RN:Utilization Review
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Job Title
RN Utilization Specialist
City/State: Middleburg Heights, Ohio
Shift: 8 Hour Flex, 07:00:00-15:00:00
Contract Length: 12.71 weeks
Start Date: 07/20/2026
Job Description:
Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p, as well as every 3rd weekend.
Requirements:
- Graduation from an accredited School of Nursing. BSN preferred.
- Current licensure by Ohio State Board of Nursing.
- Minimum of five (5) years recent experience in clinical nursing or related nursing field.
- Previous Care Management, Case Management, or Utilization Management Experience.
- Experience with doing 30+ reviews a day.
- Previous experience with screening criteria including Cerner, InterQual, and MCG.
- Excellent critical thinking and communication skills.
- Strong computer skills.
- ACM/CCM Certification helpful.
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