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Commission Optum Utilization Review Jobs in Ohio

Summa Health System

RN Utilization Management

Akron, OH · On-site

$37.40 - $56.11/hr

Performs initial and concurrent clinical reviews on all the contracted and emergent non-contracted ... Graduate of a program of professional nursing that is accredited by the Commission on Collegiate ...

syfs

UR Manager

Columbus, OH · On-site

We have a 20-bed acute hospitalaccredited by the Joint Commission for teens requiring intensive ... For billing and hospitalization utilization review purposes, the reviewer will identify and certify ...

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Infographic showing various Commission Optum Utilization Review job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 17% Part Time, 5% Contract, and 1% Nights. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution.

RN / Utilization Review

TPF Nursing Agency

Middleburg Heights, OH • On-site

Other

Medical, Dental, Vision, Retirement

Re-posted 21 days ago

Job description

TPF Nursing welcomes you to our job board. Please review the job opportunity below:
Client: Southwest General Hospital Health Center
Location: Middleburg Heights OH
Shift: 5 x 8 Days
Start / End: Mon 7/20/26 - 10/17/26
Duration: 13 Weeks
Highlights

  • Shift: 8am-4:30pm
  • Minimum of five (5) years recent RN experience
  • Previous Case Management or Utilization Management Experience required
  • Previous experience with screening criteria Cerner, InterQual, and MCG Criteria, Standardized Templates required
  • Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p, as well as every 3rd weekend
  • Minimum of five (5) years recent experience in clinical nursing or related nursing field. (e.g. Utilization Review or Case Management)
  • Previous Care Management, Case Management or Utilization Management Experience
  • Experience with doing 30+ reviews a day
  • Previous experience with screening criteria including Cerner, InterQual, and MCG is required
  • Excellent critical thinking and communication skills
  • Strong computer skills
  • Current licensure by Ohio State Board of Nursing
  • ACM/CCM Certification helpful
  • Is candidate local to facility? Highly desired
If you have any questions, please feel free to call us directly at 212-219-2677 and ask for a recruiter. We encourage applicants and staff to ask questions, discuss potential / existing assignments, keep us informed about their needs and how we might help. Most clinical contracts are 13 weeks with a didactic and clinical orientation. These clinical opportunities are updated on a regular basis, so please come back if you don't see an opportunity that suits you.
Benefits available through agency:
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Safe Harbor and Retirement Savings Plan -401k
  • Weekly Pay
  • 24/7 On Call
  • Holiday OT
  • Sick Pay
  • FMLA
  • Joint Commission Certified

LT # 22836

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