Ohio Licensed Utilization Review Specialist

A company is looking for a Utilization Review Specialist I. Key Responsibilities Review patient charts and collect data to identify areas for clinical and administrative improvement Develop and implement process improvement initiatives and ensure compliance with regulations Analyze data to track quality metrics and patient outcomes while maintaining documentation Required Qualifications and Education Registered Nurse (RN) with current state licensure Minimum of 3 years of experience in Home Care or Quality Improvement Knowledge of CMS guidelines and quality metrics Proficiency in Microsoft Office, particularly Word and Excel Ability to learn new software and database systems

Mar 5, 2025 - 21:20

A company is looking for a Utilization Review Specialist I. Key Responsibilities Review patient charts and collect data to identify areas for clinical and administrative improvement Develop and implement process improvement initiatives and ensure compliance with regulations Analyze data to track quality metrics and patient outcomes while maintaining documentation Required Qualifications and Education Registered Nurse (RN) with current state licensure Minimum of 3 years of experience in Home Care or Quality Improvement Knowledge of CMS guidelines and quality metrics Proficiency in Microsoft Office, particularly Word and Excel Ability to learn new software and database systems