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Part Time Weekend 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.

Inova

Registered Nurse (RN) Case Manager 1

Leesburg, VA · On-site

This role will be Part-Time Weekends (Every Saturday & Sunday), 2- 10 hour shifts per week Inova is ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...

Inova

Registered Nurse (RN) Case Manager 1

Leesburg, VA · On-site

This role will be Part-Time Weekends (Every Saturday & Sunday), 2- 10 hour shifts per week Inova is ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...

Pritchard Industries

Houseman

Washington, DC · On-site

$26.30/hr

... utilization of the package log, and assist wait staff and other departments as needed to ensure ... * Part-time * Pay rate: $26.30/hour * Hours: Hours vary/week, Monday - Friday, Weekends as needed

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All JobsPart Time Weekend Utilization Review JobsPart Time Weekend Utilization Review Jobs in Washington

Part Time Weekend Utilization Review information

How do I get into a utilization review?

To become a part-time weekend utilization review specialist, typically a healthcare professional such as a registered nurse or licensed therapist needs relevant clinical experience and knowledge of insurance or healthcare policies. Certification in case management or utilization review, along with familiarity with medical records and documentation, can improve job prospects. Applying through healthcare organizations, insurance companies, or staffing agencies that offer part-time roles is common.

What job makes $10,000 a month without a degree?

A Part Time Weekend Utilization Review role typically does not pay $10,000 a month; such high earnings usually require full-time positions, specialized skills, or certifications. Jobs that can reach this income level without a degree often include sales, real estate, or certain entrepreneurial ventures, but they generally demand experience, strong networks, or business acumen.

What jobs pay $2000 a day?

Jobs that can pay $2000 a day typically include specialized roles such as high-level consultants, surgeons, or senior executives, often requiring extensive experience, advanced skills, or certifications. Freelance or contract work in fields like software development, legal consulting, or financial advising may also reach this level with sufficient expertise and client volume.

How to make an extra $2000 a month as a nurse?

A part-time weekend utilization review nurse can increase income by taking on additional shifts, working overtime, or offering telehealth services if permitted. Gaining specialized certifications or experience can also command higher pay rates, helping to reach the extra $2000 monthly goal.

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

AspectPart Time Weekend Utilization ReviewPart Time Weekend Medical Coder
CertificationsUtilization Review Certification, Medical License (if applicable)Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentHealthcare facilities, insurance companies, remote optionsHospitals, clinics, remote coding jobs
Job FocusReviewing medical necessity, authorizing servicesTranslating medical records into billing codes
Industry UsageInsurance, healthcare managementMedical 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.

What cities in Washington are hiring for Part Time Weekend Utilization Review jobs? Cities in Washington with the most Part Time Weekend Utilization Review job openings:
Part Time Weekend Utilization Review jobs near you
Special Operations Nurse Case Manager / Case Manager Part-Time (National Capital Region)

Special Operations Nurse Case Manager / Case Manager Part-Time (National Capital Region)

KBR, Inc.

Washington, DC • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

KBR rating

8.3

Company rating: 8.3 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

97th of 356 rated engineering

Job description

Title:
Special Operations Nurse Case Manager / Case Manager Part-Time (National Capital Region)
Belong. Connect. Grow. with KBR!
KBR is a company of innovators, thinkers, creators, explorers, volunteers, and dreamers; but we all share one goal: to improve the world responsibly and safely. We maintain a highly qualified workforce to help care for service people and astronauts across the world. We attract the best minds because our expertise thrives on creativity, resourcefulness, and collaboration. That is how we supply our clients with cutting-edge solutions and services.
We are seeking a stellar Special Operations Case Manager (PART TIME) that will provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries. At KBR we maintain a highly qualified workforce to help care for service people and astronauts - Could this be you?
Essential Duties & Responsibilities:
  • Collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations.

  • Assess patient via the telephone, using established protocols, in order to provide appropriate and cost effective care.

  • Establish priorities for patient care monitor and evaluate progress toward the stated goals in order to provide coordinated, efficient, effective health care to its beneficiaries.

  • Oversee discharge-planning activities in order to ensure ideal timing and sequencing of patient care.

  • Provide professional assistance to health care finders in order to identify patient's needs for referrals to appropriate health care providers or facilities.

  • Negotiate, write, finalize, and administer product/service agreements to insure mutual compliance in meeting care goals.

  • Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and risk management issues in order to improve practice, and ensure compliance.

  • Knowledge and skills in the use of VA/DOD Clinical Practice Guidelines in order to ensure an evidence based standardized process of care to military beneficiaries.

  • Knowledge of the healthcare financial environment and the fiscal dimension of population health in order to ensure optimal stewardship of resources.

  • Skill in use of research tools in order to critically evaluate existing practices, opportunities, and outcomes.

  • Skill in management of information systems and technology in order to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to involved stakeholders.

  • Knowledge of computers and software applications in order to conduct data collection, tracking, rending, and analysis.

  • Ability to design and present computer-generated outcome analysis information in order to provide timely, effective peer and higher level educational programs or project briefings.

  • Knowledge of pharmaceuticals, their desired effects, side effects, and complications of their use in order to gauge their effect on patients and their recovery.

Required Education/Experience/Skills/Training:
  • Position requires U.S. Citizenship.

  • This position requires a Secret Clearance or Top Secret Clearance, or the ability to obtain a clearance.

  • Demonstrated skill in understanding diagnoses in order to assist patients to optimize their level of function and self-care.

  • Current licensure; full, active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker in one of any U.S. State, the District of Columbia, Guam, Puerto Rico or U.S. Virgin Islands.

  • A minimum of two (2) years nursing experience or case management experience and must be certified as a case manager by a recognized certifying organization, i.e. Commission for Case Management Certification, American Case Manager Association, or American Nurse Credentialing Center, or shall obtain the certification within the first year of employment.

  • Demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems in order to enhance patient adherence to individualized treatment plans and train peers and staff.

  • Ability to seek feedback from peers, professional colleagues, clients, and outcomes research, in order to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues.

  • Skills to effectively consult with health care providers at all levels and negotiate with outside providers for services and products in order to obtain client services and support.

  • May be required to receive and maintain clinical practice privileges.

  • Maintain credentialing requirements in good standing at a local MTF.

  • Fluent oral and written communication skills in English in order to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, research, and metrics to demonstrate or advance effective, efficient case management practice, outcomes, and organizational/MHS values.

  • Skill in team coordination, facilitation, and communication in order to facilitate the exchange of information/ education, enhance goal achievement; augment abilities of client support network, and effect change in system or policy at any level.

  • Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards in order to ensure adherence within legal and professional parameters.

  • Must maintain current certification in Basic Cardiac Life Support (BCLS) by the American Heart Association; must provide front and back proof of all training/certs/documentation.

Standard Company Requirements:
  • Must comply with Safety, Health and Environmental plan, policies and procedures.

  • Must comply with the Quality Assurance plan, policies and procedures.

  • Must maintain regular and acceptable attendance.

  • Responsible for completing all required training.

  • Perform other assignments and duties, as required.

Desired Qualifications/Experience:
  • Candidate has previous military background/experience

Basic Compensation:
$49.31HR-$54.64HR
The offered rate will be based on the selected candidate's working location, knowledge, skills, abilities and/or experience and in consideration of internal parity.
Additional Compensation:
KBR may offer bonuses, commissions, or other forms of compensation to certain job titles or levels, per internal policy or contractual designation. Additional compensation may be in the form of sign on bonus, relocation benefits, short term incentives, long term incentives
KBR Benefits
KBR offers a selection of competitive lifestyle benefits which could include 401K plan with company match, medical, dental, vision, life insurance, AD&D, flexible spending account, disability, paid time off, or flexible work schedule. We support career advancement through professional training and development.
Click here to learn more: KBR Benefits New | KBR
#HPKBR
Belong, Connect and Grow at KBR
At KBR, we are passionate about our people and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a People First company. That commitment is central to our team of team's philosophy and fosters an environment where everyone can Belong, Connect and Grow. We Deliver - Together.
KBR is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

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About KBR

Sourced by ZipRecruiter

At KBR, we partner with government and industry clients to provide purposeful and comprehensive solutions with an emphasis on efficiency and safety. With a full portfolio of services, proprietary technologies and expertise, our employees are ready to handle projects and missions from planning and design to sustainability and maintenance. Whether at the bottom of the ocean or in outer space, our clients trust us to deliver the impossible on a daily basis.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Houston, TX, US

Year founded

1998

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