Kettering Health Network

Certification Specialist - Utilization Management

Posted Date 1 day ago(1/7/2026 11:56 AM)
Job ID
2025-57587
Job Category
Clinical Quality/Social Worker/Case Management
Job Type
Full-Time
Shift
First Shift
Department
705493 - UTILIZATION MGMT
FTE
80 Hours Per Pay Period/FTE 1.0
Job Code
121260

Job Details

Support Services| Remote| Full Time| Days

  •  

 

Responsibilities & Requirements

Responsibilities:

  •  Certification review at Kettering Health Network hospitals. This includes any and all follow-up with insurance companies - approvals, denials, requests for additional information,
  • assist in facilitating peer to peer reviews, and verification of discharge.
  • Works closely with other disciplines - specifically Insurance Verification, Patient Access, Denials Management, Case Management and Social Services.
  • Routinely works with large volume of patient accounts.

 

Requirements:

  • Minimal high school graduate.
  • Associate Degree preferred

 

Overview

KH Logo Horizontal

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

 

Our MissionOur VisionOur Values

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Need help finding the right job?

We can recommend jobs specifically for you! Click here to get started.