About this role
Utilization Review Nurse FT (w/ weekend) - Exempt at Wooster Community Hospital. Location: Wooster, Ohio, United States. Role: reviewing admissions, submitting appeals, tracking denials Requirements: LPN or RN with active Ohio or multistate license; 3+ years clinical nursing experience; 1+ year utilization management experience; experience with InterQual/MCG; knowledge of reimbursement methodology and strong communication and analytical skills. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: InterQual, MCG, MCG Indicia, Meditech Certifications: lpn, rn, um Commitment: Full Time Workplace: Onsite Languages: English