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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
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
Utilization Management Specialist I
Sun Behavioral
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Columbus, OH, 43216
... * 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 ... - Jun 16
RN Utilization Review remote - MediGold Health Plan
Trinity Health
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Columbus, OH
... **Position Purpose** RN Utilization Review MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the development of the Plan's UM ... - Jun 11
Clinical Authorization Review Nurse (Medicaid Health Systems
Medicaid
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Columbus, OH, 43215
... 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 13
RN Utilization Review remote - MediGold Health Plan
Mount Carmel Health
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Clinton Township, OH, 43224
... Position Purpose RN Utilization Review MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the development of the Plan's UM ... - Jun 13
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 17
Clinical Review Nurse - Prior Authorization In OHIO
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 17
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 18