Remote Behavioral Health Utilization Review Specialist
Remote / Online - Candidates ideally in
Columbus, Franklin County, Ohio, 43224, USA
Listed on 2026-08-19
Columbus, Franklin County, Ohio, 43224, USA
Listing for:
Nationwide-Children
Remote/Work from Home
position Listed on 2026-08-19
Job specializations:
-
Healthcare
Healthcare Consultant, Healthcare Management, Healthcare Administration
Job Description & How to Apply Below
Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and guideline alignment. You will engage with hospital teams and third-party payors to secure quality care and proper payment.
The role involves retrospective reviews, denial management, documentation, and data analysis to improve patient outcomes. After a 90-day in-office training, the position offers remote work from home options.
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