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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 ... - Jun 14
Clinical Authorization Review Nurse (Medicaid Health Systems
Medicaid
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Columbus, OH, 43215
... Travel required, some with overnight stays. Must provide own transportation. Or, in order to operate a state vehicle, you ... What You Will Do At ODM: Working Title: Clinical Authorization Review Nurse Classification\: Medicaid Health Systems ... - Jun 20
Clinical Review Clinician - Appeals
Spectraforce Technologies
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Clinton Township, OH, 43224
... - Utilization review nurse, appeal review nurse and direct patient care experience. * Performance indicators: (Metrics: 10 to 15 appeals a day after training. Not letting any items in work queues go over compliance Turn Around Time.) * Best vs. ... - Jun 19
Clinical Authorization Review Nurse (Medicaid Health Systems
Ohio Department of Commerce
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Clinton Township, OH, 43224
What You Will Do At ODM: Working Title: Clinical Authorization Review Nurse Classification : Medicaid Health Systems ... in prior authorization and service authorization oversight and utilization activities Reviewing both physical and behavioral ... - Jun 17
Clinical Authorization Review Nurse (Medicaid Health Systems
ohio.gov
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Franklin County, OH
Schedule: Full-time What You Will Do At ODM: Working Title: Clinical Authorization Review Nurse Classification: Medicaid ... in prior authorization and service authorization oversight and utilization activities Reviewing both physical and behavioral ... - Jun 12
Clinical Review Nurse - Prior Authorization
Spectraforce Technologies
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Clinton Township, OH, 43224
... Care manager or clinical nursing experience, Word, Excel, Virtual meeting skills, MS outlook and EMR systems Nice to haves: Prior Authorization Nurse, Medical Review Nurse, Appeals Nurse, Utilization Management or Quality Assurance Nurse experience; ... - Jun 22
Personal Injury/Discovery Review Attorney
Denovo Review
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Columbus, OH, 43215
40USD - 45USD per hour
Job Description 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 ... - Jun 22
Clinical Review Nurse - Prior Authorization
Actalent
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Clinton Township, OH, 43224
... Educate providers and internal teams on utilization processes to promote high-quality, cost-effective care. Identify and share opportunities for process improvement in the authorization review workflow. Perform other duties as assigned. Comply with ... - Jun 20
Discovery Review Contract Attorney - Personal Injury/Mass Tort
Denovo Review
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Columbus, OH, 43215
40USD per hour
Job Description 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 ... - Jun 22
Model Risk Review Specialist I
Huntington
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Columbus, OH
... Summary: The primary responsibility of the Model Risk Review Specialist will be to independently and collaboratively review and validate models/ quantitative frameworks spanning credit, interest rate, market risk, economic capital or capital market ... - Jun 04