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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
Utilization Review Specialist-FT
Acadia Healthcare Inc.
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Columbus, OH, 43216
Proactively monitor utilization of services for patients to optimize reimbursement for the facility. ESSENTIAL FUNCTIONS: * ... * Reports all denials to Director of UR immediately, and facilitates peer review calls between facility and external ... - May 10
Clinical Review Clinician - Appeals
Pyramid Consulting, Inc
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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 ... - May 12
Clinical Review Clinician - Appeals
Pyramid Consulting, Inc
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Clinton Township, OH, 43224
... Key Requirements and Technology ** 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 case ... - May 10
Student Assistant - Utilization Management
Ohio State University
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Columbus, OH, 43201
... Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: Student Assistant - Utilization Management Department: OSU Health Plan ... - May 09
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
Model Risk Review Specialist II
Huntington
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Columbus, OH
Description Summary: The Model Risk Review Specialist II is responsible for independently and collaboratively review and validate models/quantitative frameworks spanning credit, interest rate, market risk, economic capital or capital market ... - May 08
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 12
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
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