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Senior Clinical Review Nurse Leader - Compliance & Appeals

State of Ohio

Ohio Department of Medicaid (ODM) seeks a Registered Nurse to join the Surveillance/Utilization Review Section (SURS) as a Clinical Review Nurse Supervisor in Columbus, Ohio. The role focuses on reviewing Medicaid service utilization, detecting fraud, waste, and abuse, and recovering inappropriate payments to providers. You will supervise RNs, auditors, and analysts, coordinate with law enforcement, and lead process improvements in a collaborative team setting. #J-18808-Ljbffr State of Ohio

Vacancy posted 1 day ago
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