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Professional Reviewer Jobs in Washington (NOW HIRING)

Peraton

Nurse Reviewer - Medicaid

Reston, VA · On-site

$66K - $106K/yr

We are looking to add a Medical Reviewer to our SGS team of talented professionals. What you'll do: The Medical Reviewer requires the individual to conduct medical record reviews and to apply sound ...

2M Quality, LLC

Be Seen First

New Home Quality Reviewer

Manassas, VA · On-site

$25 - $45/hr

Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to ...

2M Quality, LLC

Be Seen First

New Home Quality Reviewer

Manassas, VA · On-site

$25 - $45/hr

Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to ...

Peraton

Nurse Reviewer - Medicaid

Herndon, VA · On-site

$66K - $106K/yr

We are looking to add a Medical Reviewer to our SGS team of talented professionals. What you'll do: The Medical Reviewer requires the individual to conduct medical record reviews and to apply sound ...

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All JobsProfessional Reviewer JobsProfessional Reviewer Jobs in Washington

Professional Reviewer information

What is a professional reviewer?

A Professional Reviewer evaluates products, services, books, movies, or other media and provides detailed assessments for publications, websites, or companies. Their reviews help consumers make informed decisions by highlighting key features, pros, and cons. They must have strong analytical skills, excellent writing abilities, and expertise in their subject matter. Reviews may be published in blogs, magazines, or social media platforms.

What skills and qualifications are needed to thrive as a professional reviewer?

To excel as a Professional Reviewer, you need strong writing abilities, critical analysis skills, subject matter expertise, and often a relevant degree or professional background in the field being reviewed. Familiarity with content management systems, online publishing tools, and sometimes certification in the reviewed domain is advantageous. Outstanding communication, attention to detail, and the ability to provide constructive, unbiased feedback are vital soft skills. These competencies ensure that reviews are insightful, trustworthy, and valuable to both consumers and organizations.

What are typical challenges faced by professional reviewers in their day-to-day work?

Professional Reviewers often encounter tight deadlines, handling multiple assignments while ensuring each review remains thorough and unbiased. They may need to quickly adapt to new products, services, or industry trends, which requires ongoing research and learning. Balancing honest, critical feedback with constructive language for a wide range of audiences is another common challenge. Working both independently and as part of editorial or review teams is typical, so strong self-motivation and collaboration skills are important for success in this role.

How do you become a professional reviewer?

To become a professional reviewer, you typically need strong writing and communication skills, experience in the relevant industry or product area, and the ability to provide honest, detailed assessments. Building a portfolio of reviews and gaining recognition through platforms or publications can help establish credibility. Some reviewers also pursue certifications or training related to journalism, editing, or specific fields to enhance their qualifications.

What are the most commonly searched types of Reviewer jobs in Washington?

The most popular types of Reviewer jobs in Washington are:

What are popular job titles related to Professional Reviewer jobs in Washington?

For Professional Reviewer jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Professional Reviewer jobs in Washington look for?

The top searched job categories for Professional Reviewer jobs in Washington are:

What cities in Washington are hiring for Professional Reviewer jobs?

Cities in Washington with the most Professional Reviewer job openings:

Professional Reviewer jobs near you
Infographic showing various Professional Reviewer job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution.

Utilization Reviewer

University of Maryland Medical System

Largo, MD • On-site

$406K/yr

Full-time

Re-posted 9 days ago

Job description

Job Requirements
Located in Largo in the heart of Prince George's County, our state-of-the-art regional medical center (University of Maryland Capital Region Medical Center) will provide improved access to primary and ambulatory care services and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George's County residents.
Position Summary:
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need for outpatient or inpatient care as well as the appropriate level of care. The role requires interfacing with the case managers, medical team, other hospital staff, physician advisors and payers.
Primary Responsibilities:
Performs timely and accurate utilization review for all patient populations, using nationally recognized care guidelines/criteria relevant to the payer.
Communicates with clinical care coordinators, physician advisor, medical team and payors as needed regarding reviews and pended/denied days and interventions.
Supports concurrent appeals process through proactive identification of pended/denied days.
Implements the concurrent appeals process with appropriate referrals and documentation.
Ensures appropriate Level of Care and patient status for each patient (Observation, Extended Recovery, Administrative, Inpatient, Critical Care, Intermediate Care, and Med-Surg).
Reviews tests, procedures and consultations for appropriate utilization of resources in a timely manner.
Conducts HINN discussions/Observation Education.
Collaborates with Clinical Care Coordinators concerning Avoidable Days Collection.
Ensures Regulatory Compliance related to Utilization Management conditions of participation.
Assures appropriate reimbursement and stewardship of organizational and patient resources.
Pursues and reports opportunities to improve reimbursement.
Collaborates with admitting specialists regarding authorization policies and procedures of third-party payers. Remains current on clinical practice and protocols impacting clinical reimbursement.
Work Experience
Education Bachelors in Nursing required.
Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required
One year of experience in case management or utilization management with knowledge of payer mechanisms and utilization management is preferred.
Two years' experience in acute care and four years clinical healthcare experience preferred.
Certified Professional Utilization Reviewer (CPUR) preferred.
Additional experience in home health, ambulatory care, and/or occupational health is preferred.
Knowledge, Skills and Abilities
1. Highly effective verbal and written skills are required.
2. Strong communication skills, self-confidence and experience in working with physicians are required.
3. Excellent analytical and team building skills, as well as the ability to prioritize and work independently are required.
4. The ability to work collaboratively with other disciplines is required.
5. Ability to work with Hospital/ Utilization Management and related software programs is required.
6. Knowledge of utilization management is preferred.
Benefits
Benefits
All your information will be kept confidential according to EEO guidelines.
Compensation:
• Pay Range: $40.61-$60.96
• Other Compensation (if applicable):
• Review the 2024-2025 UMMS Benefits Guide

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