Utilization Review RN — Care Quality & Coordination

Healthcare Support Staffing; Mason (OH); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Positive work environment

Job summary

A national healthcare staffing firm is seeking a dedicated Registered Nurse to manage utilization review processes. This RN will ensure quality and cost-effective healthcare by assessing medical necessity, coordinating care, and managing appeals for denied services. Candidates must hold a clear RN license in Ohio and have experience in acute care and medical record reviews. This role offers a competitive salary, benefits, and a supportive work environment.

Qualifications

• Clear and active RN license in the state of OH.
• At least an Associate's or Bachelor's degree in Nursing.
• Experience in acute clinical care and utilization management.

Responsibilities

• Ensure cost-effective care through medical necessity assessments.
• Coordinate care with facilities and providers.
• Manage appeals for denied services.

Skills

RN license

Clinical care experience

Utilization review

Medical record review

Education

AS/BS in Nursing

Job description

A national healthcare staffing firm is seeking a dedicated Registered Nurse to manage utilization review processes. This RN will ensure quality and cost-effective healthcare by assessing medical necessity, coordinating care, and managing appeals for denied services. Candidates must hold a clear RN license in Ohio and have experience in acute care and medical record reviews. This role offers a competitive salary, benefits, and a supportive work environment.