RN - Utilization Review

Southwest General Hospital Center Southwest General Health CenterMiddleburg Heights, OH
Onsite

About The Position

This is a full-time position requiring 40 hours per week, with five 8-hour shifts (8:00 AM - 4:30 PM) and includes working every third weekend. The role involves performing utilization reviews.

Requirements

  • Graduation from an accredited School of Nursing.
  • Current licensure by Ohio State Board of Nursing.
  • Minimum of five (5) years recent experience in clinical nursing or related nursing field.
  • Previous Care Management, Case Management, or Utilization Management Experience.
  • Experience with doing 30+ reviews a day.
  • Previous experience with screening criteria including Cerner, InterQual, and MCG.
  • Excellent critical thinking and communication skills.
  • Strong computer skills.

Nice To Haves

  • BSN preferred.
  • ACM/CCM Certification helpful.

Responsibilities

  • Perform utilization reviews.
  • Conduct 30+ reviews a day.
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