Clinical Finance Case Management Consultant - RN

Ohio State University; Columbus (OH); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental and vision

Paid time off

Retirement plan options

Job summary

Ohio State University seeks a Clinical Finance Case Management Consultant – RN to oversee billing for oncology clinical trials. You will review study protocols to classify procedures as Routine Care or Research-related, guiding proper coding and billing for trial participants.

You will support Revenue Cycle processes, serve as a clinical SME within CRFC, and collaborate with PIs, CTO, James Nursing, and related departments to ensure compliant, timely financial operations.

Qualifications

• Requires RN licensure and a bachelor’s degree.
• Experience with clinical trials and Medicare billing regulations is preferred.
• Roles involves compliance with clinical trial billing and post-award processes.

Responsibilities

• Conduct Coverage Analyses to classify procedures as Routine Care or Research-related.
• Guide accurate billing and coding practices for oncology clinical trials.
• Provide guidance to Revenue Cycle Specialists and Analysts and collaborate with PIs, CTO, and departments.
• Maintain independent decision-making informed by clinical protocols and regulations.

Skills

Clinical trial budgeting

Billing compliance

Guidance to Revenue Cycle

Interdepartmental collaboration

RN licensure

Education

Bachelor's degree

Registered Nurse (RN) license

Master’s degree (preferred)

Job description

Job Title: Clinical Finance Case Management Consultant - RN

Department: James

Scope of Position The Clinical Research Finance & Compliance (CRFC) Department plays a vital role in supporting the financial infrastructure of oncology clinical trials. CRFC is responsible for the full spectrum of financial operations, including project budgeting, contract negotiation, revenue forecasting, and post-award accounting. Key functions of the department include: Project costing and financial forecasting Contract and budget negotiation Revenue recognition and monthly reconciliation Invoicing, accounts receivable, and audit compliance Coverage analysis, patient claim review, and reimbursement processing CRFC partners closely with the Clinical Trials Office (CTO), Principal Investigators (PIs), and research and business units across the Medical Center and College of Medicine. The team ensures accurate and timely financial communication and transactions with both internal stakeholders and external sponsors.

Position Summary Reporting to the Director of Clinical Research Finance & Compliance (CRFC), the Clinical Financial Case Management Consultant – RN serves as a key technical expert and knowledge leader responsible for ensuring compliance with clinical trial billing regulations, including Medicare guidelines. This role supports accurate billing for OSUCCC–James patients participating in clinical trials. The Clinical Financial Case Management Consultant - RN will manage a portfolio of clinical trials, conducting comprehensive reviews of study protocols to classify procedures as either Routine Care or Research-related. These reviews—known as Coverage Analyses—guide appropriate billing and coding practices. The Clinical Financial Case Management Consultant – RN will also perform ongoing reviews in response to protocol amendments or changes in applicable laws and regulations. In addition to conducting Coverage Analyses, the Clinical Financial Case Management Consultant – RN will provide guidance to Revenue Cycle Specialists and Analysts, serve as a clinical subject matter expert within the CRFC team, and collaborate with key stakeholders including Principal Investigators (PIs), the Clinical Trials Office (CTO), James Nursing, Revenue Cycle, and the Research Billing Office. This position requires independent work and high-level decision-making informed by a deep understanding of scientific protocols, federal regulations, and clinical operations.

Minimum Qualifications For Hire: Bachelor's degree or equivalent experience. Registered Nurse. 6 years of relevant experience required. 8-12 years of relevant experience preferred. Master’s degree preferred. Experience with clinical trials is preferred. Familiarity with Medicare billing regulations and hospital patient billing is a plus. Ongoing: Must maintain RN licensure.

Additional Information: Location: Ackerman Rd, 650 (0241) Position Type: Regular Scheduled Hours: 40 Shift: First Shift Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability. At Ohio State, you’ll find work that inspires you. We offer roles and growth opportunities in countless fields and specialties — including a job that’s right for you.

Ohio State benefits give you options to take care of what matters most to you — and opportunities to make adjustments as your life and needs change, including:

• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
• Paid time off, including sick and vacation time and 11 holidays.
• State retirement plan or an alternative retirement plan, both with generous employer contributions.

As Buckeyes, we accomplish more together. No matter your role, you’ll be part of creating what people need now: pathways to education, research and health care. Working at Ohio State means you’re part of a team with a strong sense of community and an unwavering commitment to excellence — and, of course, incomparable Buckeye spirit. We bring out the best in people, help each other succeed and learn together. By joining Ohio State, you become part of a top-20 public university with one of America’s leading academic health centers. We’re a team of dedicated colleagues with access to boundless resources that support you.