About this role
RN Utilization Rvw Spclst - Utilization Management at Kettering Health. Location: Miamisburg, Ohio, United States. Role: reviewing admissions, communicating payers, submitting appeals Requirements: Active Ohio RN with BSN, 5 years clinical experience (including 2 years case management), case management certification, experience with EPIC and Microsoft applications, knowledge of MCG Care guidelines, and clinical review/appeals experience. Category: Healthcare Services - Nursing Seniority: Senior Level Tools: EPIC, MCG Care, Microsoft applications Certifications: registered nurse (rn), case management Commitment: Part Time Workplace: Onsite Languages: English