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Utilization or Review or Abuse or Delray jobs in Columbus, OH, 43215

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Utilization Review Specialist

Columbus Springs - East  –  Columbus, OH
... The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”. Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment. As a ... - May 23

Credit Review Officer Sr

Huntington  –  Columbus, OH
Description Summary: The Credit Review Officer - Sr. is responsible for evaluating the credit risk embedded in Bank assets. The candidate will possess a detailed working knowledge of the methodologies and techniques for performing commercial credit ... - May 20

Utilization Management Nurse Consultant

CVS Health  –  Columbus, OH
... internal and external constituents in the coordination and administration of the utilization/benefit management function Function in a clinical telephone queue working with providers to secure additional information for prior authorization review. ... - May 25

Model Risk Review Specialist II

Huntington  –  Columbus, OH
Description The Model Risk Review Specialist II is responsible for independently and collaboratively review and validate models/quantitative frameworks spanning credit, interest rate, market risk, economic capital or capital market valuation, and ... - May 25

Utilization Review Specialist

Acadia Healthcare Inc.  –  Columbus, OH, 43216
... * Gather and develop statistical and narrative information to report on utilization, non-certified days (including ... * Facilitate peer review calls between facility and external organizations. * Initiate and complete the formal appeal ... - May 07

Utilization Review Specialist

Springstone, Inc  –  Columbus, OH, 43219
... The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”. Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment. As a ... - May 25

Utilization Case Manager-RN

Ohio State University  –  Columbus, OH, 43201
... Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: Utilization Case Manager-RN Department: University Hospital Social Work and ... - May 23

Credit Review Team Lead Sr

Huntington Bancshares Inc  –  Columbus, OH, 43216
Description Summary: The Credit Review Team Leader Sr. will report directly to the Credit Review Group Manager. This role involves leading a team in various credit risk review engagements and continuous monitoring activities associated with a strong ... - May 15

Licensed Substance Abuse Counselor

Community Medical Services  –  Columbus, OH
Overview: Shift: Monday - Friday 6a-3pm with one Saturday a month 6a-12p Community Medical Services (CMS) is hiring a Substance Abuse Counselor to assist patients recovering from addictions to opioids and other illicit substances. Whether ... - May 25

Substance Abuse Counselor

Cornerstone-Project  –  Columbus, OH
... Review and assess clinical staff charting. Conduct comprehensive assessments to evaluate clients' substance abuse history, mental health status, and treatment needs. Develop individualized treatment plans tailored to each client's unique ... - May 16
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