RN Clinical Appeals & Utilization Review - Remote
Columbus, OH · On-site
$50 - $55/hr
New
Columbus, OH · On-site
$50 - $55/hr
New
Columbus, OH · On-site
$37.50 - $49.50/hr
Columbus, OH · On-site
$37.50 - $49.50/hr
Columbus, OH · On-site
$37.50 - $49.50/hr
Columbus, OH · On-site
$37.50 - $49.50/hr
Marion, OH · On-site
$35 - $46.25/hr
$37.75 - $49.75/hr
Grove City, OH · On-site
$37.75 - $49.75/hr
Columbus, OH · On-site
$37.50 - $49.50/hr
Galion, OH · On-site
$33.25 - $43.75/hr
Springfield, OH · On-site
$38 - $50/hr
Urbana, OH · On-site
$37.75 - $49.75/hr
Troy, OH · On-site
$37 - $48.75/hr
Columbus, OH · On-site
$2.2K/wk
New
Westerville, OH · On-site
$90 - $130/hr
Westerville, OH · On-site
$90 - $130/hr
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Utilization review specialists assess plans for patient care and determine what treatment is appropriate and most cost-effective. They investigate disputed medical claims, coordinate utilization training for the medical staff, analyze electronic medical records, and inform medical staff whether a medical claim is denied, approved, under review, or under appeal. In many cases, the utilization review specialist serves as an advocate for quality patient care, cost reduction, and hospital quality standards.
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