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Utilization Review Nurse
Are you a LPN or an RN with Utilization Review experience? We are hiring for a Utilization Review Nurse in Washington, D.C! This is a great opportuntiy to work with a leading healthcare organization in the DMV! Details are outlined below, interviews are actively going on, apply today!!
Day to day
Health plan experience
Hospital experience
Interqual is preferred. Miliman works as well.
Experience in health plans reviews (dermal medicine, home health, rehab)
Pediatric inpatient admissions is a plus
Authorization, long term care, skilled nursing, behavioral analysis would be a plus.
Training in person. After training, the obligation is one day per week in the office based on the employees decision to select.
Looking at 15 cases a day.
Patient population - case load
Pediatrics as well as adults from 18-25
Can often see cerebral palsy, genetic issues, cancer, behavioral health (bipolar), substance abuse, will often be UR for Admissions with children's
-RN or LPN with experience
-UR in a health plan/insurance
-Interqual or Miliman experience
Nice to Have Skills
-Self motivated
-Productive
-Communication skills
Schedule
Monday through Friday 8:00AM-5:00PM
Pay Rate: $40.00-$46.00
Medix is acting as an Employment Agency in relation to this vacancy.