Registered Nurse - Utilization Review

This role is responsible for performing quality and utilization management reviews to determine residents continued need for services and appropriate acuity levels. The RN will partner with provider organizations to ensure regulatory compliance and support high-quality, cost-effective care delivery.

• Conduct quality and utilization management reviews for continued stay evaluations
• Perform onsite reviews at senior living and long-term care facilities in Washington, DC and Maryland
• Ensure documentation and care plans meet regulatory standards, including PASRR, MDS, Medicare, Medicaid, and other applicable guidelines
• Collaborate with interdisciplinary teams and external partners
• Manage multiple priorities while maintaining strong attention to detail

Shift: Monday - Friday 8:30a-5p