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Ohio Licensed Nurse Reviewer
A company is looking for an Acute & Post Acute Nurse Reviewer II. Key Responsibilities Evaluates clinical information to ensure safe and appropriate healthcare services Conducts reviews of inpatient admissions for compliance with guidelines and member eligibility Plans and documents discharge activities based on clinical conditions and health plan benefits Required Qualifications Graduate of a registered nursing program approved by the Ohio State Nursing Board; Bachelor's degree preferred 3 years of experience as a Registered Nurse, with clinical and/or utilization/case management experience Experience in acute inpatient care, preferably in Medical/Surgical/Critical Care Current unrestricted Registered Nurse license in the State of Ohio Intermediate Microsoft Office skills and knowledge of HIPAA compliance regulations
A company is looking for an Acute & Post Acute Nurse Reviewer II.
Key Responsibilities
Evaluates clinical information to ensure safe and appropriate healthcare services
Conducts reviews of inpatient admissions for compliance with guidelines and member eligibility
Plans and documents discharge activities based on clinical conditions and health plan benefits
Required Qualifications
Graduate of a registered nursing program approved by the Ohio State Nursing Board; Bachelor's degree preferred
3 years of experience as a Registered Nurse, with clinical and/or utilization/case management experience
Experience in acute inpatient care, preferably in Medical/Surgical/Critical Care
Current unrestricted Registered Nurse license in the State of Ohio
Intermediate Microsoft Office skills and knowledge of HIPAA compliance regulations
