Leading a team of Utilization Management Specialists, the full-time Ohio Licensed Utilization Management RN will ensure compliance with authorization processes, oversee quality audits, and coordinate discharge planning while working remotely. Key responsibilities Ensure adherence to policies for authorization requests and lead communication between teams involved in patient care Identify members for care management and conduct audits to maintain compliance with regulatory standards Document and communicate discharge planning needs, ensuring timely and effective coordination of care Required qualifications Bachelor of Science in Nursing 5+ years of work experience in a related job discipline Current, unrestricted Registered Nurse (RN) Ohio licensure Must reside within 70 miles of 45229, Cincinnati, OH