RN Utilization Management - Evening Care Optimization

Summa Health in Akron, OH is seeking an RN Utilization Management professional for a full-time shift 4:00pm–12:30am. The role focuses on cost-effective utilization across the care continuum, aligning with clinical outcomes and payer guidelines.

You will perform initial and concurrent reviews to obtain authorizations for acute care, collaborate with the Transitional Care Team and Physician Advisors, and support denial appeals and appeals with payers.