| Position | Utilization Management Nurse |
| Posted | 18 Jul 2026 |
| Expired | 17 Aug 2026 |
| Company | Akron Children's Hospital |
| Location | Akron | US |
| Job Type | Full Time |
Latest job information from Akron Children's Hospital for the position of Utilization Management Nurse. If the Utilization Management Nurse vacancy in Akron matches your qualifications, please submit your latest application or CV directly through the updated Jobkos job portal.
Please note that applying for a job may not always be easy, as new candidates must meet certain qualifications and requirements set by the company. We hope the career opportunity at Akron Children's Hospital for the position of Utilization Management Nurse below matches your qualifications.
Full Time Days
7am-4:30pm
40 Hours/Week
Utilization management and pediatric nursing experience preferred
The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources and serving as a resource to the hospital staff on utilization management practices.
Responsibilities:
Conduct Utilization Review & Determine Appropriate Level of Care
Applies evidence-based medical necessity criteria, validates admission status, and ensures all inpatient, observation, and outpatient-in-a-bed cases meet criteria. Collaborates proactively with physician advisors and attending providers for accurate level-of-care decisions and authorization of hospital days.
Manage Denials, Compliance, and Quality Improvement Activities
Participates in denial management and peer review processes, identifies compliance or ethical issues, and contributes to quality and safety initiatives aimed at improving departmental and hospital workflows.
Support Care Progression Through Interdisciplinary Collaboration
Actively engages in daily huddles, multidisciplinary rounds, and patient care discussions to understand service intensity, discharge barriers, and progression of care, while serving as a resource to the care team on utilization, documentation, and admission requirements.
Maintain Accurate and Timely Documentation
Clearly documents all reviews, interactions, and decisions in Midas, Epic, and other required systems.
Performs additional duties as assigned.
Other information:
Technical Expertise
Education and Experience
1.Education: Bachelor's in nursing (BSN) is required. For employees hired after July 1, 2013, BSN is required or must be obtained within 5 years from date of hire.
Full Time
FTE: 1.000000
Status: Remote
After reading and understanding the criteria and minimum qualification requirements explained in the job information Utilization Management Nurse at the office Akron above, immediately complete the job application files such as a job application letter, CV, photocopy of diploma, transcript, and other supplements as explained above. Submit via the Next Page link below.
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