Clinical Financial Case Management - RN Specialist 2

Alumni Network Job Board(1 month ago)

OnsiteFull TimeMedior$64,575 - $88,071 (estimated)Revenue Cycle Clinical Support

About this role

The Clinical Financial Case Management RN Specialist 2 at The Ohio State University Wexner Medical Center supports revenue cycle clinical functions by using nursing expertise to secure complex pre-authorizations and address clinical denials. The role serves as a subject matter expert for payer requirements and audits and partners with cross-functional teams across the health system to support appropriate reimbursement outcomes.

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Required Skills

Case Management
Utilization Management
Preauthorization
Denial Management
Clinical Appeals
Medical Necessity Review
Payer Audits
Level Of Care Determination
Revenue Cycle
Managed Care

+8 more

Qualifications

BSN
RN License

About Alumni Network Job Board

osu.edu

The Ohio State University is a large, mission-driven land‑grant public research university headquartered in Columbus, Ohio, with multiple regional campuses across the state. It offers comprehensive undergraduate, graduate and professional programs and is home to the Wexner Medical Center, nationally recognized research institutes, and extensive extension and outreach services. Ohio State is known for high research activity and significant external funding, partnering with industry and communities to drive innovation and economic development. The university also has a prominent athletic tradition (the Buckeyes) and serves a diverse student body through teaching, research, and public service.

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