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Healthcare Nursing Healthcare Administration

RN Utilization Specialist: Denials & Appeals Expert

Job in Middleburg Heights, Cuyahoga County, Ohio, USA
Listing for: Southwest General
Full Time position
Listed on 2026-03-11
Job specializations:
  • Healthcare
    Healthcare Nursing, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A healthcare provider is seeking a Utilization Specialist to support clinical staff in managing denials and appeals. This role involves reviewing patient medical records to ensure accurate documentation and regulatory compliance. The ideal candidate will have a BSN, three years of clinical nursing experience, and a current RN License from the Ohio State Board of Nursing. Strong communication skills and the ability to analyze medical records are essential.

Join our team to contribute to quality patient care in Middleburg Heights, Ohio.
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