RN Utilization Review Job Listing at MedStar Medical Group in Washington, DC (Job ID req36953)

Description

General Summary of Position
Conducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.

Primary Duties and Responsibilities

Minimum Qualifications
Education

• Associate's degree in Nursing required
• Bachelor's degree in Nursing preferred

Experience

• 3-4 years Experience in acute care setting required
• 2 years experience in case management, insurance, utilization review or related preferred

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required
• CCM - Certified Case Manager preferred

Knowledge, Skills, and Abilities

• Excellent problem-solving skills and ability to exercise independent judgment.
• Business acumen and leadership skills.
• Strong verbal and written communication skills with ability to effectively interact with all levels of management, internal departments and external agencies.
• Working knowledge of various computer software applications.

This position has a hiring range of $87,318 - $157,289