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Utilization Review Support Jobs in Ohio (NOW HIRING)

Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Compliance Support Specialist & Onboarding Assistance * Dedicated recruiter for personalized ...

SUMMARY The Utilization Review Specialist is responsible for proactive planning measures, accurate ... support services and service delivery documentation records Verifies billing ticket/pre invoices ...

Provides education and support regarding utilization review and management activities and processes. * Analyzes clinical data to identify trends and patterns that may impact patient care.

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Utilization Review Support information

How to become a utilization review support?

To become a utilization review support, candidates typically need a high school diploma or equivalent, with some roles preferring an associate's or bachelor's degree in healthcare, nursing, or a related field. Relevant skills include knowledge of medical terminology, insurance processes, and familiarity with electronic health records; certifications such as the Certified Professional Coder (CPC) or Certified Utilization Review Professional (CURP) can enhance prospects. On-the-job training is common, and strong communication and organizational skills are essential for success in this role.

Is utilization review support work from home?

Utilization review support roles can often be performed remotely, especially with the increased adoption of telecommuting in healthcare administration. Many employers offer work-from-home options, provided the employee has access to necessary tools like secure communication platforms and understands compliance requirements. However, some positions may require on-site presence for certain tasks or meetings.

What does a utilization review support do?

A utilization review support professional assists in evaluating medical services to ensure they are necessary and appropriate, often reviewing patient records and insurance policies. They work closely with healthcare providers and insurance companies, using tools like electronic health records and adhering to industry guidelines to facilitate efficient approval processes.

What cities in Ohio are hiring for Utilization Review Support jobs?

Cities in Ohio with the most Utilization Review Support job openings:

Utilization Review

Cleveland, OH β€’ On-site

Prime Time Healthcare
Recruiting and Staffing ServicesΒ β€’Β 51 - 200 employees

Other

Medical, Dental, Vision, Retirement

Re-posted 10 days ago


Job description

Now Hiring: RN Utilization Review - Middleburg Heights, OH

Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Middleburg Heights, OH and make a real impact in patient care!

In this role, you'll be at the forefront of healthcare, delivering top-notch care with precision and compassion. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.

If you're ready to elevate your career and make a difference in the lives of others, apply today!

At Prime Time Healthcare, we offer competitive compensation along with a large range of benefits including:

  • Competitive compensation and weekly direct deposit
  • Compliance Support Specialist & Onboarding Assistance
  • Dedicated recruiter for personalized support
  • Paid, safe, pet-friendly lodging (if applicable)
  • Round-the-clock customer support 24/7
  • Unlimited referral bonus up to $750
  • Medical, Vision & Dental insurance
  • 401(k) Matching Program
  • Flexible Schedules
  • Travel Discounts

Prime Time Healthcare, LLC is an Equal Opportunity Employer (EOE).

*Estimated pay and benefits packages are on a per facility basis and may change with market conditions. Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.


PrimeTime Healthcare logo

About PrimeTime Healthcare

Sourced by ZipRecruiter

PrimeTime Healthcare, based in Omaha, NE, US, is a leading provider of staffing solutions in the healthcare industry. According to information accessed from their official website, primetimehealthcare.com, the company specializes in placing high-quality healthcare professionals into temporary and travel positions across a vast network of healthcare facilities nationwide. Founded in 2012, PrimeTime Healthcare quickly established a reputation for customer-focused and result-oriented services, earning it a place on Staffing Industry Analyst’s fastest-growing staffing companies list.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Omaha, NE, US