More jobs:
Ohio Licensed Utilization Review Nurse
Job in
Rexburg, Madison County, Idaho, 83440, USA
Listed on 2026-06-30
Listing for:
ProMedica Health Systems, Inc.
Full Time
position Listed on 2026-06-30
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing, Emergency Medicine
Job Description & How to Apply Below
To maximize the quality and cost-efficiency of healthcare services, the part‑time Ohio Licensed Utilization Review Nurse will conduct reviews for admissions and transfers, collaborate with healthcare teams, and identify opportunities for improved service utilization while working remotely.
Key responsibilities- Complete reviews for admissions and transfers to obtain necessary authorizations
- Collaborate with physicians, nurses, and other healthcare team members to allocate resources effectively
- Review cases to identify opportunities for enhancing hospital service utilization
- Graduate of an approved NLN accredited School of Nursing
- Minimum of 3 years of acute care nursing experience
- Current RN license in the state of hire
- Knowledge of insurance guidelines and relevant regulations
- Experience with utilization review in a hospital acute care setting
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