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1305 - Utilization Reviewer - LPN or RN

Washington, DC
  • 1305
  • Nurse Opportunities
  • Direct Hire

  • Utilization Management Reviewer will perform medical record review including comprehensive reviews of medical records to determine medical necessity, quality issues, coding issues, and appropriateness of utilization of services. Duties also include discharge planning.

    • At least one year of utilization review required
    • At least five years clinical experience required
    • Working knowledge of Medicaid
    • BSN or ADN required

    • Active, unrestricted RN or LPN license in DC