Utilization Review Nurse

2 weeks ago


Columbus, Ohio, United States Trinity Health Full time
Requirements
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.

  • Medical Review Nurse

    2 weeks ago


    Columbus, Ohio, United States Trinity Health Full time

    About the JobThe Utilization Review Nurse at Trinity Health is responsible for ensuring that authorization requests and provider or member inquiries are handled appropriately within established timeframes. This position requires strong clinical assessment and analytical skills, effective communication, and the ability to work collaboratively with providers...


  • Columbus, Ohio, United States Poling & Associates Full time

    Job OverviewPoling & Associates presents a unique opportunity for the right candidate. If you are the best, this firm is for you. Our reputation is steeped in tradition and dedication to obtaining outstanding results, a teamwork environment, and unrivaled client service.As a Nurse Paralegal, you will be at the core of our practice and provide vital support...


  • Columbus, Ohio, United States Poling & Associates Full time

    Job SummaryClinical Case Review Specialist - Poling & AssociatesPOLING & ASSOCIATES presents a unique opportunity for the right candidate.This position is Part-Time & remote. Must be available for training in our Columbus, Ohio office.We are seeking a skilled Clinical Case Review Specialist to provide medical records review and summation in medical...


  • Columbus, Ohio, United States MSCCN Full time

    About MSCCNMSCCN is a leading provider of specialized talent solutions, connecting highly qualified job seekers to opportunities at great companies. We offer contract, temporary, and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. What We Offer- Competitive...


  • Columbus, Ohio, United States Dawson Full time

    Dawson's Mailroom Associate plays a critical role in ensuring the timely and accurate processing of utility invoices. As a member of our team, you will have the opportunity to work in a fast-paced environment and develop your skills in data entry, record-keeping, and customer service.Salary and Benefits:$15.00 per hour (open-ended...


  • Columbus, Ohio, United States Nurse First Full time

    Nurse First is seeking an experienced PCU travel nurse to join their team in Columbus, Ohio. As a critical care registered nurse, you'll work closely with patients who require advanced medical care, utilizing your skills to create personalized treatment plans.About the PositionThis is a 13-week contract with a guaranteed minimum of 36 hours per week. The...


  • Columbus, Ohio, United States Nurse First Full time

    Excellent Opportunity for Experienced RNs in Bone Marrow Transplant NursingNurse First Travel Agency is recruiting a seasoned Registered Nurse (RN) with experience in bone marrow transplant to fill a 13-week travel nursing position in Columbus, Ohio. This is an exceptional chance to utilize your clinical expertise and provide top-notch care to patients...


  • Columbus, Ohio, United States Nurse First Full time

    Nurse First, a pioneering travel agency founded by a nurse for nurses, is seeking an exceptional travel nurse RN with expertise in Oncology to join their Columbus, Ohio team.Job SummaryThis 13-week assignment offers the chance to experience the dynamic city of Columbus while providing top-notch patient care. As a travel nurse with Nurse First, you'll enjoy a...

  • Nurse Case Manager

    4 weeks ago


    Columbus, Ohio, United States Mount Carmel Health System Full time

    About the RoleAs a Utilization Review Nurse at Mount Carmel Health System, you will play a critical role in ensuring that authorization requests and provider or member inquiries are handled appropriately within established timeframes. Your clinical expertise and strong communication skills will enable you to make informed decisions regarding medical...


  • Columbus, Ohio, United States Travel Nurse Across America Full time

    At Travel Nurse Across America, we're seeking a skilled Diagnostic Imaging Specialist to join our team as a Magnetic Resonance Technician. This exciting opportunity will allow you to utilize your expertise in diagnostic imaging to provide top-notch care to patients in Columbus, Ohio.About the JobThis 13-week assignment offers a competitive salary and...


  • Columbus, Ohio, United States Travel Nurse Across America Full time

    At Travel Nurse Across America, we offer a lucrative opportunity for experienced Magnetic Resonance Imaging Technologists to take on travel assignments in exciting locations.About the JobWe are seeking a skilled MRI Tech to work as a travel technologist in Columbus, Ohio. The successful candidate will be responsible for utilizing magnetic resonance imaging...


  • Columbus, Ohio, United States Travel Nurse Across America Full time

    Job Description:Careers at Travel Nurse Across America - Our Interventional Radiology Technologist Role.We are seeking a skilled and dedicated Interventional Radiology Technologist (IR Tech) for an exciting travel opportunity in Columbus, Ohio. As part of our team, you will play a vital role in providing exceptional patient care while collaborating with...


  • Columbus, Ohio, United States Nurse First Full time

    Nurse First is seeking a skilled CT Technologist to fill a 13-week travel position in Ohio.About the RoleThis exciting opportunity allows you to utilize your expertise as a CT Technologist while experiencing a new location. With 40 hours of work per week and 10-hour shifts, this assignment offers a great balance of productivity and work-life balance.Key...


  • Columbus, Ohio, United States Travel Nurse Across America Full time

    Travel Nurse Across America is seeking a highly skilled and experienced travel MRI Technologist for a lucrative opportunity in Columbus, Ohio. This 13-week assignment offers an attractive salary package based on 8-hour shifts and 40 hours per week, with tax-free stipend details to be confirmed.Job Description:Magnetic Resonance Imaging Technologists play a...


  • Columbus, Ohio, United States Nurse First Full time

    Nurse First is seeking a skilled Mobile Diagnostic Imaging Professional to fill a 13-week travel assignment in Columbus, Ohio.Job SummaryWe are committed to providing our travel nurses with the best experience possible. This role offers a unique opportunity to work as a Radiology Technologist, utilizing your skills and expertise to make a difference in the...


  • Columbus, Ohio, United States Travel Nurse Across America Full time

    About the RoleWe are seeking a highly skilled Mobile Diagnostic Imaging Professional to join our team for a 13-week assignment in Columbus, Ohio.Job SummaryThe successful candidate will be responsible for operating computed tomography equipment, ensuring accurate and high-quality images, and providing exceptional patient care. With a strong background in...


  • Columbus, Ohio, United States Travel Nurse Across America Full time

    Job Title: Progressive Care Unit NurseCare for patients who require close monitoring and frequent assessment but aren't unstable enough to need ICU care. This involves utilizing computer equipment to monitor cardiac and other vital information, detecting any changes and enabling intervention of life-threatening or emergency situations. This role requires...


  • Columbus, Ohio, United States Travel Nurse Across America Full time

    Are you a motivated and skilled RN looking for a challenging opportunity in Progressive Care Unit? Travel Nurse Across America is seeking a qualified travel nurse to join our team in Columbus, Ohio.About the RoleThis 13-week contract offers a unique chance to work in a fast-paced environment, providing high-quality patient care while utilizing your critical...


  • Columbus, Ohio, United States Travel Nurse Across America Full time

    We are seeking a skilled and experienced MRI Technologist to join our team on a travel assignment in Columbus, Ohio.About the RoleThis is an exciting opportunity for a dedicated and compassionate professional to work as an MRI Technologist with our client hospital. The successful candidate will have the opportunity to work in a fast-paced environment,...


  • Columbus, Ohio, United States Nurse First Full time

    Nurse First is seeking a mobile echocardiography specialist to fill a 12-week travel assignment in New Hampshire.About the OpportunityThis unique role offers the chance to utilize your skills in echocardiography to provide exceptional patient care while experiencing the beauty of the Granite State. As a mobile echocardiography specialist, you will be...