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059380 Requisition #
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Education: Bachelor's of Nursing degree 


Licensure/Certification/Registration: Registered nurse with valid Ohio license. Certification in area of clinical specialty preferred

Experience Required: 3 - 5 years of job related experience
Prior job title or occupational experience: Case management, utilization review, clinical nurse

Preferred experience: Knowledge of hospital reimbursement, third party billing, government rules and regulations
Other experience requirements: Minimum 1 year experience with utilization management, case management and knowledge of InterQual and MCG OR 5 years’ relevant adult clinical experience. Process improvement experience.

Knowledge/Skills

Personal computer skills required, including use of Microsoft Word, Microsoft Excel, EPIC
Experience in gathering information, monitoring indicators, and feedback mechanisms is required.
Strong interpersonal skills required
Ability to research, evaluate information, analyze problems and make appropriate recommendations required
Demonstrated conflict resolution skills required
Assertive communication skills required

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