and ... Every other weekend (Saturday and Sunday), or every Saturday, or every Sunday, as scheduled ...
Addiction Counselor
Rockville, MD · On-site
$48K - $64K/yr
Avery Road Treatment Center for is looking for Part Time/Weekend Addiction Counselor to provide ... review of continuing care plans. * Responsible for maintaining contact with referral sources and ...
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Addiction Counselor
Rockville, MD · On-site
$48K - $64K/yr
Avery Road Treatment Center for is looking for Part Time/Weekend Addiction Counselor to provide ... review of continuing care plans. * Responsible for maintaining contact with referral sources and ...
Addiction Counselor
Rockville, MD · On-site
$48K - $64K/yr
Avery Road Treatment Center for is looking for Part Time/Weekend Addiction Counselor to provide ... review of continuing care plans. * Responsible for maintaining contact with referral sources and ...
Addiction Counselor
Rockville, MD · On-site
$48K - $64K/yr
Avery Road Treatment Center for is looking for Part Time/Weekend Addiction Counselor to provide ... review of continuing care plans. * Responsible for maintaining contact with referral sources and ...
Inpatient Care Navigator/Discharge Planner RN or SW, Per Diem Day Shift, Care Navigation
Silver Spring, MD · On-site
$48/hr
... Utilization Review staff on any denials, issues or barriers to discharge • Identify services and ... Every other weekend (Saturday and Sunday), or every Saturday, or every Sunday, as scheduled ...
Inpatient Care Navigator/Discharge Planner RN or SW, Per Diem Day Shift, Care Navigation
Silver Spring, MD · On-site
$48/hr
... Utilization Review staff on any denials, issues or barriers to discharge • Identify services and ... Every other weekend (Saturday and Sunday), or every Saturday, or every Sunday, as scheduled ...
Inpatient Care Navigator RN or SW, Variable Part Time Day Shift, Care Navigation
Rockville, MD · On-site
... Utilization Review staff on any denials, issues or barriers to discharge Identify services and ... Weekend Requirements: Every other weekend requirement * Holiday Requirements: yes, as needed ...
Inpatient Care Navigator RN or SW, Variable Part Time Day Shift, Care Navigation
Rockville, MD · On-site
... Utilization Review staff on any denials, issues or barriers to discharge Identify services and ... Weekend Requirements: Every other weekend requirement * Holiday Requirements: yes, as needed ...
Inpatient Care Navigator RN or SW, Variable Part Time Day Shift, Care Navigation
Rockville, MD · On-site
... Utilization Review staff on any denials, issues or barriers to discharge • Identify services and ... Weekend Requirements: Every other weekend requirement * Holiday Requirements: yes, as needed ...
Inpatient Care Navigator RN or SW, Variable Part Time Day Shift, Care Navigation
Rockville, MD · On-site
... Utilization Review staff on any denials, issues or barriers to discharge • Identify services and ... Weekend Requirements: Every other weekend requirement * Holiday Requirements: yes, as needed ...
LEAD GENERATOR PART-TIME (Weekend Work Required) High Energy. Big Impact. Real Money. Voted Best ... star reviews, and an A+ Better Business Bureau rating * Answer customer questions clearly and ...
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LEAD GENERATOR PART-TIME (Weekend Work Required) High Energy. Big Impact. Real Money. Voted Best ... star reviews, and an A+ Better Business Bureau rating * Answer customer questions clearly and ...
RN Inpatient Case Manager Part-Time ( Emergency Dept )
Olney, MD · On-site
$89K - $162K/yr
Work days are set for Wednesdays and Thursdays each week, experienced utilization review candidates highly preferred for this dual discharge planner/UR role*** General Summary of Position Serves as a ...
RN Inpatient Case Manager Part-Time ( Emergency Dept )
Olney, MD · On-site
$89K - $162K/yr
Work days are set for Wednesdays and Thursdays each week, experienced utilization review candidates highly preferred for this dual discharge planner/UR role*** General Summary of Position Serves as a ...
Care Navigator (SW), Variable Part-Time, Inpatient Rehabilitation
$34.58 - $51.87/hr
... Utilization Review staff on any denials, issues, or barriers to discharge Identify services and ... Day Weekend Requirements: Occasional Holiday Requirements: Occasional On-Call: Occasional Shift ...
Care Navigator (SW), Variable Part-Time, Inpatient Rehabilitation
$34.58 - $51.87/hr
... Utilization Review staff on any denials, issues, or barriers to discharge Identify services and ... Day Weekend Requirements: Occasional Holiday Requirements: Occasional On-Call: Occasional Shift ...
Care Navigator (SW), Variable Part-Time, Inpatient Rehabilitation
Rockville, MD · On-site
$34.58 - $51.87/hr
... Utilization Review staff on any denials, issues, or barriers to discharge Identify services and ... Day Weekend Requirements: Occasional Holiday Requirements: Occasional On-Call: Occasional Shift ...
Care Navigator (SW), Variable Part-Time, Inpatient Rehabilitation
Rockville, MD · On-site
$34.58 - $51.87/hr
... Utilization Review staff on any denials, issues, or barriers to discharge Identify services and ... Day Weekend Requirements: Occasional Holiday Requirements: Occasional On-Call: Occasional Shift ...
Care Navigator (SW), Variable Part-Time, Inpatient Rehabilitation
Rockville, MD · On-site
$34.58 - $51.87/hr
... with Utilization Review staff on any denials, issues, or barriers to discharge • Identify ... Day • Weekend Requirements: Occasional • Holiday Requirements: Occasional • On-Call: ...
Care Navigator (SW), Variable Part-Time, Inpatient Rehabilitation
Rockville, MD · On-site
$34.58 - $51.87/hr
... with Utilization Review staff on any denials, issues, or barriers to discharge • Identify ... Day • Weekend Requirements: Occasional • Holiday Requirements: Occasional • On-Call: ...
Inpatient Care Navigator RN or SW, Variable Part Time Day Shift, Care Navigation
Rockville, MD · On-site
... Utilization Review staff on any denials, issues or barriers to discharge • Identify services and ... Weekend Requirements: Available if available * Holiday Requirements: As needed * On-Call: N o ...
Inpatient Care Navigator RN or SW, Variable Part Time Day Shift, Care Navigation
Rockville, MD · On-site
... Utilization Review staff on any denials, issues or barriers to discharge • Identify services and ... Weekend Requirements: Available if available * Holiday Requirements: As needed * On-Call: N o ...
Special Operations Nurse Case Manager / Case Manager Part-Time (National Capital Region) Belong ... Knowledge and skill in using pre-established utilization review criteria recognize and report ...
Special Operations Nurse Case Manager / Case Manager Part-Time (National Capital Region) Belong ... Knowledge and skill in using pre-established utilization review criteria recognize and report ...
Part Time Weekend Utilization Review information
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What is the difference between Part Time Weekend Utilization Review vs Part Time Weekend Medical Coder?
| Aspect | Part Time Weekend Utilization Review | Part Time Weekend Medical Coder |
|---|---|---|
| Certifications | Utilization Review Certification, Medical License (if applicable) | Certified Professional Coder (CPC), Certified Coding Specialist (CCS) |
| Work Environment | Healthcare facilities, insurance companies, remote options | Hospitals, clinics, remote coding jobs |
| Job Focus | Reviewing medical necessity, authorizing services | Translating medical records into billing codes |
| Industry Usage | Insurance, healthcare management | Medical billing and coding |
Part Time Weekend Utilization Review involves assessing medical necessity and authorizing healthcare services, often requiring specific utilization review certifications. In contrast, Part Time Weekend Medical Coder focuses on translating medical records into billing codes, requiring coding certifications. Both roles are common in healthcare but serve different functions within the industry.
Part-time
Medical, Dental, Vision, PTO
Posted yesterday
Inova Health System rating
7.6
Based on 245 frontline employees who took The Breakroom Quiz
188th of 875 rated healthcare providers
Job description
Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be a part-time position.
The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Inova hospital facilities. The Advisor serves an important role in ensuring compliant hospital status/billing for hospital patients. The Advisor interfaces directly with UR nurses and medical staff, providing concurrent communication and education regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered.
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, and remote and hybrid career opportunities.
MD Physician Advisor Additional Requirements:
- Completion of an accredited residency training program
- Active and unrestricted state Virginia medical license
- Board certification in specialty required at time of hire
- Possess or acquire a working knowledge of CMS regulatory guidance and requirements as they pertain to UR and site of service decisions
- Possess a working knowledge of clinical documentation integrity, hospital billing and coding processes and guidelines, case mix index, and DRG assignments
- Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply professional judgment and patient specific variables as may be necessary or justifiable
- Familiarity with (Hospital) organization and case management operations
- Excellent customer service and interpersonal skills
- Able to effectively present information, both formal and informal
- Superb written and verbal communications skills
- Ability to set and manage priorities
- Demonstrate flexibility, teamwork, and a collaborative leadership style
- Strong technical/computer
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