Utilization Review Case Mgr RN Mon
Listed on 2026-02-01
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Healthcare
Healthcare Nursing
RN Case Management / Utilization Review
Location: Washington Court House, Ohio
Status: Full-Time
Shift: Day shift
- Monday through Friday
The RN Case Management/Utilization Review role supports Adena’s integrated Case Management Program, combining utilization review, discharge planning, and resource management. This position ensures patients receive care in the most appropriate setting based on clinical assessment, medical necessity, and efficient use of resources. The role collaborates with the interdisciplinary team to improve quality outcomes, manage length of stay, and reduce unnecessary costs.
Required Qualifications- Current Ohio RN license
- Bachelor’s Degree in Nursing (BSN)
- 3–5 years acute hospital nursing experience
- Case Management Certification (CCMC) required within 3 years of hire
- 3–5 years acute hospital case management experience
- Utilization review experience
- Knowledge of payer and regulatory guidelines
- Low-Deductible Health Plans – Quality coverage with affordable costs.
- Pet Insurance – Because your furry family members deserve care too.
- Public Service Loan Forgiveness (PSLF) Eligibility – Helping you work toward a debt-free future.
Work with purpose – help patients and families during their most vulnerable times
Collaborative team – be part of a multidisciplinary group that values your voice
Supportive culture – compassion, respect, and dignity drive everything we do
Ready to bring hope, healing, and support to those who need it most?
Apply today and become a trusted resource in your community.
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