Utilization Care Manager - Rn

The Ohio State University

Remote
Fully remote
In-depth knowledge of payer rules
Ability to apply mcg guidelines
Experience in care management
The Utilization Care Manager contributes to the hospital's Utilization Management Program Plan

Job Summary

  • The Utilization Care Manager contributes to the hospital's Utilization Management Program Plan.
  • This role requires determining appropriateness for inpatient level of care based on clinical information.
  • Candidates must have a Bachelor's degree in Nursing and two years of relevant experience.

Matching Summary

The Utilization Care Manager contributes to the hospital's Utilization Management Program Plan.

Skills & Requirements

Must-have

  • In-depth knowledge of payer rules
  • Ability to apply MCG guidelines
  • Experience in Care Management

Nice-to-have

  • Awareness of health care trends
  • Strong analytical skills
  • Effective communication skills

Key Requirements

  • Bachelor's degree in Nursing
  • RN licensure
  • Two years of Care Management experience

Work Rights

Not specified

Tailored Resume

Cover Letter