THIS POSITION MAY BE TELEWORK ELIGIBLE ON A HYBRID BASIS.
The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. ODM is implementing the next generation of Ohio Medicaid to fulfill its bold, new vision for Ohio's Medicaid program - focusing on the individual rather than the business of managed care.
Office: Legal Counsel
Bureau: Program Integrity
Classification: Medicaid Health Systems Specialist/RN (PN 20043106, 20043106, 20043105, 20046517)
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization of Medicaid services, detect fraud, waste and abuse and recover inappropriate payments to providers. As a Utilization Review RN, your responsibilities will include:
Must possess a current & valid license as registered nurse (RN) as issued by Ohio Board of Nursing, pursuant to Sections 4723.03 & 4723.09 of Ohio revised code.
The preferred candidate will take direction and work toward established goals, with high attention to detail and strong communication skills.
What's In It For You:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
Medical Coverage
Dental, Vision and Basic Life Insurance
Time Away From Work and Work/Life Balance
Ohio Public Employees Retirement System
Deferred Compensation
Current & valid license to practice professional Nursing as a Registered Nurse (i. e., RN) in Ohio as issued by the Board of Nursing pursuant to Sections 4723.03 to 4723.09, inclusive of Ohio Revised Code; additional 24 months of experience in Nursing.
Training & Development Required to Remain in Classification After Employment: Biennial renewal of license in practice as Registered Nurse per Section 4723.24 of Ohio Revised Code.
Technical Skills: Nursing
Professional Skills: Analyzation, Attention to Detail, Collaboration, Confidentiality, Verbal Communication, Written Communication
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