Health Group in the DC area is seeking an HCBS Utilization Management Nurse to perform pre-service coverage reviews for PDN and PCS, reporting to the DC Manager of Utilization Management.
This role emphasizes coordination with internal and external partners to determine medical necessity and appropriate care.
Requires a District of Columbia RN license and 2+ years in clinical settings, managed care, and utilization management. #J-18808-Ljbffr