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RN Leader, Utilization Management — Remote in Ohio
Remote / Online - Candidates ideally in
Lexington, Fayette County, Kentucky, 40598, USA
Listed on 2026-08-23
Lexington, Fayette County, Kentucky, 40598, USA
Listing for:
Buckeye Health Plan
Remote/Work from Home
position Listed on 2026-08-23
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Buckeye Health Plan seeks a clinical professional to lead the Medical Management/Health Services team in Ohio. The role focuses on overseeing Prior Authorization, Concurrent Review, and Retrospective Review to ensure appropriate member care.
In-person attendance is required a few times per year, with remote aspects available within Ohio. Requires RN licensure in Ohio and 5+ years of related experience; 2+ years of supervisory experience preferred.
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