Utilization Review RN/Case Manager
|Location:||Wood County Hospital|
Wood County Hospital is seeking a Utilization Review RN/Case Manager, 40 hours per week – day shift with possible rotation and possible weekend coverage to screen and review all hospital admissions using established Interqual and/or MCG (Milliman) criteria. Current Ohio RN license required. Utilization review/case management experience with Med-Surg background in nursing required. Must have an understanding of payer rules for length of stay management and medical necessity. Strong computer skills and medical terminology required. Core Measure background a plus.