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Utilization or Review jobs in Columbus, OH, 43215

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Manager, Clinical Teams - Behavioral Health Utilization Management

Blue Cross and Blue Shield of North Carolina  –  Clinton Township, OH, 43224
... Experience in behavioral health focused population health, care management, clinical review or coding, or utilization management in a health care organization/system or health insurance Bonus Points (preferred qualifications) Demonstrated experience ... - Apr 07

Project Manager - Warehouse Optimization - Supply Chain Transformation

Blue Star Partners LLC  –  Columbus, OH
80USD - 85USD per hour
... flow, enhancing storage utilization, and driving operational efficiency across warehouse and distribution functions. ... Day-to-Day Responsibilities Meet with warehouse and supply chain stakeholders to review progress, priorities, risks, and ... - Apr 07

Director of Utilization Mgmt - MediGold

Trinity Health  –  Columbus, OH, 43201
... **Position Purpose:** Director Utilization Review directs the department's activities and resources to ensure alignment with the mission, values, and objectives of the department and organization **What you will do:** + Develops and implements ... - Apr 07

RN Care Manager - Hourly- Per Diem

BoldAge PACE  –  Clinton Township, OH, 43224
... May perform the duties of other IDT members based on professional licensing, competencies, and experience as needed Actively participates in utilization review meetings and quality improvement projects / meetings. Evaluates the competence of CNAs ... - Apr 02

Family Practice - Without OB Physician

ABSOLUTECARE MANAGER LLC.  –  Columbus, OH, 43232
... Our health care teams break the status quo by transforming our members experience to improve quality of life and overall health outcomes while reducing high costs of unnecessary utilization. This exceptional care is provided by an integrated team of ... - Mar 28

Internal Medicine Physician

ABSOLUTECARE MANAGER LLC.  –  Columbus, OH, 43232
... Our health care teams break the status quo by transforming our members experience to improve quality of life and overall health outcomes while reducing high costs of unnecessary utilization. This exceptional care is provided by an integrated team of ... - Mar 28

Tool And Die Engineer

Actalent  –  Columbus, OH, 43201
... repair, and utilization. Responsibilities + Collaborate with company leadership to establish business objectives and develop tooling strategies. + Coordinate the design and development of tooling with both domestic and Japanese suppliers. + Review ... - Apr 07

Physician / Surgery

eviCore healthcare  –  Columbus, OH, 43201
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - Apr 07

Medical-Surgical Registered Nurse (Med-Surg RN) (Hiring )

Yale New Haven Health  –  Westerville, OH, 43081
... Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. ... - Apr 06

Family Medicine Physician

One Medical  –  Clinton Township, OH, 43224
... modalities Ongoing collaboration with in-office teammates via daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to perform in-office procedures Supervising one or more NP or PA ... - Apr 07
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