Top 6 Rn utilization coordinator Jobs in Cincinnati, Oh

Utilization Management (UM) Coordinator
Stepping Stone —Blue Ash, OH
- 8 hour shift
- Nursing
- RN License
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
14d
Care Management Coord RN-Optional
TriHealth —Montgomery, OH
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
3d
Denials RN Coordinator
Ensemble RCM LLC —Blue Ash, OH
- $62,500 - $79,800 a year
- Full-time
- Nursing
- RN License
- 5 years
- Tuition reimbursement
Registered Nurse (RN), Transplant Coordinator, TACU, Full Time, First Shift
UC Health, LLC —Cincinnati, OH
- Full-time
- Nursing
- RN License
- Urgent Care
Quick Apply
5d
RN Care Coordinator- Taylor Mill Primary Care
St. Elizabeth Physicians —Taylor Mill, KY
- Full-time
- Nursing
- Anatomy knowledge
- Microsoft Outlook
Patient Flow/Shift Coordinator - Float Pool
TriHealth —Montgomery, OH
- Part-time
- Acute care
- Nursing
- RN License

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Denials RN Coordinator
Ensemble RCM LLC —Columbus, OH
Extensive review of medical records for medical necessity criteria, filing written letters of appeal on denied claims, filing complaints with state Department…
$62,500 - $79,800 a year
Registered Nurse, Care Coordinator - Cerebral Palsy (PFK)
Nationwide Children's Hospital —Columbus, OH
Valid Ohio driver’s license and proof of auto insurance as required by hospital policy. Pediatric certification, Advanced-Continuity of Care Certification (A-…

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rn utilization coordinator jobs near cincinnati, oh

Utilization Management (UM) Coordinator

Stepping Stone -
Blue Ash, OH

Quick Apply

Job Details

Full-time
14 days ago

Benefits

Health savings account
Paid holidays
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Loan forgiveness
Life insurance

Qualifications

Nursing
Patient flow optimization
Overseeing health insurance pre-certification
Clinical compliance checks
LSW
Bachelor's degree in social work
RN License
Team leadership
LMSW
Overseeing healthcare denial management
Healthcare documentation compliance audits
Care documentation
Mid-level
Master's degree
LISW
Bachelor's degree
Clinical performance metrics
Utilization management
Medical denial root cause analysis (RCA)
Clinical documentation
Resource utilization in healthcare
Healthcare team management
Meeting facilitation
Bachelor's degree in nursing
Document quality checks
Clinical documentation improvement
LPN
Clinical team leadership
Social Work
LPCC

Full Job Description

Job Address:

10123 Alliance Road, Sutie 300 Blue Ash, OH 45242

Role: UM Director

Job Post Title: Utilization Review Director

Shift: M-F

Hours: 8-4:30 9-5

The Role Itself

Oversees service requests, authorizations and LOS metrics.
Reviews documentation quality for clinical effectiveness in regards to reimbursement.
Participates in clinical team for goal alignment and compliance.
Manages patient transitions between LOC and updates denial log.
Develops processes to minimize denials and provides education.
Possesses strong knowledge of external review organizations.
Facilitates UM team meetings.

Perks with us!

Medical Packages with Rx – 3 Choices
Flexible Spending Accounts (FSA)
Dependent Care Spending Accounts
Health Spending Accounts (HSA) with a company match
Dental Care Program – 2 choices
Vision Plan
Life Insurance Options
Accidental Insurances
Paid Time Off + Paid Holidays
Employee Assistance Programs
401k with a Company Match

Education + Leadership Development

Up to $15,000 in Tuition Reimbursements
Student Loan Forgiveness Programs

Education:

Related and relevant field experience
Or Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences,
Or Master's Degree
Must be 21 yrs or older

License:

LPN, RN, LMSW, LPC, BSW, LSW, LPCC, LISW or applicable license preferred.

Quick Apply

Refine Your Search

rn utilization coordinator jobs in cincinnati, oh

Utilization Management (UM) Coordinator

Care Management Coord RN-Optional

Denials RN Coordinator

Registered Nurse (RN), Transplant Coordinator, TACU, Full Time, First Shift

RN Care Coordinator- Taylor Mill Primary Care

Patient Flow/Shift Coordinator - Float Pool

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