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Sco Um Review Rn Jobs Near Me

ComForCare

Nurse RN

Reynoldsburg, OH · On-site

$35 - $65/hr

Registered Nurse (RN) Case Manager / Compliance Nurse ComForCare Home Care - Central Ohio ... Review caregiver documentation for accuracy and compliance. * Collaborate with office staff, case ...

HCAOA

Nurse RN

Reynoldsburg, OH · On-site

$35 - $65/hr

Registered Nurse (RN) Case Manager / Compliance Nurse ComForCare Home Care is seeking a ... Review caregiver documentation for accuracy and compliance. * Collaborate with office staff, case ...

TEEMA Group

Registered Nurse - RN

Columbus, OH · On-site

$85K - $95K/yr

Collaborate with patients, families, caregivers, and the team to regularly review and revise care goals and approaches. * Participate actively in team meetings, quality improvement projects, and ...

TEEMA Group

Registered Nurse - RN

Columbus, OH · On-site

$85K - $95K/yr

Collaborate with patients, families, caregivers, and the team to regularly review and revise care goals and approaches. * Participate actively in team meetings, quality improvement projects, and ...

TEEMA Group

Registered Nurse - RN

Columbus, OH · On-site

$85K - $95K/yr

Collaborate with patients, families, caregivers, and the team to regularly review and revise care goals and approaches. * Participate actively in team meetings, quality improvement projects, and ...

Arbors at Oregon

Registered Nurse (RN)

Delaware, OH · On-site

$40 - $46/hr

Registered Nurse (RN) Facility: Arbors at Delaware Starting Wages: $40.00-$46.00 per hour Whether ... For further information, please review the Know Your Rights notice from the Department of Labor.

Arbors West

Registered Nurse (RN)

West Jefferson, OH · On-site

$40 - $50/hr

Registered Nurse (RN) Arbors West is proud to have received the American Health Care Association ... For further information, please review the Know Your Rights notice from the Department of Labor.

Arbors West

Registered Nurse (RN)

West Jefferson, OH · On-site

$40 - $50/hr

Registered Nurse (RN) Arbors West is proud to have received the American Health Care Association ... For further information, please review the Know Your Rights notice from the Department of Labor.

Forest Hills Center

RN

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 ...

Forest Hills Center

RN

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 ...

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As of Aug 4, 2026, the average hourly pay for sco um review rn in the United States is $44.48, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $51.92 per hour, depending on experience, location, and employer.
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Utilization Review LVN/RN

Healthcare Support Staffing

Columbus, OH

Full-time

Re-posted 2 days ago

Job description

Company Description

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description
  • Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
  • Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
  • Conducts prior authorization reviews to determine financial responsibility
Qualifications
  • 2 years Inpatient background with Hospital Nursing (Med-Surg, ER)
  • Well versed in Utilization Management - Must be able to determine elective vs urgent request with Prior Authorization Review 
  • Provider Claims, Appeals and Denials - certain services require prior authorization (PA) from the Utilization Management (UM) department
  • 6 + months of Interqual experience
  • 6+ months of Coding with ICD10 and CPT/ HCPCS
Additional Information

Interested in being considered? 

If you are interested in applying to this position, please click the Green I'm Interested Button to email your resume and contact Jeff St Louis 407-478-0332x223. 


Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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