RN Utilization Manager

Talented Medical Solutions; Cleveland (OH); On-site; USD 85,000 - 105,000; Full time

Job summary

A healthcare organization is seeking a qualified RN Utilization Manager to work full-time in Middleburg Heights, OH. The role requires at least 5 years of recent clinical nursing experience, with a background in case and utilization management. Candidates should possess an unencumbered RN license in Ohio and ideally have ACM/CCM certification. This position is crucial to manage patient care effectively, and the start date is ASAP due to urgent staffing needs.

Qualifications

• 5 years recent experience in clinical nursing.
• Previous case management or Utilization Management experience is required.
• Knowledge of screening criteria such as Cerner, InterQual, and MCG is necessary.
• Unencumbered RN OH License.
• ACM/CCM certification - nice to have.

Skills

Clinical nursing experience

Case management experience

Utilization Management experience

Knowledge of screening criteria (Cerner, InterQual, MCG)

Education

Unencumbered RN OH License

ACM/CCM certification

Tools

Cerner

InterQual

MCG

Job description

Job Summary

RN Utilization Manager

Talented Medical Solutions

Full-time, Contract

In-Office | Middleburg Heights, OH, United States

Schedule: Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p.

Start Date: ASAP or 12/08 - URGENT NEED

Requirements

• 5 years recent experience in clinical nursing
• Previous case management or Utilization Management experience
• Previous experience with screening criteria Cerner, InterQual, and MCG
• Unencumbered RN OH License
• ACM/CCM certification - nice to have

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• Medical Practices