Utilization Review RN, Hybrid
Health Services for Children with Special NeedsWashington, District of Columbia, United States
Posted November 25, 2025
Full Time
About the Company
Health Services for Children with Special Needs, Inc. (HSCSN) administers the District of Columbia’s Child and Adolescent Supplemental Security Income Program (CASSIP), providing a comprehensive health-care plan to children and young adults up to age 26 who receive Supplemental Security Income. The company specializes in delivering coordinated medical, behavioral, and social services to individuals with special health care needs, ensuring that each member receives personalized attention and evidence-based care. HSCSN distinguishes itself through a patient-centered model that integrates multidisciplinary expertise and community resources to maximize each child's quality of life. Its collaborative culture values innovation, compassion, and a commitment to empowering families and professionals across the DC region.
Job Description
This position will require to be in office 4 days a week. Responsible for preauthorization and concurrent review of inpatient, behavioral health, home health care services. Requires 3 years of medical/surgical experience and 2 years of utilization management experience.
Requirements
- High School Diploma or GED
- Bachelor's Degree
- 3 years of medical/surgical experience
- 2 years of utilization management experience
- Registered Nurse RN licensed in the District of Columbia
- Certification in utilization review (Preferred)
Benefits
- Paid Time Off
- 401k Matching
- Retirement Plan
- Health Insurance
- Paid Holidays
