Utilization Review Nurse
2 weeks ago
To succeed in this role, you will need a graduate degree in nursing and current licensure to practice as a registered nurse in the State of Ohio. A minimum of 3-5 years of nursing experience and knowledge of the utilization review process are also required.
Prior managed care and/or Medicare experience is preferred, as is certification in Case Management (CCM), Accredited Case Manager (ACM), or Certified Professional in Healthcare Management (CPHM).
A strong understanding of healthcare regulations and industry standards is essential, as is proficiency in computer systems and software used in medical management.
You will also need excellent organizational and time management skills, as well as the ability to work independently and collaboratively as part of a team.
Benefits
We offer a comprehensive benefits package that includes:
- Competitive compensation and benefits packages.
- Medical, dental, and vision coverage.
- Retirement savings account with employer match starting on day one.
- Generous paid time off programs.
- Tuition/professional development reimbursement.
- Relocation assistance (geographic restrictions apply).
- Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
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