RN Utilization Management Specialist
Summa Health System
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 to determine appropriate inpatient vs. observation status. Responsibilities include collaborating with the Transitional Care Team and physician advisors, ensuring compliant discharge appeals, and supporting denial review #J-18808-Ljbffr Summa Health System
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Management Specialist in Cleveland, OH vacancy
$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:...SuggestedDaily paidFull timeTemporary workFlexible hoursNight shift$47 per hour
...Job Description 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...SuggestedFull timeLocal areaImmediate startShift workTalented Medical Solutions
Cleveland, OH25 days ago- ...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:...SuggestedFull timeContract workWork at officeImmediate startShift work
Talented Medical Solutions
Cleveland, OH25 days ago - ...Environmental Health and Safety Manager Oversee site activities to ensure alignment with established EHS goals and objectives (Berea... ...and foster employee engagement across the organization. Utilize established EHS data systems to manage and report key metrics,...SuggestedFor contractorsFor subcontractorWork at officeLocal area
Howmet Aerospace
Cleveland, OH3 days ago - ...time to have the Job You Want! Part Time tor PRN Dysphagia Management Specialist inPhysician's Office/Clinic Settings, Surrounding Nursing Homes... ...home. You can choose to specialize in Dysphagia Diagnosis utilizing FEES as well as short term therapy, OR specialize in...SuggestedFull timeTemporary workPart timeReliefWork at officeWeekend work
$22.38 - $25.42 per hour
...Outreach Specialist / Care Coordinator - Cleveland, Ohio Waymark is a mission-driven team... ...of patient care and to improve utilization of preventative care. Communicate with... ...self-motivated to work independently and manage schedules efficiently. Customer service...Work at officeRemote workWork from homeHome officeWaymark
Cleveland, OH3 days ago$10.7 - $16.7 per hour
...Multiple premiums may apply if applicable criteria are met.The Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in the accomplishment of assigned tasks.Bilingual candidates...Hourly payMinimum wageLocal areaFlexible hoursO'Reilly Auto Parts
Cleveland, OH5 days ago- ...connectivity, and access issues across on-site and remote employees Manage the MSP relationship: define what goes to them, hold them to... ...across office and lab environments licenses, renewals, utilization tracking, and vendor relationships for both business software...For contractorsWork at officeImmediate startRemote work
Trailhead Biosystems Inc.
Beachwood, OH1 day ago $80k - $100k
...Haven Group Property Management is seeking a full-time Business Development Specialist in Cleveland, Ohio, to drive growth through active outreach and community involvement. The ideal candidate has a marketing or real estate background and excels in building relationships...Full timeWork at officeBizDevMastermind
Cleveland, OH5 days ago- ...AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex... ...100,000 people across all 50 states.Job DetailsThe Retention Specialist is a creative thinker and customer service advocate who will spend...Full timeTemporary workLocal areaRemote workFlexible hours
ExactCare Pharmacy
Cleveland, OH1 day ago - Greystar is seeking a part-time Leasing Administrative Assistant to support property management teams in Cleveland. The role involves handling leasing office tasks, organizing resident files, and processing notices and rent payments. The position supports sales and leasing...Part timeWork at office
$16 per hour
...Opensity Solutions is the largest tech‑enabled managed services organization serving leading... ...and customer service focused Service Specialist to join theOpensityteamworking at our... ..., and other hospitality-related tasks. Utilize room reservation systems, scheduling tools...Hourly payTemporary workWork at office- The Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in the accomplishment of assigned tasks. Bilingual candidates encouraged to apply. Essential Job Functions Follow and promote...Local areaFlexible hours
- A remote work organization is seeking an Offsite Invoice Payment Specialist to manage utility invoices and generate reports. The role requires typing 9,000 keystrokes per hour, a high school diploma, and prior data entry experience. Responsibilities include interpreting...Hourly payFull timeRemote workWork from home
Job On Remote Online USA
Cleveland, OH5 hours ago - ...Job Description Job Description Job Description: Prevention Specialist Organization: Northern Ohio Recovery Association (NORA) Website: Location: Cleveland, Ohio Reports to: Lead Prevention Specialist Position Summary Northern Ohio Recovery Association...
Northern Ohio Recovery Association
Cleveland, OH8 days ago $19 - $24 per hour
...nDescription:\n \n \nTake the Next Step as an Experienced Apartment Leasing Agent\n \n \nAre you an experienced property management professional looking to grow your career? We re currently hiring Experienced Apartment Leasing Agents for multiple opportunities...Currently hiringWeekend workInterSolutions
Cleveland, OH4 days ago$70k - $90k
...Ste 1015, Cleveland, OH 44114 Position Overview The Project Specialist supports the administration, execution, and continuous improvement... .... Coordinate with HR to support onboarding, personnel management and recordkeeping. Prepare and distribute reports, presentations...Rotational programContract workWork at officeImmediate start$35.5 per hour
...catheterization, genitourinary, thoracic, vascular, renal, gastrointestinal, diabetes, respiratory disease, ostomy, and wound management. As a Registered Nurse (RN) Resident, you will participate in a year-long residency program, customized to fit you, your needs and your pace,...Hourly payWork experience placementRelocationRelocation packageShift workNight shiftRotating shiftWeekend workDay shiftCleveland Clinic
Cleveland, OH3 days ago$35.5 per hour
...interventions to chronic heart failure and complex dysrhythmia management, our team plays a critical role in guiding patients through some... ...\n \n \n ~\n Current state licensure as a Registered Nurse (RN) \n \n \n \n \n ~\n Basic Life Support (BLS) certification...Hourly payWork experience placementShift workRotating shiftCleveland Clinic
Cleveland, OH17 days ago- ...beds. The diagnoses seen here include, but are not limited to, management of anti-dysrhythmic medications, pre & post cardiac invasive procedural... ...Down (Lerner Tower 5)\n \n \n Why choose UH as a New Grad RN? \n \n \n Academic/Teaching Hospital \n \n Nurse focused...Hourly payFull timeInternshipRelocation package
University Hospitals
Cleveland, OHa month ago - ...that admits patients with various diagnoses. We provide disease management for CHF, Sepsis, ESRD, MI, Encephalopathy, GI complications, CPOD... ...Telemetry (Lakeside 50)\n \n Why choose UH as a New Grad RN? \n \n \n Academic/Teaching Hospital \n \n Nurse focused...Hourly payFull timeInternshipRelocation package
University Hospitals
Cleveland, OH16 days ago $35.5 per hour
...Cardiovascular Intensive Care Unit specializes in the post-operative management of patients undergoing cardiac surgery and other complex... ...care not available elsewhere. \n \n The Registered Nurse (RN) on J65 delivers expert critical care and \n post-operative management...Hourly payShift workNight shiftWeekend workCleveland Clinic
Cleveland, OH15 days ago$75k - $105k
Key Responsibilities MML Wealth Management is seeking a motivated and client-focused Senior Wealth Strategy Associate (SWSA) to join our... ...completed or currently pursuing CFP® designation. Experience utilizing financial planning software and planning tools. Working knowledge...Full timeFlexible hours$46.92k
...Responsibilities include: Providing daily supervision and mentorship Managing household routines and student schedules Administering... ...per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and...Full timeWork from homeRelocation packageFlexible hoursWeekday workMilton Hershey School
East Cleveland, OH14 hours ago- ...English skills, experience in telemarketing, and access to specific software. Successful candidates will undergo a skill assessment before hiring. Join a dedicated team to assist clients in meeting their financial needs. #J-18808-Ljbffr Insurance Protection SpecialistsRemote jobWork from homeFlexible hours
- ...Google Applications OUR PHYSICAL REQUIREMENTS Ability to lift and mobilize small to medium items up to 25 lbs. while utilizing appropriate equipment and techniques Ability to maneuver effectively around Gallery floor, stock room and office Position entails...Work at officeLocal area
RH-USA Inc
Cleveland, OH5 days ago $1,791 per week
...Registered Nurse (RN) | Telemetry Location: Cleveland, OH Agency: FlexCare Pay: $1,791 per week Shift Information... ...nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift workNight shiftTravelNurseSource
Cleveland, OH1 day ago$1,846 per week
...Registered Nurse (RN) | Telemetry Location: Cleveland, OH Agency: FlexCare Pay: $1,846 per week Shift Information... ...nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift workNight shiftTravelNurseSource
Cleveland, OH1 day ago$3,235 per week
...Registered Nurse (RN) | Telemetry Location: Cleveland, OH Agency: FlexCare Pay: $3,235 per week Shift Information... ...nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift workRotating shiftTravelNurseSource
Cleveland, OH1 day ago$24 per hour
...business growth? As an Agency Appointment Specialist , you'll play a key role in building... ...Southington, CT office What You'll Do Manage the onboarding, appointment, and... ...access, and organizational updates. Utilize agency management systems and web-based...Full timeWork at officeRemote work1 day per weekAmTrust Financial Services, Inc.
Cleveland, OH1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Management Specialist. Be the first to apply!
