Top 14 Utilization review nurse Jobs in Columbus

Case Manager (RN) - Full-Time
OhioHealth Rehabilitation Hospital —Columbus, OH
- $70,000 - $84,000 a year
- Full-time
- Hospital
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
6d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Customer service
- Writing skills
- Mid-level
- Work from home
RN Case Manager
Sheakley —Columbus, OH
- Full-time
- RN License
- Mid-level
- Organizational skills
Quick Apply
Clinical Reviewer - Medical Coder & QA
Ohio Living —Westerville, OH
- Full-time
- Nursing
- Microsoft Excel
- English
Quick Apply
Registered Nurse Care Coordinator - Fostering Connections Clinic (PFK)
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Nursing
- Patient monitoring
- RN License
RN Care Coordinator Endocrinology - PFK (Main)
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Nursing
- RN License
- Computer literacy
12d
Registered Nurse, Care Coordinator - Cerebral Palsy (PFK)
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Nursing
- RN License
- Computer literacy
Home Health Clinical Manager
Centerwell —Delaware, OH
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
11d

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Case Manager (RN) - Full-Time
OhioHealth Rehabilitation Hospital —Columbus, OH
Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.
$70,000 - $84,000 a year
Quick Apply
6d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…

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utilization review nurse jobs near columbus

Case Manager (RN) - Full-Time

OhioHealth Rehabilitation Hospital -
Columbus, OH

Quick Apply

Job Details

Full-time
$70,000 - $84,000 a year
6 days ago

Benefits

Dental insurance
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Paid sick time

Qualifications

Patient treatment planning
Patient care outcome improvement
Fiscal management
Utilization review
Case assessment
Mid-level
Master's degree
Managing patients as a nurse case manager
Transitional care planning in clinical case management
Healthcare referral management
Overseeing care coordination
Bachelor's degree
Utilization management
Master's degree in human services
Resource utilization in healthcare
Human Services
Insurance provider collaboration
Certified Case Manager
Case referral
Care coordination
Bachelor's degree in human services

Full Job Description

Overview:

Hospital Name: OhioHealth Rehabilitation Hospital
Joint venture/Partnership/Affiliation with Select Medical
Position: Case Manager
Location: Columbus, OH
Schedule: Fulltime
Compensation: $70,000 - $84,000

Our Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas.

At our company, we support your career growth and personal well-being.

Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP), and dental plan offerings for full-time team members
Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

Responsibilities:

The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the discharge planning process.

The primary job functions in Case Management include:
Clinical Interventions/Discharge Planning
Care Planning Management
Fiscal Management
Payer/Referral Management

Qualifications:

Minimum Qualifications

Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.

Preferred Qualifications

Previous experience in Case Management and Discharge Planning preferred.
CCM Certification Preferred.

Additional Data:

Equal Opportunity Employer/including Disabled/Veterans

Quick Apply

Refine Your Search

utilization review nurse jobs in columbus

Case Manager (RN) - Full-Time

Utilization Review Specialist - Autism

RN Case Manager

Clinical Reviewer - Medical Coder & QA

Registered Nurse Care Coordinator - Fostering Connections Clinic (PFK)

RN Care Coordinator Endocrinology - PFK (Main)

Registered Nurse, Care Coordinator - Cerebral Palsy (PFK)

Home Health Clinical Manager

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