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Care Review Clinician (RN)
Molina Healthcare
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Columbus, OH, 43272
26.41 - 51.49 per hour
... review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care ... - Jan 05
Licensed Clinician LSW or LPC
Helping 2 Overcome Systems LLC
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Columbus, OH, 43232
57000USD - 72000USD per year
... There is absolute value in whole, person centered care and we are looking for licensed individuals who share those values as well. We offer a competitive salary and benefits packages and honor work/life balance. We believe that having a fulfilled ... - Jan 05
Registered Nurse, Transplant Utilization Review
quantum-health
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Dublin, OH, 43017
... The utilization review nurse also functions as a clinical resource to other staff on the team and within the company such as Clinical Support Coordinators, Precertification, Patient Services, Personal Care Guide nurses, and Client Engagement ... - Jan 04
HBO Clinician
United Methodist Childrens Home
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Columbus, OH, 43215
55500USD - 61500USD per year
Job Description LICENSED SOCIAL WORKER/COUNSELOR: Treatment Foster Care - Community Based $3000.00 Sign-on Bonus UMCH Family Services is seeking a full-time licensed social worker, counselor, or marriage and family therapist specializing in mental ... - Jan 05
Care Review Clinician (RN)
Columbus Staffing
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Clinton Township, OH, 43224
... review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care ... - Jan 05
Clinical Review Nurse Supervisor (Medicaid Health Systems
State of Ohio
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Columbus, OH, 43215
... in the delivery of a health services program or health services project management (e.g., health care data analysis, health ... of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). ... - Jan 04
Registered Nurse (RN), Float Critical Care / ICU
Yale New Haven Health
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Westerville, OH, 43081
... Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge ... - Jan 01
Clinician Support Specialist
Eventus WholeHealth
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Clinton Township, OH, 43224
Clinician Support Specialist Position Summary: Eventus WholeHealth delivers an integrated model that provides holistic care ... collection and sorting of all clinical paperwork needed for clinician review and ensure completion each day Host telehealth ... - 2025 Dec 21
Behavioral Health UM Clinician (LSW, LISW, RN)
quantum-health
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Dublin, OH, 43017
... Management Clinician provides utilization management for all behavioral health and substance use disorder levels of care as ... What you’ll do (Essential Responsibilities) Assess and review all requests for all behavioral health and substance use ... - Jan 04
Medical Review Nurse (RN)
Ohio Staffing
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Clinton Township, OH, 43224
... Identifies and reports quality of care issues. Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the ... - Jan 03