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Utilization Review Specialist-FT
Acadia Healthcare Inc.
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Columbus, OH, 43216
Proactively monitor utilization of services for patients to optimize reimbursement for the facility. ESSENTIAL FUNCTIONS: * ... * Reports all denials to Director of UR immediately, and facilitates peer review calls between facility and external ... - May 10
Utilization Review Specialist-PRN
Acadia External
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Franklin Township, OH, 43223
... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified ... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... - Apr 27
RN Case Manager
Interim HealthCare
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Columbus, OH, 43201
... One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience preferred. Practical trach and/or ventilator ... - May 19
Clinical Review Clinician - Appeals
Pyramid Consulting
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Clinton Township, OH, 43224
... Key Requirements and Technology Experience: Skills-RN, Utilization management and Appeals, Experience with Utilization Review/Management--2 yrs. Reviews relevant information within denied authorization/prior authorization case to ensure a complete ... - Apr 24
Manager, Clinical Program -Behavioral Health Utilization Management
quantum-health
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Dublin, OH, 43017
... About the role The Manager, Clinical Program - Behavioral Health Utilization Management (BH UM) is responsible for ... process Conduct 1 on 1 meetings and quarterly check in/review conversations with all assigned clinicians leveraging ... - May 18
School Nurse
Tree Of Life Christian Schools
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Dublin, OH, 43017
... Review current health and first-aid trends and provide periodic updates to staff and students. Maintain AED in assigned school campuses. Serve on committees related to school health and wellness. Evaluation Criteria Performance for the School Nurse ... - May 19
Manager, Clinical Program -Behavioral Health Utilization Management
quantum-health
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Dublin, OH, 43017
... About the role The Manager, Clinical Program - Behavioral Health Utilization Management (BH UM) is responsible for ... process Conduct 1 on 1 meetings and quarterly check in/review conversations with all assigned clinicians leveraging ... - May 18
Director, Utilization Management
Sun Behavioral Health Group
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Columbus, OH, 43229
... Care Description Position Summary: The Director of Utilization Management (UM) is responsible for the oversight of the ... Position Responsibilities: Clinical / Technical Skills (40% of performance review) Oversees the request for services ... - Apr 29
Travel Nurse RN - Med Surg - per week
Trailblazer Staffing Solutions
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Clinton Township, OH, 43224
51.12 per hour
Trailblazer Staffing Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 06/02/2025 Duration: 13 weeks 36 hours per week Shift: 12 ... - Apr 28
Manager, Clinical Program -Behavioral Health Utilization Management
Quantum Health
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Dublin, OH
... About the role The Manager, Clinical Program – Behavioral Health Utilization Management (BH UM) is responsible for ... process Conduct 1 on 1 meetings and quarterly check in/review conversations with all assigned clinicians leveraging ... - May 14