Case Management Utilization Review Nurse

MedStar Health is looking for an experienced and compassionate Case Management Utilization Review Nurse to join our dynamic team. The successful candidate will provide expert clinical assessments and utilization reviews to ensure the most efficient and cost-effective care for our patients. The ideal candidate will possess a professional demeanor and strong communication skills to effectively collaborate with multiple departments and other members of the healthcare team.The successful candidate should have a current license or certification as a Registered Nurse in the state of Maryland, and a minimum of two years of experience in a hospital setting. Experience in Case Management and Utilization Review is highly desirable. The successful candidate should also have a working knowledge of appropriate utilization criteria, and the ability to evaluate and apply clinical criteria to clinical reviews. In addition, the candidate should possess the ability to interpret clinical data and make appropriate decisions. We are looking for someone who is highly motivated and eager to learn, and who is excited to contribute to the success of MedStar Health.

Responsibilities:

1. Provide expert clinical assessments and utilization reviews to ensure the most efficient and cost-effective care for patients.
2. Maintain a current license or certification as a Registered Nurse in the state of Maryland.
3. Possess a working knowledge of appropriate utilization criteria, and the ability to evaluate and apply clinical criteria to clinical reviews.
4. Interpret clinical data and make appropriate decisions.
5. Effectively collaborate with multiple departments and other members of the healthcare team.
6. Maintain a professional demeanor and strong communication skills.
7. Remain highly motivated and eager to learn.
8. Contribute to the success of MedStar Health.

According to JobzMall, the average salary range for a Case Management Utilization Review Nurse in Olney, MD, USA is $60,000 - $85,000. This range is based on the salaries of jobs posted on JobzMall, and may vary depending on the level of experience and education of the nurse, the size of the organization they are employed by, and the region in which they are employed.

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.