Ohio Licensed RN Utilization Review
Get new jobs like this one by email. Create a free account for job alerts and to save the jobs you like.
Job Summary
To provide timely, evidence-based utilization review services, the full-time Ohio Licensed RN Utilization Review will analyze treatment plan requests, obtain medical records, and collaborate with healthcare providers while working remotely.
Key responsibilities
- Identifies and analyzes treatment plan requests and supporting medical records
- Utilizes evidence-based criteria to make utilization review determinations and negotiates with providers as necessary
- Documents outcomes in utilization review software and communicates with claim examiners to resolve clinical issues
Required qualifications
- Active unrestricted RN license in a state or territory of the United States
- Associate degree from an accredited college or university; Bachelor's degree preferred
- Four years of related experience, including two years of recent clinical practice or one year of recent utilization review
- Utilization review-based certification preferred
Complete Job Description
The complete job description is available to premium members. Premium membership includes:
Full access to 39,386 remote jobs from human-vetted companies, updated daily
Resume Builder - AI-powered tool to craft, enhance, and tailor your resume to a specific job
Twice-monthly live group coaching and the full Remote Career Center
20% member discount on Career Services
Backed by a 30-day money-back guarantee
Company Company Name
Headquarters Headquarters
Founded Founded
Website
The company description is available to premium members. Go Premium for full access to every job and company profile in our remote jobs database, backed by a 30-day money-back guarantee.
