About this opportunity
Wilson-Health lists this Utilization Review Nurse (RN) – Drive Care & Compliance opportunity in buckeye terrace, Ohio. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Wilson Health is hiring a Utilization Review Nurse (RN) for a full-time role in Ohio. The UR RN conducts prospective, concurrent, and retrospective reviews to ensure appropriate utilization of hospital services and compliance with payer and regulatory requirements.
Collaborative with physicians, case management, and leadership to support patient placement and documentation. The position emphasizes accurate documentation, denial prevention, and knowledge of Medicare/Medicaid requirements, with a
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.