Care Review Nurse
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
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 ...
Columbus, OH · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements Case Manager StartDate: 8/3/2026 Pay ...
New
Columbus, OH · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements Case Manager StartDate: 8/3/2026 Pay ...
New
Columbus, OH · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements Case Manager StartDate: 8/3/2026 Pay ...
New
Columbus, OH · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements Case Manager StartDate: 8/3/2026 Pay ...
New
Remote position with onsite attendance required for training, meetings, and other team needs. Fully ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New
Remote position with onsite attendance required for training, meetings, and other team needs. Fully ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New
Remote position with onsite attendance required for training, meetings, and other team needs. Fully ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New
Remote position with onsite attendance required for training, meetings, and other team needs. Fully ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
$24.75 - $33.75/hr
... utilization review and other utilization management activities aimed at providing Healthcare ... Completion of an accredited Registered Nursing program. (a combination of experience and education ...
$24.75 - $33.75/hr
... utilization review and other utilization management activities aimed at providing Healthcare ... Completion of an accredited Registered Nursing program. (a combination of experience and education ...
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Columbus, OH · On-site
PURPOSE OF AN EMBASSY RN: The primary purpose of your job position is to provide direct nursing ... Periodically review the department's and unit's policies, procedure manuals, s, etc. Make ...
Columbus, OH · On-site
PURPOSE OF AN EMBASSY RN: The primary purpose of your job position is to provide direct nursing ... Periodically review the department's and unit's policies, procedure manuals, s, etc. Make ...
Columbus, OH · On-site
PURPOSE OF AN EMBASSY RN: The primary purpose of your job position is to provide direct nursing ... Periodically review the department's and unit's policies, procedure manuals, s, etc. Make ...
Columbus, OH · On-site
PURPOSE OF AN EMBASSY RN: The primary purpose of your job position is to provide direct nursing ... Periodically review the department's and unit's policies, procedure manuals, s, etc. Make ...
Columbus, OH · On-site
PURPOSE OF AN EMBASSY RN: The primary purpose of your job position is to provide direct nursing ... Periodically review the department's and unit's policies, procedure manuals, s, etc. Make ...
Columbus, OH · On-site
PURPOSE OF AN EMBASSY RN: The primary purpose of your job position is to provide direct nursing ... Periodically review the department's and unit's policies, procedure manuals, s, etc. Make ...
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.
Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Medicaid Division
Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care
Nurses working at the facilities Members are being care for, will be sending over clinical information to be reviewed by the Care Review Clinician. Therefore, this agent will not be traveling and will be reviewing information at the office.
Background
Hospital Utilization Management. Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience)
Potential for longer term dependent on enrollment
Workers will be doing Concurrent Inpatient Review
MUST have one of the following AT LEAST
-Utilization Review in hospital setting
Nurses who are used to doing both production and review work
All your information will be kept confidential according to EEO guidelines.
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996