| Job alert | Jobs 1 - 10 of 4263 |
Utilization Management Nurse Consultant
CVS Health
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Columbus, OH
... of the utilization/benefit management function. Required Qualifications: - Must have active, current and unrestricted RN ... Preferred Qualifications: - 1+ years’ experience Utilization Review experience -1+ years’ experience Managed Care - Strong ... - May 09
Utilization Management Nurse Consultant
CVS Health
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Columbus, OH
... quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal and ... RN licensure in state of residence - Must be able to work Monday through Friday, 8am to 5pm in time zone of residence. ... - May 09
SBA Eligibility Review Officer I
Huntington
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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
Utilization Review Specialist
Acadia Healthcare Inc.
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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
Medical Director - Medicare Risk Adjustment HCC Review
DOCTORS CHOICE PLACEMENT SERVICES, INC.
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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
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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
Credit Review Officer Sr
Huntington Bancshares Inc
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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
RN Care Coordinator- PCC Northern Lights
Nationwide Children's Hospital
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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
RN Admissions
Mount Carmel Behavioral Health
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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
Document Review Attorneys - Remote
Lexitas Legal
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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