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RN or Utilization or Review jobs in Columbus, OH, 43215

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Utilization Review Nurse (RN) (Remote OH only)

A-Line Staffing Solutions  –  Columbus, OH
38USD - 41USD per hour
Job Description A-Line Staffing is Now Hiring a Utilization Review Nurse – Prior Authorization in Ohio! Must reside in Ohio for consideration! *Must live in Ohio and have an RN License for consideration!* Pay: $38–$41/hr based on experience Schedule ... - Jun 17

Clinical Authorization Review Nurse (Medicaid Health Systems

Ohio Department of Commerce  –  Clinton Township, OH, 43224
... Title: Clinical Authorization Review Nurse Classification : Medicaid Health Systems Specialist RN (PN 20102136 ) Office : ... 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  –  Franklin County, OH
... Title: Clinical Authorization Review Nurse Classification: Medicaid Health Systems Specialist RN (PN 20102136) Office: ... in prior authorization and service authorization oversight and utilization activities Reviewing both physical and behavioral ... - Jun 12

Utilization Review Specialist-PRN

Acadia External  –  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

RN Utilization Review remote - MediGold Health Plan

Trinity Health  –  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

RN Utilization Review remote - MediGold Health Plan

Mount Carmel Health  –  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 Authorization Review Nurse (Medicaid Health Systems

Medicaid  –  Columbus, OH, 43215
... Title: Clinical Authorization Review Nurse Classification\: Medicaid Health Systems Specialist RN (PN 20102136) Office\: ... in prior authorization and service authorization oversight and utilization activities Reviewing both physical and behavioral ... - Jun 13

Utilization Management Specialist I

Sun Behavioral  –  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

Discovery Review Contract Attorney - Personal Injury/Mass Tort

Denovo Review  –  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 17

Model Risk Review Specialist I

Huntington  –  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
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