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Review or Utilization or RN jobs in Columbus, OH, 43215

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SBA Eligibility Review Officer I

Huntington  –  Columbus, OH
Description Summary: The SBA Eligibility Review Officer I is responsible for reviewing SBA & USDA guaranteed business loans to determine proper structure and ensure loan closes in accordance with SBA & USDA eligibility requirements. Duties & ... - May 06

Medical Director - Medicare Risk Adjustment HCC Review

DOCTORS CHOICE PLACEMENT SERVICES, INC.  –  Worthington, OH, 43085
... Advises manager of possible trends in inappropriate utilization (under and/or over), and other quality of care issues. Develops and ensures compliance with policies, procedures, bylaws, regulatory requirements, and best practice guidelines. Review ... - May 07

Registered Nurse (RN) NIGHTS

Sun Behavioral  –  Columbus, OH, 43216
... Participates in the department's performance improvement and Continuous Quality Improvement (CQI) activities Position Responsibilities: Clinical / Technical Skills (40% of performance review) * Responsible for maintaining a therapeutic milieu that ... - May 02

Document Review Attorneys - Remote

Lexitas Legal  –  Columbus, OH
Job Description Lexitas, a leader in legal contract staffing, is currently seeking experienced first and second level document review attorneys for several upcoming anticipated review projects. Candidates must be admitted and reside in Ohio, ... - May 04

RN Admissions

Mount Carmel Behavioral Health  –  Columbus, OH
... Admissions RN needed for FT We are looking to add compassionate RNs to our admissions team! The Psychiatric RN at Mount ... DAY shift 7a-7p, NIGHTS 7p-7a PRN shifts - minimum of 3 shifts per 6 week Responsibilities: Key Responsibilities: · Review ... - Apr 20

Case Manager (RN or LSW)- Inpatient Rehab

OhioHealth Rehabilitation Hospital  –  Columbus, OH
Overview: OhioHealth Rehabilitation Hospital *A joint venture with Select Medical & Hospital* Columbus, OH Case Manager (RN ... assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of ... - Apr 30

RN Care Coordinator- PCC Northern Lights

Nationwide Children's Hospital  –  Columbus, OH
... Provide monitoring and follow-up across the continuum of care Maintains knowledge of current concepts, research needs and research strategies related to care coordination including case management, utilization review and discharge planning. ... - Apr 26

Registered Nurse, Behavioral Health Care Coordinator (PFK)

Nationwide Children's Hospital  –  Columbus, OH
... Collaborates with the Utilization Review Specialist RN regarding medical necessity of inpatient admission, appropriate patient class and duration of hospitalization. 4. In collaboration with the practitioner, facilitates and coordinates quality ... - Apr 30

RN Care Coordinator - NICU Grad Team (PFK)

Nationwide Children's Hospital  –  Columbus, OH
... Collaborates with the Utilization Review Specialist RN regarding medical necessity of inpatient admission, appropriate patient class and duration of hospitalization. 4. In collaboration with the practitioner, facilitates and coordinates quality ... - May 04

Patient Care Resource Manager (RN) - James Cancer Hospital - Inpatient

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: Patient Care Resource Manager (RN) - James Cancer Hospital - Inpatient ... - May 04
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