MedStar Health

Case Management Utilization Review Nurse

MedStar Health

Washington, DC, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

MedStar Health is seeking a motivated, experienced Case Management Utilization Review Nurse to join our team in providing quality patient care. The successful candidate will need to possess strong clinical knowledge, compassionate communication, and excellent organizational skills. The Case Management Utilization Review Nurse will work with patients and their families to ensure timely and effective care across the healthcare system.The ideal candidate for this role has an excellent understanding of the healthcare system and its processes, is able to effectively communicate with patients of all ages, and is able to identify gaps in care and make appropriate recommendations. They must also have a minimum of an Associate's degree in Nursing and current licensure in the state of Maryland. Previous experience working in a healthcare setting is preferred.If you have a passion for helping ensure quality care for patients and their families across the healthcare system, please submit your application today!

Responsibilities:

  1. Provide quality patient care by utilizing strong clinical knowledge, compassionate communication and excellent organizational skills.
  2. Work with patients and their families to ensure timely and effective care across the healthcare system.
  3. Identify gaps in care and make appropriate recommendations.
  4. Maintain current licensure in the state of Maryland.
  5. Utilize an understanding of the healthcare system and its processes.
  6. Communicate effectively with patients of all ages.
  7. Maintain a minimum of an Associate's degree in Nursing.
  8. Utilize previous experience working in a healthcare setting.
Where is this job?
This job is located at Washington, DC, USA
Job Qualifications
  • Ability To Work Collaboratively With Other Professionals

  • Licensed Registered Nurse

  • Knowledge Of Utilization Review/Managed Care Principles

  • Knowledge Of Clinical/Medical Terminology

  • Knowledge Of Medical Necessity Criteria

  • Ability To Multi-Task And Prioritize Assignments

  • Excellent Communication (Written And Verbal) And Interpersonal Skills

  • Computer Literacy With Experience In Microsoft Office Suite

Required Skills
  • Documentation

  • Quality Assurance

  • Data Analysis

  • Time Management

  • Organizational Skills

  • Negotiation

  • Critical Thinking

  • Compliance

  • Medical Terminology

  • Authorization

  • Collaboration

  • Interpersonal Communication

  • Problem-Solving

  • assessment

  • Utilization Review

Soft Skills
  • Communication

  • Leadership

  • Time management

  • Interpersonal Skills

  • flexibility

  • Critical thinking

  • Organizational skills

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Case Management Utilization Review Nurse in Washington, DC, USA is $80,000 to $90,000. This range may vary depending on the experience and qualifications of the individual.

Additional Information
MedStar Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedNovember 17th, 2023
Apply BeforeJune 21st, 2025
This job posting is from a verified source. 
Reposted

Apply with Video Cover Letter Add a warm greeting to your application and stand out!

About MedStar Health

MedStar Health is a not-for-profit healthcare organization. It operates more than 120 entities, including ten hospitals in the Baltimore–Washington metropolitan area of the United States.

Frequently asked questions

Get interviewed today!

JobzMall is the world‘ s largest video talent marketplace.It‘s ultrafast, fun, and human.

Get Started