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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 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
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
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
Wound Care Registered Nurse (RN) Bonus
OhioHealth Rehabilitation Hospital
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Columbus, OH
... & OhioHealth* 1087 Dennison Avenue Columbus, OH Registered Nurse (RN) – Wound Care M-F, 8am-4:30pm $10,000 Sign On Bonus ... with the Program Director .This includes but are not limited to utilization of skills in organization, leadership, planning, ... - May 10
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 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
Case Manager (RN or LSW)- Inpatient Rehab
OhioHealth Rehabilitation Hospital
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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
Nurse - RN or LPN
Lutheran Social Services of Central Ohio
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Columbus, OH, 43219
Job Description Nurse - RN or LPN Part Time - 1 day per week, 7a-7p or 7p-7a and Full Time NIGHTS Up to $32/hour; based on ... Review complaints and grievances made by the resident/family, making written and/or oral report to the nurse managers. ... - Apr 18