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Utilization or Review jobs in Columbus, OH, 43215

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Personal Injury/Discovery Review Attorney

De Novo Review Inc  –  Clinton Township, OH, 43224
De Novo, a boutique staffing and recruitment agency, is currently seeking a personal injury attorney with discovery review experience to work directly with one of our clients. This is a contract to possible perm position, on site at the firm's ... - Dec 03

Discovery Review Contract Attorney - Personal Injury/Mass Tort

De Novo Review Inc  –  Clinton Township, OH, 43224
De Novo, a boutique staffing and recruitment agency is currently seeking a Discovery Review Contract Attorney with experience in the area of personal injury and/or mass tort/class action to work directly with one of our clients. This is a contract ... - Dec 03

Utilization Management Specialist I

SUN Behavioral Columbus  –  Columbus, OH, 43229
... Support discharge planning and utilization review when necessary Perform other duties as required Safety (15% of performance review) Strives to create a safe, healing environment for patients and family members Follows all safety rules while on the ... - Dec 20

RN, Registered Nurse- Pre-Certification Pharmacy Review

quantum-health  –  Dublin, OH, 43017
... About the role The Pre-Certification Review Nurse – Pharmacy is responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications, to include site of care assessments, for enrollees of ... - Dec 22

Utilization Management Nurse Consultant - Medical Review (Remote)

CVS Health  –  Clinton Township, OH, 43224
... As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a vital role in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully ... - Dec 22

Care Review Nurse

Integrated Resources  –  Clinton Township, OH, 43224
... Job Description Works with the Utilization Management team, primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right ... - Dec 18

RN, Registered Nurse- Pre-Certification Pharmacy Review

Quantum Health  –  Dublin, OH
... About the role The Pre-Certification Review Nurse – Pharmacy is responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications, to include site of care assessments, for enrollees of ... - Dec 16

PCRM - Senior Specialist - Utilization Management

The Ohio State University  –  Dublin, OH, 43016
... Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: PCRM - Senior Specialist - Utilization Management Department: OSU Health Plan ... - Dec 12

SBA Eligibility Review Officer I

Huntington Bancshares Inc  –  Columbus, OH, 43216
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 & ... - Dec 10

Behavioral Health Utilization Management Clinician (LSW, LISW, RN)

Quantum Health  –  Dublin, OH, 43016
... Health Utilization Management Clinician provides the highest level of customer service both internally and externally to promote quality, medically necessary, cost effective care. What you'll do (Essential Responsibilities) Assess and review all ... - Dec 21
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