Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1) Highland County Joint Township District Hospital
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)- $4,723.03–$4,723.09
Participatingleading meetings with external stakeholders including law enforcementDeveloping and implementing changes to processes and procedures as needed in a team environmentEvaluating provider clinical compliance with state and federal Program Integrity rulesEvaluating provider medical documentation and billing practices for fraud waste and abuseRecovering overpayments for medically unnecessary services via administrative procedures andor referrals to health oversight agenciesResponding to provider clinical reconsideration appeal requestsConsulting on clinical matters with ODM policy units and other state agenciesCoordinating clinical Program Integrity efforts with ODM contractors and managed care plansPresenting findings from clinical reviews of provider non-complianceResponding to inquiries from the public consumers providers and other agencies. Jun 24 2026 9\29\00 AM Jun 24 2026 9\29\00 AM Lazarus 5 MCDLZ550 West Town StreetColumbus 43215 Lazarus 5 50 West Town Street Columbus 43215 United States of America-OHIO-Franklin County-Columbus United States of America-OHIO-Franklin County-Columbus 39.22hour 39.22hour Full-time Full-time 8\00 am - 5\00 pm 8\00 am - 5\00 pm Classified Classified Exempt from Union Exempt from Union Nursing Nursing Nursing Nursing Collaboration Innovation Verbal Communication Written Communication Confidentiality Continuous Improvement Collaboration Innovation Verbal Communication Written Communication Confidentiality Continuous Improvement.




