Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
Ohio Department of Administrative ServicesColumbus, Ohio, United States
Posted March 27, 2026
Full Time
About the Company
The Ohio Department of Administrative Services (DAS) delivers centralized, high‑quality support to state agencies, boards, commissions, local governments, and state universities, streamlining operations across the state. Its core offerings span information technology, procurement, human resources, real‑estate management, printing, payroll, and public‑policy administration, all designed to enhance efficiency and reduce costs. DAS distinguishes itself through a culture of continuous improvement—leveraging Lean/ Six Sigma methodologies and data‑driven project management—to ensure faster, more reliable service delivery. By integrating diverse services under one umbrella, DAS empowers Ohio’s government to serve citizens more effectively and sustainably.
Job Description
The Ohio Department of Medicaid is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). As a Clinical Review Nurse Supervisor, responsibilities will include reviewing medical records, supervising and training RNs and analysts, and developing processes to detect fraud and abuse in the Medicaid program.
Requirements
- Bachelor's degree in Nursing or equivalent
- Current and valid license as registered nurse as issued by Ohio Board of Nursing
- 12 months experience in the delivery of a health services program or health services project management
- Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance
Benefits
- Medical Coverage
- Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
- Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
- Childbirth, Adoption, and Foster Care leave
- Education and Development Opportunities
