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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 ... - Apr 27
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. Experience with Utilization Review/Management--2 yrs Reviews relevant information within denied authorization/prior authorization case to ensure a complete case ... - May 05
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 ... - Apr 24
Director, Utilization Management
Sun Behavioral Health Group
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Columbus, OH, 43229
... Care Description Position Summary: The Director of Utilization Management (UM) is responsible for the oversight of the ... Position Responsibilities: Clinical / Technical Skills (40% of performance review) Oversees the request for services ... - Apr 29
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 ... - May 08
Utilization Management Nurse Consultant
CVS Health
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Columbus, OH
... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. ... - May 07
Managing Director, Commercial Appraisal Review
First Merchants Bank
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Upper Arlington, OH, 43221
Job Description First Merchants Bank is seeking a Managing Director, Commercial Appraisal Review to join our team! This position will be responsible for efficacy of the corporation’s appraisal and appraisal review process. Essential Duties and ... - May 07
Sr. Analyst, New Business Review (Retirement Solutions)
Nationwide
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Fairgrounds District, OH, 43211
... As a Senior Analyst, you'll provide support within New Business Review team by reviewing documentation, generating legal paperwork and ensuring good order throughout the new business legal document process. Job Description Key Responsibilities: ... - May 02
Clinical Director
Lighthouse Behavioral Health Solutions
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Columbus, OH
... Review and sign off on Clinical documentation as required. Responsible for assigning caseloads, duties and responsibilities ... Collaborate with other departments to understand the site budget and optimize resource utilization. Create a platform for ... - May 07
Senior Manager - OMES Contract (Medicaid Health Systems Administrator
Medicaid
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Columbus, OH, 43215
... requirements, managing change processes, approving invoices, and identifying opportunities to optimize contract utilization. ... contract budgets, monitors financials, and oversees invoice review and approval to ensure alignment with contractual terms ... - May 05