RN - Utilization Manager

$47 per hour

Talented Medical Solutions

Cleveland, OH

Job Description

Job Title: RN – Utilization Manager
Location: Middleburg Heights, OH

Schedule:

Full-time, 40 hours/week
Five 8-hour shifts (8:00a–4:30p)
40 hours not guaranteed; may be low-censused up to one 12-hour shift per pay period
Start Date: ASAP or 12/08 (URGENT NEED)

Pay:

Local: $47/hr
Traveler: $54/hr

Position Details:
Seeking an experienced RN Utilization Manager to support clinical reviews and care coordination in an acute care setting. The ideal candidate will have a strong background in clinical nursing, case management, and utilization management.

Requirements:

Minimum 5 years of recent clinical nursing experience
Prior Case Management or Utilization Management experience required
Experience with screening criteria: Cerner, InterQual, and MCG
Active, unencumbered Ohio RN license
ACM or CCM certification preferred

Apply

Vacancy posted 5 days ago

Similar jobs that could be interesting for youBased on the RN - Utilization Manager in Cleveland, OH vacancy

RN Utilization Manager
...Job Description Job Description Job Summary RN Utilization Manager Talented Medical Solutions Full-time, Contract In-Office | Middleburg Heights, OH, United States Schedule: Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p. Start Date:...
Suggested
Full time
Contract work
Work at office
Immediate start
Shift work
Talented Medical Solutions
Cleveland, OH
4 days ago
RN Case Manager
.../Partnership/Affiliation with Select Medical Position: Case Manager Location: Cleveland, OH Schedule: Per Diem, Looking for weekday... ...payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and...
Suggested
Daily paid
Full time
Part time
Weekday work
Cleveland Clinic Rehabilitation Hospital - Fairhill
Cleveland, OH
3 days ago
RN Case Manager
...System team, and The Power of Every One. Job Title RN Case Manager Location Cleveland Facility Cleveland... ...entity ~ Two years of recent experience in utilization review, quality or care management ~ Knowledge of acute...
Suggested
Full time
Shift work
Weekend work
Cleveland Clinic
Cleveland, OH
1 day ago
Health Industry - Payer Utilization Management Consulting Manager
...empower healthcare providers to achieve both operational excellence and clinical outcomes.   As a Health Industry - Payer Utilization Management Consulting Manager, your primary responsibilities may include: Lead the planning and successful delivery of client engagements...
Suggested
Full time
Live in
Work at office
Local area
Worldwide
Accenture
Cleveland, OH
2 days ago
RN Care Manager
$41.2 - $62.17 per hour
Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise... ...Certification Demonstrated experience in case management, utilization review, value-based care, and/or discharge planning. Basic...
Suggested
Hourly pay
Remote work
Intermountain Health
Cleveland, OH
1 day ago
Enterprise Operating Model Senior Manager, Utilities
...Communication and people skills? You have both in spades, and as a manager you’re a natural at appreciating diverse perspectives and... ...points if you have:Experience working in or consulting with the Utilities industryMBA or equivalent graduate degreeExperience in the following...
Full time
Work experience placement
Live in
Work at office
Local area
Accenture
Cleveland, OH
19 hours ago
Utilities Power Generation Consultant or Manager
$70.35k - $205.8k
We Are: Accenture's Utility Industry, Power Generation Practice is providing power for a safe, connected, and sustainable planet. Every... ...designs for innovative business solutions and components.Manage the implementation of applications, data conversion strategies,...
Full time
Work experience placement
Live in
Work at office
Local area
Accenture
Cleveland, OH
2 days ago
RN Care Coordinator - Sickle Cell Adult and Pediatrics
...The Power of Every One. Job Title RN Care Coordinator - Sickle Cell Adult and... ...longitudinal care coordination and disease management for patients with chronic conditions. In... ...identify the primary care team involved. Utilize assessment skills and risk assessment...
Casual work
Remote work
Shift work
Cleveland Clinic
Cleveland, OH
4 days ago
RN Case Manager
...venture/Partnership/Affiliation with Select Medical Position: Case Manager Location: Cleveland, OH Schedule: Per Diem, Looking for... ...assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and...
Daily paid
Full time
Part time
Weekday work
Select Medical
Cleveland, OH
4 days ago
Case Manager / PRN ( RN / RT / SW / LPN )
...Critical Illness Recovery Hospital (LTACH) Case Manager (PRN) Requires a current licensure in a... .... The Case Manager is responsible for utilization reviews and resource management,... ...a clinical discipline either as a Nurse (RN /LPN/ LVN) or a Respiratory Therapist OR...
Daily paid
Full time
Part time
Relief
Shift work
Weekday work
Select Medical
Cleveland, OH
5 days ago
Utilities Transmission & Distribution Control Room & Real-Time Systems Consultant or Manager
We Are:Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected, and sustainable planet... ...gathering, solution design, testing, deployment, and change management activities.Analyze business and operational requirements and...
Full time
Live in
Work at office
Local area
Flexible hours
Accenture
Cleveland, OH
3 days ago
Case Manager - RN
...nationwide, independent leader in personalized managed health care, focused on what’s important... ...: Our Case Manager role allows you to utilize your clinical nursing experience to... ...the employee is working in. Must be an RN. Successful completion of case management...
Full time
Temporary work
Work at office
Work from home
Home office
Monday to Friday
Flexible hours
Night shift
Hines & Associates Inc
Independence, OH
9 days ago
Utilities Asset & Work Management Transformation Manager
...our stakeholders. Visit us at accenture.com.Within Accenture's Utilities Practice, We use our deep industry expertise in digital... ...consulting professional with experience in Utility Enterprise Asset Management (EAM), Work Management, or Field Operations who is passionate...
Full time
Live in
Work at office
Local area
Accenture
Cleveland, OH
2 days ago
Talent & Workforce Consulting Manager - Utilities
...strategy, leadership development, employee experience, change management and beyond. Visit us here to find out more about Talent and Organization... ...transformationMinimum of 1 year of experience serving utilities clients (electric, gas, or water) or in a utilities finance,...
Full time
Live in
Work at office
Local area
Shift work
Accenture
Cleveland, OH
2 days ago
SAP Finance Transformation Manager - Utilities
...the world’s most critical — and most dynamic — industries? The Utilities Industry is transforming at unprecedented speed. Clean energy... ...Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting,...
Work experience placement
Live in
Work at office
Local area
Accenture
Cleveland, OH
2 days ago
RN Utilization Management
$37.4 - $56.11 per hour
...organization and competitive pay and benefits. Summary Manages appropriate cost-effective utilization of services across the care continuum to align with improved... ...(Optum) and collaboration with formal denial appeal RN team. Minimum Qualifications Formal Education Required:...
Daily paid
Full time
Temporary work
Flexible hours
Night shift
Summa Health
Cleveland, OH
2 days ago
Care Manager (RN)
$45 - $50 per hour
...RN Care Manager / Field Case ManagerLocation: Hybrid – Remote & Field-Based in Northeast Ohio (Loraine, Medina, Lake, Cuyahoga areas)Duration: 6 Months + Possibility for extension or conversionPR:$45-50.00/hrTraining Schedule:Monday–Friday 8:00 AM – 5:00 PM EST4 weeks...
Remote work
Monday to Friday
Pacer Group
Cleveland, OH
4 days ago
LTSS Service Coordinator - RN Clinician (RN Case Manager) Eastern Ohio
$36.38 - $54.58 per hour
...LTSS Service Coordinator – RN Clinician (Case Manager) Hiring in the following counties: Richland Franklin Muskegum Guernsey... .../or disabilities, to insure cost effective and efficient utilization of health benefits. Obtains a thorough and accurate member...
Full time
Temporary work
Work experience placement
Work at office
Local area
Elevance Health
Seven Hills, OH
3 days ago
PRN RN Case Manager
...System team, and The Power of Every One. Job Title PRN RN Case Manager Location Mayfield Hts Facility... ...ACM, CCM or AHA) ~2 years of recent experience in utilization review, quality or care management ~ Direct acute case management...
Relief
Monday to Friday
Shift work
Weekend work
Cleveland Clinic
Pepper Pike, OH
3 days ago
RN Case Manager
The Care Team, in partnership with Traditions Health is seeking a new Registered Nurse to join our growing Hospice Team in Cleveland! What Can Traditions Health Offer? • Work/Life Balance • Career Advancement Opportunities • Competitive Pay and Benefits • Supportive...
Temporary work
Relief
Work from home
Flexible hours
Traditions Health
Cleveland, OH
3 days ago
RN Utilization Management Specialist
Summa Health System is seeking a Full-Time Utilization Management Nurse to optimize cost-effective care across the hospital care continuum. The role involves performing initial and concurrent reviews, aligning with Medicare/ payer guidelines, and applying clinical criteria...
Full time
Summa Health System
Cleveland, OH
2 days ago
RN Case Manager
$61.55k
...RN Case Manager Salary Range $61,547.19 - $61,547.20 Salary/year Position Type Full Time Education Level License - RN Description RN Case Manager $5,000 New Hire Bonus | Hybrid Community-Based Opportunity Western Reserve Area Agency on Aging (WRAAA) Cleveland...
Full time
Work from home
Western Reserve Area Agency on Aging
Cleveland, OH
2 days ago
Hospice RN Case Manager
...behavior and share our values of customer service, innovation, integrity, financial stewardship, leadership and care. The RN Case Manager - Hospice is responsible for the planning, coordination and delivery of quality hospice care ensuring compliance in accordance...
Work at office
Local area
Weekend work
Afternoon shift
Ohio Living
Cleveland, OH
2 days ago
Director of Surgical Services - RN
$158k
...Responsibilities: Oversee environmental control in the surgical services department Ensure staffing with clinically competent personnel Manage administrative duties related to patient care Coordinate patient care activities with other departments Analyze and enhance...
Relocation
Relocation package
MLee Healthcare Staffing and Recruiting, Inc
Cleveland, OH
3 days ago
RN Case Manager, Home Health
$85k - $100k
...About the job RN Case Manager, Home Health Join Our Client's Dynamic Team as a Full-Time Home Health RN Location: West Cleveland Company: Strong Force Staffing (RPO for AHC) Salary: $85,000 - $100,000 annually, DOE Bonus: $3,000 signing bonus after...
Full time
Relocation package
Strong Force Staffing
Cleveland, OH
1 day ago
Utilities Industry CIS transformation, SAP Consultant
...our stakeholders. Visit us at accenture.com. Within Accenture's Utilities Practice, we use our deep industry expertise in digital... ...resilient. Underpinned by technology, data, analytics, AI, change management, talent and sustainability capabilities, our Strategy & Consulting...
Full time
Work experience placement
Live in
Work at office
Local area
Accenture
Cleveland, OH
3 days ago
LTSS Service Coordinator - RN Clinician (RN Case Manager)
$36.38 - $45.48 per hour
...LTSS Service Coordinator - RN Clinician (Case Manager) Hiring statewide across Ohio. Must reside in the state of Ohio. Location : This... .../or disabilities, to insure cost effective and efficient utilization of health benefits. Obtains a thorough and accurate member...
Temporary work
Work experience placement
Work at office
Local area
1 day per week
Elevance Health
Independence, OH
1 day ago
PRN RN Case Manager
$45 per hour
The PRN RN Case Manager at Cleveland Clinic Hillcrest Hospital collaborates with inter-professional teams to facilitate effective transitional... ...RN experience required 2 years of recent experience in utilization review, quality, or care management preferred Direct acute...
Daily paid
Relief
Day shift
Cleveland Clinic
Mayfield Heights, OH
3 days ago
RN Case Manager
The Care Team, in partnership with Traditions Health, is seeking a new Registered Nurse (RN) to join our growing Hospice Team in Cleveland. Benefits Work/life balance Career advancement opportunities Competitive pay and benefits Supportive senior staff Autonomy More time...
Local area
Flexible hours
Traditions Health LLC
Cleveland, OH
3 days ago
RN Hospice Care Team Leader
Affinity Health Management in Cleveland, OH, is seeking a Clinical Manager registered nurse to oversee care coordination for hospice and home health services. You will supervise clinical staff, review cases, contribute to plan of care, and ensure alignment with professional...
Affinity Health Management
Cleveland, OH
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN - Utilization Manager. Be the first to apply!