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Clinical or Utilization jobs in Columbus, OH, 43215

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Registered Nurse, Transplant Utilization Review

quantum-health  –  Dublin, OH, 43017
... Utilization Review is responsible for reviewing and processing medical service requests for members of Quantum Health’s employer groups in an inpatient setting across the transplant continuum. The nurse is responsible for acquiring all clinical ... - Jan 04

Utilization Management Specialist I

SUN Behavioral Columbus  –  Columbus, OH, 43229
... Coordinates care for patient through communication with Physicians, Nurse Practitioners, Clinical Services, Nursing, ... Support discharge planning and utilization review when necessary Perform other duties as required Safety (15% of performance ... - 2025 Dec 20

Utilization Management Nurse Consultant

Lensa  –  Columbus, OH, 43213
... RN licensure in state of residence Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications2+ years of clinical experience required in med surg or specialty ... - 2025 Dec 23

Registered Nurse, Transplant Utilization Review

quantum-health  –  Dublin, OH, 43017
... Utilization Review is responsible for reviewing and processing medical service requests for members of Quantum Health’s employer groups in an inpatient setting across the transplant continuum. The nurse is responsible for acquiring all clinical ... - 2025 Dec 23

Clinical Nurse Lead, Interventional Radiology

Ohio Health  –  Columbus, OH, 43216
... The RN Clinical Leader assures quality, service, and satisfaction goals are met. Monitors efficient utilization of resources and financial performance; assures productivity standards are met. Day to day, they collaborate with department leaders to ... - 2025 Dec 24

Registered Nurse, Transplant Utilization Review

Quantum Health  –  Dublin, OH
... Utilization Review is responsible for reviewing and processing medical service requests for members of Quantum Health’s employer groups in an inpatient setting across the transplant continuum. The nurse is responsible for acquiring all clinical ... - 2025 Dec 24

Clinical Review Nurse Supervisor (Medicaid Health Systems

State of Ohio  –  Columbus, OH, 43215
... a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization of Medicaid services, detect fraud, waste and abuse and recover inappropriate payments to providers. As a Clinical Review Nurse ... - Jan 04

Physician-Clinical Director of Whole Health

Department of Veterans Affairs  –  Columbus, OH, 43216
... * Will collaboratively work with other pain management providers to establish evidence-based utilization of CIH interventions for optimal treatment of pain (active methods before passive as possible) * Clinical Director would be a provider and ... - Jan 04

Clinical Review Nurse Supervisor (Medicaid Health Systems

ohio.gov  –  Franklin County, OH
... a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization of Medicaid services, detect fraud, waste and abuse and recover inappropriate payments to providers. As a Clinical Review Nurse ... - 2025 Dec 29

Clinical Pathology Technician

Disability Solutions  –  Columbus, OH, 43203
... 60% Depending on site, various duties include medical necessity, hospital order entry, registration, clarify orders and CPTs, processing specimens, draw blood, liaison to clinical staff. 2. 15% : Customer service to clinicians and clients. Must be ... - Jan 04
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