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 5 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- ...scientific user experience to help our clients better capture, manage, integrate, and analyze complex scientific data. We help improve... ...processes that many leading companies and government agencies utilize.What would you do? Deliver exceptional, differentiated solutions...SuggestedFull timeLive inWork at officeLocal area
Accenture
Cleveland, OH3 days ago - ...consider a career in Advisory.KPMG is currently seeking a Specialist Director, Service Management Office (SMO) - Cyber Engagement to join our Managed... ...protection, margin, productivity, and resource utilization; identify scope changes early and govern change requests...SuggestedContract workH1bWork at officeLocal area
KPMG
Cleveland, OH3 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...SuggestedFull timeFor contractorsWork at officeImmediate startRemote work
Trailhead Biosystems
Beachwood, OH1 day ago - ...offices in Colorado, Florida, and Washington DC, Fairstead owns and manages a portfolio of more than 30,000 apartments, including pipeline... ..., dedication, and integrity. The Recertification Specialist reviews all resident files within the portfolio and applies...SuggestedInterim roleWork at officeRelocation packageFlexible hours
Fairstead ESC LLC
Cleveland, OH23 days ago $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, OH1 day 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,...For contractorsFor subcontractorWork at officeLocal area
Howmet Aerospace
Cleveland, OH2 days ago $54.46k - $81.55k
.... Your Impact - Production Sales Specialist responsibilities include: - Support the... ...forecasting through Salesforce.com. - Utilize Workplace Technologies & Services and... ...support customer sales. - Proactively manage the assigned territory and develop a pipeline...Full timeWork at officeLocal areaRemote workWork from homeCanon U.S.A., Inc.
South Euclid, OH3 days ago- ...Registered Nurse (RN) - Day Shift, 3x12 HoursThe Registered Nurse (RN) maintains the... ...Participate in the patient rehabilitation program, utilizing the nursing process to deliver quality... ....Maintain open communication with management regarding service needs, supplies, and training...Contract workLocal areaDay shift
ARMS Staffing
Cleveland, OH2 days 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, OH3 days ago$84.3k - $155.4k
...requirements and status associated with assigned contracts. Effectively, manages personal portfolio and advises account teams on contracts... ...historical information and documentation. Work you'll do As a Specialist Lead, Government Client Contracts Management on the Enterprise...Contract workDeloitte
Cleveland, OH4 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...Full timeTemporary workPart timeReliefWork at officeWeekend work
$93k - $171.3k
Position Summary As a Manager in our Engagement Consultation (EC) team, you’ll operate at the intersection of regulatory compliance... ...for this role ends on 10/30/2026.Work you'll doAs a Specialist Manager, Engagement Matters on the Engagement Consultation team...Work at officeVisa sponsorshipDeloitte
Cleveland, OH4 days ago$114.1k - $268.18k
...inspiration and expand your capabilities, then consider a career in Advisory.KPMG is currently seeking a Lead Specialist, Cloud Security to join our Managed Services practice.Responsibilities:Manage cloud security posture across AWS and Azure environments, governing the...H1bLocal areaKPMG
Cleveland, OH3 days ago- Building Enclosure Project Specialist - Cleveland, OhioIntertek, a leading provider of quality and safety solutions to many of the world... ..., testing, inspection and consulting services are the risk management and quality assurance partner you need to ensure the reliability...Work at officeLocal areaWorldwideMonday to FridayShift work
Intertek
Cleveland, OH5 days ago $97.6k - $162.8k
...role helps support accurate, reliable, and decision-useful financial reporting across the US firms’ legal entity structure. The Specialist Manager, Controllership will lead critical close, consolidation, and control activities; partner across finance and business...Visa sponsorshipDeloitte
Cleveland, OH1 day ago$80k - $150k
...Public Square, Cleveland OhioJob SummaryThe Associate, Portfolio Management is an individual contributor responsible for performing... ...mitigants, and assessing creditworthiness, etc. while effectively utilizing and providing feedback to, third party resources.Model future...Full timeWork experience placementBank staffWork at officeImmediate startFlexible hoursNight shift3 days per weekKeyBank
Cleveland, OH2 days ago$35.09 - $42.11 per hour
Summa Health in Cleveland, Ohio, is looking for a Full-Time RN for their Call Center. This role is essential for population health, providing clinical access and communication to patients. Ideal candidates will possess a Bachelor’s nursing degree and have years of related...Full time- Milan Laser Hair Removal in Cleveland, OH is seeking a dedicated Registered Nurse to deliver safe, effective laser hair removal treatments within a structured clinic environment. You will educate clients on pre/post-care, maintain accurate medical records, and collaborate...
- Reserve Care in Cleveland, Ohio is seeking a Registered Nurse (RN) for onsite telephone triage. This regular full-time role is located at our headquarters in Cleveland, OH. You will provide prescribed medical treatment and personal care services to terminally ill patients...Full time
$70k - $90k
...Project Specialist The Project Specialist supports the administration, execution, and continuous improvement of the Rotational Workforce... .... Coordinate with HR to support onboarding, personnel management and recordkeeping. Prepare and distribute reports, presentations...Rotational programContract workWork at officeImmediate startBartlett Maritime Corporation
Cleveland, OH7 hours ago$88.6k - $147.6k
...organization, fonts, headers/footers, tables, graphics, and other visual elements align with established requirements.Develop and manage the overarching design themes using design building blocks: cover, callouts, iconography, infographics, photography, language.Strategically...Shift workDeloitte
Cleveland, OH4 days ago$16 - $19 per hour
...worked as a Behavior Technician, Behavioral Specialist, Behaviour Therapist, or Behavior... ...focus will be on implementing behavior management plans, redirecting challenging behaviors... ...for students in crisis situations. \n - Utilize a variety of learning methods to enhance...Hourly payWeekly payLocal areaImmediate startRelocation packageMonday to FridayZen Educate
Cleveland, OH9 days ago- ...Therapeutic Specialist Full-time Sobi Location: Germany Company Description Statistics show that women and underrepresented groups... ...of our brands in the defined territory as well as develop and manage relationships with customers and stakeholders. Key...Full timePrivate practiceLocal areaNight shift
- ...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, OH9 days 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
- 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...Remote jobHourly payFull timeWork from home
- 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
- ...emergency departments and more than 20 health centers. Summary Participates in the development and ongoing enhancement of Performance Management Programs for all levels of employees throughout The MetroHealth System (MHS) that support organizational and departmental goals...Work at officeShift work
- Flexjet LLC in Cleveland, Ohio is seeking an ATC Specialist responsible for providing timely information regarding national airspace system... ...Ideal candidates should have a Bachelor’s degree in aviation management, necessary FAA licensure, and demonstrate strong communication...Shift workNight shiftWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Management Specialist. Be the first to apply!
Related searches
- sedation rn Cleveland, OH
- circulating rn Cleveland, OH
- wound rn Cleveland, OH
- contingent rn Cleveland, OH
- laser rn Cleveland, OH
- rn per diem nurse Cleveland, OH
- charge registered nurse Cleveland, OH
- med surg rn travel contract Cleveland, OH
- part time registered nurse Cleveland, OH
- corrections rn Cleveland, OH