Appeals Reviewer, Utilization Management; RN
Listed on 2026-10-06
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Nursing
RN Nurse, Clinical Nurse Specialist
The Metro Health System is seeking a Clinical Appeals Reviewer in Utilization Management. This on-site role supports insurance coverage decisions by reviewing medical necessity and medical records to determine appropriateness of requested treatments for Metro Health System patients.
Ideal candidates hold an Ohio RN license, have 5+ years of clinical experience, and are skilled in evidence-based utilization management and payer denials processes.
This role, Appeals Reviewer, Utilization Management (RN) at The Metro Health System, could be your next opportunity.
The Appeals Reviewer, Utilization Management (RN) position in the Bio & Pharmacology & Health, Management & Operations field is open for applications.
We have an opening for a Appeals Reviewer, Utilization Management (RN) in Cleveland, OH, United States within Bio & Pharmacology & Health, Management & Operations.
Are you ready to take on the Appeals Reviewer, Utilization Management (RN) role at The Metro Health System?
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