Utilization Review Nurse

1 week ago


Washington, United States Medix Full time
Overview of Utilization Review Nurse Role

We are seeking an experienced Utilization Review Nurse to join our team in Washington, D.C.

This is a great opportunity to work with a leading healthcare organization in the DMV, leveraging your expertise in health plan reviews and utilization management.

Responsibilities:
  • Conduct daily health plan reviews, ensuring adherence to established guidelines and policies.
  • Analyze medical records, identifying areas of concern and developing effective solutions.
  • Collaborate with cross-functional teams to optimize patient care and reduce costs.
Requirements:
  • RN or LPN licensure required, with 1+ years of experience in utilization review or a related field.
  • Strong knowledge of Interqual and/or Milliman guidelines preferred.
  • Excellent communication and analytical skills, with ability to work independently and as part of a team.
Benefits:
  • $40-$46/hour salary range, commensurate with experience.
  • Monday-Friday schedule, 8am-5pm.
  • Ongoing training and development opportunities.
About Medix

As a premier staffing agency in the healthcare industry, Medix is dedicated to providing exceptional candidates for top employers. Our focus on quality and service has earned us a reputation as a trusted partner in the industry.



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