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Utilization or Review jobs in Columbus, OH, 43215

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Utilization Management Nurse Consultant

CVS Health  –  Columbus, OH
... Preferred Qualifications: - 1+ years’ experience Utilization Review experience -1+ years’ experience Managed Care - Strong telephonic communication skills -Ability to exercise independent and sound judgment, strong decision-making skills, and well ... - May 09

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

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

Credit Review Officer Sr

Huntington Bancshares Inc  –  Columbus, OH, 43216
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 07

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

Certified Medical Assistant (CMA)

Axis Spine Clinic LLC  –  Columbus, OH
... Additionally, you will help the physician/non-physician provider by setting up patient intake, including taking an accurate history, medication review, chief complaint, and placing orders. Work Hours: This position is part time, salaried. You will ... - Apr 25

MDS Coordinator (LPN)

The Laurels of West Columbus  –  Columbus, OH, 43279
unknown
... Assesses resident through physical assessment, interview and chart review. Discusses resident care needs with care givers, ... maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator. ... - May 08

General Manager

HangOverEasy  –  Columbus, OH, 43201
... 10% Financial Oversight - Regularly review sales data to ensure financial success of each facet of the operation. Control inventory waste or spoilage through cross utilization and proper tracking of product. Review and approve schedules for proper ... - May 05

Admissions Counselor, MSW, LSW, LPC, LCDC, CDCA, LMFT

Ohio Hospital for Psychiatry  –  Columbus, OH
Overview: OHP is looking for a full-time Admissions Counselor PURPOSE STATEMENT: Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most ... - May 09
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