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Entry Level Utilization Review Remote Jobs Near Me

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As of Jul 17, 2026, the average hourly pay for entry level utilization review remote in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.
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RN Care Coordinator - Intake (PFK)

RN Care Coordinator - Intake (PFK)

Nationwide Children's Hospital

Columbus, OH • On-site

Full-time

Posted 8 days ago


Nationwide Children's Hospital rating

6.9

Company rating: 6.9 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

534th of 1,020 rated hospitals


Job description

Overview:


Monday - Friday, Dayshift
Full-Time, 1.0 FTE, Salary, Exempt
Benefits Eligible
Schedule/Work Arrangement: Remote position with onsite attendance required for training, meetings, and other team needs. Fully on-site during the probationary period.
The RN Care Coordinator - Intake (PFK) position serves as the primary clinical resource for the Intake team, using assessment and critical thinking skills to review referrals and support clinical decision-making. Approximately 20% of the role supports the Transitions of Care team through outreach calls to patients and families.


Job Description Summary:


Ensures the provision of quality patient care in the appropriate setting through care coordination, case management, utilization management of inpatient admissions, and transitions of care to different levels of care. Collaborates with the attending practitioner, the family and other members of the health care team, coordinates individualized plans of care, and communicates the plan to appropriate stakeholders. Ensures high quality care is provided as efficiently and cost effectively as possible. Facilitates continuity of care by coordinating transition to post-discharge care. Practices professional nursing and promotes patient advocacy in accordance with the ANA Code of Ethics for Nurses. Maintains a current Ohio Nursing License.


Job Description:


Essential Functions:

  • Screens and identifes patients.
  • Assesses patient/family strengths and needs. Develops a family-centered plan of care.
  • Facilitates communication and collaboration amongst the health care team. Provides monitoring and follow-up across the continuum of care.
  • Develops patients' self-management skills through education and resource provision.
  • Manages transitions between settings, caregivers, and providers.
  • Maintains knowledge of current concepts, researches needs and research strategies related to care coordination including case management, utilization review, and discharge planning.
  • Assists in educating others regarding the role of care coordination/case management.
  • Participates in ongoing education related to information technology requirements for the department.

Education Requirement:

BSN, required.

Licensure Requirement:

  • Current licensure as a registered nurse in the state of Ohio is required.
  • Valid Ohio driver's license and proof of auto insurance as required by hospital policy. Must pass motor vehicle background inspection, insurance eligibility, driving qualifications, and training set forth by Nationwide Children's Hospital and maintain qualification of insurance guidelines.

Certifications:

Pediatric certification, Advanced-Continuity of Care Certification (A-CCC), or other Case Management certification desirable.

Skills:

  • Ability to communicate with health care professionals, by demonstrating diplomacy, tact and a professional demeanor.
  • Working knowledge of CMS and other review agency standards.
  • Demonstrated ability to effectively collaborate and delegate tasks.
  • Ability to relate to diverse age and demographic backgrounds.
  • Computer literate. Working knowledge of MS Office.
  • Professionally appropriate analytical and organizational skills required.

Experience:

  • Two years of nursing experience, required.
  • At least one year in pediatric nursing is highly preferred.
  • Nursing experience may include inpatient nursing, case management, utilization review, discharge planning, community health nursing.
  • Utilization review, and/or discharge planning experience desirable.

Physical Requirements:

OCCASIONALLY: Biohazard waste, Blood and/or Bodily Fluids, Communicable Diseases and/or Pathogens, Fume /Gases /Vapors, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder

FREQUENTLY: Bend/twist, Climb stairs/ladder, Color vision, Depth perception, Driving motor vehicles (work required) *additional testing may be required, Lifting / Carrying: 0-10 lbs, Peripheral vision, Seeing - Far/near, Squat/kneel, Standing, Walking

CONTINUOUSLY: Audible speech, Decision Making, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Sitting



"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"


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About Nationwide Children's Hospital

Sourced by ZipRecruiter

Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

Year founded

1892