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Utilization Review Support Specialist-2
Nationwidechildrens
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Discovery District, OH, 43215
Overview: Job Description Summary: Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information. Job Description: Essential Functions: Coordinates with external ... - Jul 01
Registered Nurse (RN)
Supreme Touch Home Health Services Corp
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Columbus, OH, 43204
32USD - 75USD per hour
Job Description Registered Nurse/ RN Case Manager Supreme Touch Home Health Services, Corp. is a family owned and operated ... within 72 hours of a patient's acceptance into a home health program and shall include a review of advance directives; ... - Jul 15
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 ... - Jul 16
Utilization Review Specialist-FT
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 ... - Jul 03
Clinical Review Clinician - Appeals
Pyramid Consulting
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Clinton Township, OH, 43224
... Key Requirements and Technology Experience: Skills-RN, Utilization management and Appeals, Experience with Utilization Review/Management--2 yrs. Reviews relevant information within denied authorization/prior authorization case to ensure a complete ... - Jul 14
Utilization Review Specialist-FT
Acadia Healthcare Inc.
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Columbus, OH, 43216
... * Gather and develop statistical and narrative information to report on utilization, non-certified days (including ... * Facilitate peer review calls between facility and external organizations. * Initiate and complete the formal appeal ... - Jul 07
Quality Review Manager (Medicaid Health Systems Administrator 1)
ohio.gov
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Franklin County, OH
... As the Quality Review Manager, you will be responsible for the following: Conducting quality reviews of ODM Administered Home and Community Based Waiver Services (e.g., Ohio Home Care) provider structural reviews Drafting Proposed Adjudication ... - Jul 14
Quality Review Manager (Medicaid Health Systems Administrator 1)
Medicaid
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Columbus, OH, 43215
... As the Quality Review Manager, you will be responsible for the following: Conducting quality reviews of ODM Administered Home and Community Based Waiver Services (e.g., Ohio Home Care) provider structural reviews Drafting Proposed Adjudication ... - Jul 16
Registered Nurse, Care Coordinator - Nephrology/Urology (PFK)
Nationwide Children's Hospital
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Clinton Township, OH, 43224
... of current concepts, researches needs and research strategies related to care coordination including case management, utilization review, and discharge planning.Assists in educating others regarding the role of care coordination/case management ... - Jul 16
RN Care Coordinator, Disease Management - West Side PC (PFK)
Nationwide Children's Hospital
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Clinton Township, OH, 43224
... of current concepts, researches needs and research strategies related to care coordination including case management, utilization review, and discharge planning.Assists in educating others regarding the role of care coordination/case management ... - Jul 16