. Bachelor’s degree preferred. 3 years’ experience as a Registered Nurse with a combination of clinical and utilization/case... care experience preferred. Professional Certification(s): Registered Nurse with current State of Ohio unrestricted...
of medical/pharmacy terminology/coding and managed care processes. Understanding of the medical review (i.e., prior authorization... to services at the appropriate level of care (i.e., hospital outpatient, provider office or home infusion as part of prior...