Utilization Management Nurse
Akron, OH · On-site
The Utilization Management Nurse is responsible for conducting medical necessity review to assure ... supervising: None. Full Time FTE: 1.000000 Status: Remote
Akron, OH · On-site
The Utilization Management Nurse is responsible for conducting medical necessity review to assure ... supervising: None. Full Time FTE: 1.000000 Status: Remote
Akron, OH · On-site
The Utilization Management Nurse is responsible for conducting medical necessity review to assure ... supervising: None. Full Time FTE: 1.000000 Status: Remote
Akron, OH · On-site +1
The Utilization Management Nurse is responsible for conducting medical necessity review to assure ... supervising: None. Full Time FTE: 1.000000 Status: Remote
Akron, OH · On-site +1
The Utilization Management Nurse is responsible for conducting medical necessity review to assure ... supervising: None. Full Time FTE: 1.000000 Status: Remote
Working closely with Utilization Management Physician Advisors and regional leadership, you will ... A caregiver in this role works remotely from 8:00 a.m. -- 4:30 p.m. with weekend and holiday ...
Working closely with Utilization Management Physician Advisors and regional leadership, you will ... A caregiver in this role works remotely from 8:00 a.m. -- 4:30 p.m. with weekend and holiday ...
Columbus, OH · On-site
$72K - $88K/yr
This role functions as a clinical decision support partner, working across clinical, supervisory ... Prior experience in utilization management, care coordination, or quality/compliance functions ...
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Columbus, OH · On-site
$72K - $88K/yr
This role functions as a clinical decision support partner, working across clinical, supervisory ... Prior experience in utilization management, care coordination, or quality/compliance functions ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... WEEKEND ONLY! Overview Kettering Health is a not-for-profit system of 14 medical centers and more ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... WEEKEND ONLY! Overview Kettering Health is a not-for-profit system of 14 medical centers and more ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... WEEKEND ONLY! Responsibilities & Requirements * Registered professional nurse with education ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... WEEKEND ONLY! Responsibilities & Requirements * Registered professional nurse with education ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with ... WEEKEND ONLY! Kettering Health is a not-for-profit system of 14 medical centers and more than 120 ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with ... WEEKEND ONLY! Kettering Health is a not-for-profit system of 14 medical centers and more than 120 ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... WEEKEND ONLY! Overview Kettering Health is a not-for-profit system of 14 medical centers and more ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... WEEKEND ONLY! Overview Kettering Health is a not-for-profit system of 14 medical centers and more ...
... Utilization Management (UM) Coordinator to join our team! Position Summary : The UM Coordinator ... May berequiredto work flexible hours and overtimeincluding evenings, weekends, and holidays.All ...
... Utilization Management (UM) Coordinator to join our team! Position Summary : The UM Coordinator ... May berequiredto work flexible hours and overtimeincluding evenings, weekends, and holidays.All ...
... 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 ...
... 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 ...
Develops and implements utilization targets and drives accountability to benchmark metrics for ... Provides leadership and support to managers and supervisors. * Ensures monitoring and tracking ...
Develops and implements utilization targets and drives accountability to benchmark metrics for ... Provides leadership and support to managers and supervisors. * Ensures monitoring and tracking ...
The RN Weekend Supervisor is responsible for overseeing the nursing staff and patient care ... This role requires strong leadership skills, excellent clinical judgment, and the ability to manage ...
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The RN Weekend Supervisor is responsible for overseeing the nursing staff and patient care ... This role requires strong leadership skills, excellent clinical judgment, and the ability to manage ...
Weekend Supervisor Nurse, RN Schedule includes Fridays, Saturdays & Sundays Majestic Care of ... Manage area of responsibility with the goal of achieving and maintaining the highest quality of ...
New
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Weekend Supervisor Nurse, RN Schedule includes Fridays, Saturdays & Sundays Majestic Care of ... Manage area of responsibility with the goal of achieving and maintaining the highest quality of ...
New
Whitehall, OH · On-site
) Weekend Supervisor Nurse, RN Schedule includes Fridays, Saturdays & Sundays Majestic Care of ... Manage area of responsibility with the goal of achieving and maintaining the highest quality of ...
New
Whitehall, OH · On-site
) Weekend Supervisor Nurse, RN Schedule includes Fridays, Saturdays & Sundays Majestic Care of ... Manage area of responsibility with the goal of achieving and maintaining the highest quality of ...
New
Gahanna, OH · On-site
Creekside Care Center of Gahanna is seeking a dedicated and compassionate RN Weekend Supervisor who ... utilization knowledge of Point Click Care, preferred. § Computer literacy skills (Microsoft ...
Gahanna, OH · On-site
Creekside Care Center of Gahanna is seeking a dedicated and compassionate RN Weekend Supervisor who ... utilization knowledge of Point Click Care, preferred. § Computer literacy skills (Microsoft ...
$38 - $45/hr
As the RN Weekend Supervisor, you'll play a vital role in our ability to continuously provide Care Beyond Compare through your exceptional leadership and supervision of the nursing team. You'll be ...
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$38 - $45/hr
As the RN Weekend Supervisor, you'll play a vital role in our ability to continuously provide Care Beyond Compare through your exceptional leadership and supervision of the nursing team. You'll be ...
Case Manager - Hamilton & Surrounding Counties Company: CareStar, Inc. Location: Hamilton County ... We are currently seeking Clinical Services Utilization Supervisor to join our Ohio Home Care ...
Case Manager - Hamilton & Surrounding Counties Company: CareStar, Inc. Location: Hamilton County ... We are currently seeking Clinical Services Utilization Supervisor to join our Ohio Home Care ...
... 3rd weekend. Requirements: * Graduation from an accredited School of Nursing. BSN preferred ... Previous Care Management, Case Management, or Utilization Management Experience. * Experience with ...
... 3rd weekend. Requirements: * Graduation from an accredited School of Nursing. BSN preferred ... Previous Care Management, Case Management, or Utilization Management Experience. * Experience with ...
Chardon, OH · On-site
As a Weekend Supervisor, you'll oversee nursing services for your assigned unit, ensuring top ... They're not just managers; they're passionate advocates for their communities. They understand the ...
Chardon, OH · On-site
As a Weekend Supervisor, you'll oversee nursing services for your assigned unit, ensuring top ... They're not just managers; they're passionate advocates for their communities. They understand the ...
As a Weekend Supervisor, you'll oversee nursing services for your assigned unit, ensuring top ... They're not just managers; they're passionate advocates for their communities. They understand the ...
Quick apply
As a Weekend Supervisor, you'll oversee nursing services for your assigned unit, ensuring top ... They're not just managers; they're passionate advocates for their communities. They understand the ...
| Aspect | Weekend Supervisor Utilization Management | Weekend Utilization Review Coordinator |
|---|---|---|
| Credentials | Typically requires a healthcare-related license or certification (e.g., RN, LPN, or case management certification) | Often requires similar healthcare credentials, such as RN or case management certification |
| Work Environment | Supervises utilization management staff, oversees case reviews, and ensures compliance during weekends | Performs case reviews, evaluates medical necessity, and coordinates utilization decisions during weekends |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance providers, healthcare organizations |
The main difference is that the Weekend Supervisor Utilization Management role involves supervising staff and managing utilization processes, while the Weekend Utilization Review Coordinator focuses on conducting case reviews and making utilization decisions during weekends. Both roles require healthcare credentials and operate within similar environments, but their responsibilities differ in scope and leadership level.

Full-time
This job post has expired today. Applications are no longer accepted.
7.2
Based on 95 frontline employees who took The Breakroom Quiz
396th of 1,020 rated hospitals
Full Time Days
7am-4:30pm
40 Hours/Week
Utilization management and pediatric nursing experience preferred
The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources and serving as a resource to the hospital staff on utilization management practices.
Responsibilities:
1. Conduct Utilization Review & Determine Appropriate Level of Care
Applies evidence‑based medical necessity criteria, validates admission status, and ensures all inpatient, observation, and outpatient-in-a-bed cases meet criteria. Collaborates proactively with physician advisors and attending providers for accurate level‑of‑care decisions and authorization of hospital days.
2. Manage Denials, Compliance, and Quality Improvement Activities
Participates in denial management and peer review processes, identifies compliance or ethical issues, and contributes to quality and safety initiatives aimed at improving departmental and hospital workflows.
3. Support Care Progression Through Interdisciplinary Collaboration
Actively engages in daily huddles, multidisciplinary rounds, and patient care discussions to understand service intensity, discharge barriers, and progression of care, while serving as a resource to the care team on utilization, documentation, and admission requirements.
4. Maintain Accurate and Timely Documentation
Clearly documents all reviews, interactions, and decisions in Midas, Epic, and other required systems.
5. Performs additional duties as assigned.
Other information:
Technical Expertise
1. Experience in inpatient clinical is required.
2. Experience in pediatrics is preferred.
3. Experience working with all levels within an organization is required.
4. Experience in healthcare is required.
5. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
1.Education: Bachelor's in nursing [BSN] is required. For employees hired after July 1, 2013, BSN is required or must be obtained within 5 years from date of hire.
2. Certification: Registered Nurse licensure is required.
3. Years of relevant experience: 3 years is required.
4. Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote
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Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.
Hospitals
5,001 - 10,000 Employees
Akron, OH, US
1890