Jobs · Healthcare · Ohio

RN Utilization Manager

Talented Medical Solutions · Cleveland, OH · 7 mo ago
On-siteHealthcareFull-time

Job Summary

Talented Medical Solutions is seeking a skilled RN Utilization Manager for a full-time, contract position in Middleburg Heights, OH.

Responsibilities

  • Screening and evaluating patient cases for appropriateness and efficiency
  • Collaborating with physicians and other healthcare providers to optimize patient care
  • Implementing and maintaining compliance with regulatory standards and guidelines
  • Developing and updating utilization management policies and procedures
  • Providing education and training to staff on utilization management processes

Requirements

  • 5 years recent experience in clinical nursing
  • Previous case management or Utilization Management experience
  • Previous experience with screening criteria Cerner, InterQual, and MCG
  • Unencumbered RN OH License
  • ACCM/CCM certification (nice to have)

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