Utilization Review Nurse; RN - Case & Denial Management
Job in
Wooster, Wayne County, Ohio, 44691, USA
Listed on 2026-06-28
Listing for:
Wooster Community Hospital
Full Time
position Listed on 2026-06-28
Job specializations:
-
Nursing
Healthcare Nursing, RN Nurse, Clinical Nurse Specialist, Nurse Practitioner
Job Description & How to Apply Below
Wooster Community Hospital is looking for a Utilization Management Nurse Reviewer (RN) to act as a Subject Matter Expert in patient admission status, working collaboratively with Providers and the Revenue Cycle team. Candidates need an active Ohio RN or LPN license and 3-5 years of clinical nursing experience.
Responsibilities include reviewing patient admissions for appropriateness, ensuring compliance with medical necessity criteria, and documenting all case reviews. Strong organizational and communication skills are essential for this role.
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