Utilization Review Nurse
Department: MedStar Family Choice - Case Management
Schedule: Full-time salaried with benefits (exempt)
Shift: Day shift
MedStar Family Choice has an immediate opportunity for an experienced Utilization Review Nurse to join our team.
Responsible for evaluating the necessity, appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of all acute services for appropriateness based on medical criteria, the management of healthcare resources necessary and appropriate for achievement of desired outcomes, and the coordination of alternative levels of care for members.
Education: Valid RN license in the District of Columbia. Bachelor's degree preferred.
EXPERIENCE: 2 years recent utilization review experience; 5 years diverse clinical experience.
Skills: Proficient computer skills. Knowledge of Microsoft office. Knowledge of Interqual guidelines preferred
We offer a competitive salary and comprehensive benefits package.
For immediate consideration, please apply online today!
HR Use Only: *CB*
Facility Location: MedStar Family Choice - Washington, DC