Welcome page Returning Candidate? Log back in! Certification Specialist - Utilization Management Posted Date 7 hours ago(2/4/2026 4:19 PM) Job ID 2026-57786 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  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

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.

 

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