Top 15 Utilization review nurse Jobs in Dayton, Oh

Utilization Review Coordinator
Neuropsychiatric Hospitals —Huber Heights, OH
- Full-time
- Nursing
- Psychiatry
- Mid-level
- Health insurance
- Dental insurance
RN Utilization Rvw Spclst - Utilization Management
Kettering Health —Miamisburg, OH
- Part-time
- Nursing
- RN License
- 5 years
Registered Nurse - Utilization Manager
Decypher —Wright-Patterson AFB, OH
- $44.92 an hour
- 8 hour shift
- Bachelor of Science
- Mid-level
- Ability to sit for extended periods
Quick Apply
Admissions & Medical Records Nurse (LPN, RN)
Cypress Pointe Health Campus —Englewood, OH
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Health savings account
CASE MANAGER
Miami Valley Hospital —Dayton, OH
- Full-time
- Nursing
- RN License
- Hospital
CSI ANALYST/SYSTEM SUPPORT-MVH/FT
System Support —Dayton, OH
- Full-time
- Microsoft Word
- Nursing
- RN License
Case Manager - PRN Days | Miamisburg Rehab
PAM Health, LLC —Miamisburg, OH
- PRN
- RN License
- Hospital
- BLS Certification
- Opportunities for advancement
- Referral program
Quick Apply
Program Administrator 3 (QIC) - 20077300
State of Ohio - Rehabilitation & Correction - Lebanon Correctional Institution —Lebanon, OH
- $40.40 an hour
- Online Application
- Nursing
- RN License
- Research
- Paid holidays
- Health insurance
10h
CASE MANAGER / REGISTERED NURSE / RN
Upper Valley Medical Center —Troy, OH
- Nursing
- RN License
- Hospital
6d
MDS Nurse Transition Leader - RN
Otterbein SeniorLife —Springboro, OH
- Nursing
- RN License
- 5 years
- Paid holidays
- Dental insurance
Quick Apply
6h
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

Related jobs to explore

Based on your search for utilization review nurse

Pediatric Nurse (LPN or RN)
PriMed Physicians —Dayton, OH
Graduate of RN, LPN, or MA program with current licensure or certification as required in the state of Ohio. This role routinely uses standard office equipment…
Quick Apply
Nurse 1 (Registered Nurse)
State of Ohio - Rehabilitation & Correction - Dayton Correctional Institution —Dayton, OH
Individuals under a federal or state weapons disability if the position requires firearms certification/recertification and use;
$84,000 a year

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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…
Clinical Reviewer - Medical Coder & QA
Ohio Living —Westerville, OH
Current unencumbered license for the state of Ohio to practice as a Licenses Practical Nurse (LPN) preferred Certificate for OASIS Specialist-Clinical…
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in dayton, oh

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization review nurse jobs near dayton, oh

Utilization Review Coordinator

Neuropsychiatric Hospitals -
Huber Heights, OH

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
Employee discount

Qualifications

Customer communication
Employee relationship building
Transitional care planning in clinical case management
Bachelor's degree
Clinical data entry
Utilization management
Resource utilization in healthcare
Managing patients as a clinical case manager
Hospital experience
Quality data entry

Full Job Description

About Us:

Healing Body and Mind.

NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it’s needed most.

With locations in Indiana, Michigan, Texas, and Arizona, we’re expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day

Overview:

North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.

Benefits of joining NPH

Competitive pay rates
Medical, Dental, and Vision Insurance
NPH 401(k) plan with up to 4% Company match
Employee Assistance Program (EAP) Programs
Generous PTO and Time Off Policy
Special tuition offers through Capella University
Work/life balance with great professional growth opportunities
Employee Discounts through LifeMart

Responsibilities:

Filing documents as needed.
Initial Precertification with payors.
Concurrent Clinical review with payors.
Document in the electronic system daily in real time.
Admission audit.
Ensures that CON’s/RON’s and CMS certifications are completed by provider.
Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
Complies with hospital expectations regarding ethical behavior and standards of conduct.
Complies with federal and hospital requirements in the areas of protected health information and patient information.
Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
Provides education to nursing staff. leadership team, and providers regarding documentation.
Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.

Qualifications:

Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.

Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.

Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.

Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW

Apply Now

Refine Your Search

utilization review nurse jobs in dayton, oh

Utilization Review Coordinator

RN Utilization Rvw Spclst - Utilization Management

Registered Nurse - Utilization Manager

Admissions & Medical Records Nurse (LPN, RN)

CASE MANAGER

CSI ANALYST/SYSTEM SUPPORT-MVH/FT

Case Manager - PRN Days | Miamisburg Rehab

Program Administrator 3 (QIC) - 20077300

CASE MANAGER / REGISTERED NURSE / RN

MDS Nurse Transition Leader - RN

Utilization Management Reviewer

Related jobs to explore

Explore jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in dayton, oh

Explore jobs in more locations

Healing Body and Mind.

Job Seeker Tools

Employer Tools

Browse

Stay Connected