What are the responsibilities and job description for the Nurse Manager Utilization Management position at medstar?
Responsible for evaluating the necessity, appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of all acute services for appropriateness based on medical criteria, the management of healthcare resources necessary and appropriate for achievement of desired outcomes, and the coordination of alternative levels of care for enrollees/members. Works collaboratively with interdisciplinary staff, both internal and external to the organization to facilitate the continuum of care, through education and advocacy to enhance health outcomes. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.
*4 days per week on-site in DC*
