Middleburg Heights, OH · On-site
$1.8K - $2.1K/wk
Job Title: RN - Utilization Manager Location: Middleburg Heights, OH Schedule: * Full-time, 40 ... Seeking an experienced RN Utilization Manager to support clinical reviews and care coordination in ...
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Middleburg Heights, OH · On-site
$1.8K - $2.1K/wk
Job Title: RN - Utilization Manager Location: Middleburg Heights, OH Schedule: * Full-time, 40 ... Seeking an experienced RN Utilization Manager to support clinical reviews and care coordination in ...
Middleburg Heights, OH · On-site
$2.0K - $2.2K/wk
Job Summary RN Utilization Manager Talented Medical Solutions Full-time, Contract In-Office | Middleburg Heights, OH, United States Schedule: Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p.
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Middleburg Heights, OH · On-site
$2.0K - $2.2K/wk
Job Summary RN Utilization Manager Talented Medical Solutions Full-time, Contract In-Office | Middleburg Heights, OH, United States Schedule: Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p.
Middleburg Heights, OH · On-site
$2.0K - $2.2K/wk
Job Summary RN Utilization Manager Talented Medical Solutions Full-time, Contract In-Office | Middleburg Heights, OH, United States Schedule: Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p.
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Middleburg Heights, OH · On-site
$2.0K - $2.2K/wk
Job Summary RN Utilization Manager Talented Medical Solutions Full-time, Contract In-Office | Middleburg Heights, OH, United States Schedule: Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p.
This role will review patient medical records to ensure accurate documentation, proper level of ... ACM/ACM-RN, CCM, CMAC, CPHQ.
This role will review patient medical records to ensure accurate documentation, proper level of ... ACM/ACM-RN, CCM, CMAC, CPHQ.
This role will review patient medical records to ensure accurate documentation, proper level of ... ACM/ACM-RN, CCM, CMAC, CPHQ.
This role will review patient medical records to ensure accurate documentation, proper level of ... ACM/ACM-RN, CCM, CMAC, CPHQ.
This role will review patient medical records to ensure accurate documentation, proper level of ... ACM/ACM-RN, CCM, CMAC, CPHQ.
This role will review patient medical records to ensure accurate documentation, proper level of ... ACM/ACM-RN, CCM, CMAC, CPHQ.
... * Full-time employment in a nursing field within the last 36 months is required. U.S. Citizenship ... Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on ...
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... * Full-time employment in a nursing field within the last 36 months is required. U.S. Citizenship ... Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on ...
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Dayton, OH · On-site
$44.92/hr
... * Full-time employment in a nursing field within the last 36 months is required. U.S. Citizenship ... Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on ...
Dayton, OH · On-site
$44.92/hr
... * Full-time employment in a nursing field within the last 36 months is required. U.S. Citizenship ... Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on ...
... * Full-time employment in a nursing field within the last 36 months is required. U.S. Citizenship ... Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on ...
Quick apply
... * Full-time employment in a nursing field within the last 36 months is required. U.S. Citizenship ... Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on ...
Toledo, OH · On-site
$33.63 - $43.64/hr
Staff - Full-Time Location: Health Science Campus Hospital Toledo, OH Categories: Nursing, AFSCME ... Reviews and monitors utilization of resources throughout the stay. Functions to ensure optimal ...
Toledo, OH · On-site
$33.63 - $43.64/hr
Staff - Full-Time Location: Health Science Campus Hospital Toledo, OH Categories: Nursing, AFSCME ... Reviews and monitors utilization of resources throughout the stay. Functions to ensure optimal ...
The Utilization Review Specialist is responsible for the authorizations and certifications process ... License : LPN, RN, LSW, LPC, LCDC or applicable license preferred Skills * Ability to multi-task
The Utilization Review Specialist is responsible for the authorizations and certifications process ... License : LPN, RN, LSW, LPC, LCDC or applicable license preferred Skills * Ability to multi-task
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Must be detail oriented.#INDEEDLOW Employment Type: FULL_TIME
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Must be detail oriented.#INDEEDLOW Employment Type: FULL_TIME
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
... (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with ... We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*
... (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with ... We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*
Competitive paid time off and extended illness bank package for full-time employees * Income ... Professional development and growth opportunities How you'll contribute Utilization Review ...
Competitive paid time off and extended illness bank package for full-time employees * Income ... Professional development and growth opportunities How you'll contribute Utilization Review ...
Competitive paid time off and extended illness bank package for full-time employees * Income ... Professional development and growth opportunities How you'll contribute Utilization Review ...
Competitive paid time off and extended illness bank package for full-time employees * Income ... Professional development and growth opportunities How you'll contribute Utilization Review ...
Utilization Review Director Shift: M-F Hours: 8-4:30 9-5 The Role Itself * Oversees service ... Must be 21 yrs or older License: * LPN, RN, LMSW, LPC, BSW, LSW, LPCC, LISW or applicable license ...
Utilization Review Director Shift: M-F Hours: 8-4:30 9-5 The Role Itself * Oversees service ... Must be 21 yrs or older License: * LPN, RN, LMSW, LPC, BSW, LSW, LPCC, LISW or applicable license ...
| Aspect | Full Time Rn Utilization Review Nurse | Full Time Rn Case Manager |
|---|---|---|
| Credentials | Registered Nurse (RN), often with certification in utilization review | Registered Nurse (RN), often with case management certification |
| Work Environment | Hospitals, insurance companies, or healthcare organizations focusing on review and approval of care | Hospitals, clinics, or insurance companies coordinating patient care and discharge planning |
| Primary Responsibilities | Review medical records to determine necessity and appropriateness of services | Coordinate patient care, develop care plans, and facilitate communication among providers |
While both roles require RN credentials and involve patient care, the Full Time Rn Utilization Review Nurse primarily focuses on evaluating the necessity of treatments, whereas the Full Time Rn Case Manager manages overall patient care plans and coordination. Both roles are vital in healthcare settings but serve different functions within patient management and care optimization.
$1.8K - $2.1K/wk
Full-time
Re-posted 12 days ago
Job Title: RN – Utilization Manager
Location: Middleburg Heights, OH
Schedule:
Full-time, 40 hours/week
Five 8-hour shifts (8:00a–4:30p)
40 hours not guaranteed; may be low-censused up to one 12-hour shift per pay period
Start Date: ASAP or 12/08 (URGENT NEED)
Pay:
Local: $47/hr
Traveler: $54/hr
Position Details:
Seeking an experienced RN Utilization Manager to support clinical reviews and care coordination in an acute care setting. The ideal candidate will have a strong background in clinical nursing, case management, and utilization management.
Requirements:
Minimum 5 years of recent clinical nursing experience
Prior Case Management or Utilization Management experience required
Experience with screening criteria: Cerner, InterQual, and MCG
Active, unencumbered Ohio RN license
ACM or CCM certification preferred
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Outpatient health care
11 - 50 Employees
Oro Valley, AZ, US
2020
