Utilization Management Section Chief - RN (Medicaid Health Systems Administrator 2 - RN) at State of Ohio

The Ohio Department of Medicaid is hiring a Utilization Management Section Chief - RN to oversee clinical operations, technology, quality, regulatory oversight, and utilization management for vendor and managed care entities. The role manages two nursing teams, develops reports and policies, ensures timely and clinically appropriate authorization decisions, monitors utilization patterns, and supports onboarding and training. It requires an Ohio RN license, a graduate core program in a relevant field, and 24 months of experience in health services planning, administration, or project management; travel may be required, and the position is overtime exempt.