Utilization Review RN — Inpatient Care & Discharge

Quantum Health; Dublin (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare navigation organization is seeking a Utilization Review Nurse in Dublin, OH. The role involves reviewing inpatient medical service requests, assessing clinical criteria, and facilitating discharge planning for patients. Candidates should have a current RN license in Ohio, with a minimum of 2 years of clinical experience in a hospital setting. Strong communication and critical thinking skills are essential, as well as proficiency in Microsoft Office programs. Join our mission to simplify healthcare for our members.

Qualifications

• Minimum of 2 years clinical experience with direct patient care required in an inpatient hospital setting.
• Ability to communicate effectively with patients, physician practices, and hospital facilities.

Responsibilities

• Review and process medical services requests for inpatient settings.
• Assess and review all requests against clinical criteria.
• Facilitate discharge planning for patients.

Skills

Clinical experience

Critical thinking

Communication skills

Microsoft Office proficiency

Education

Current RN license in Ohio

Job description

A healthcare navigation organization is seeking a Utilization Review Nurse in Dublin, OH. The role involves reviewing inpatient medical service requests, assessing clinical criteria, and facilitating discharge planning for patients. Candidates should have a current RN license in Ohio, with a minimum of 2 years of clinical experience in a hospital setting. Strong communication and critical thinking skills are essential, as well as proficiency in Microsoft Office programs. Join our mission to simplify healthcare for our members.