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Utilization or Review or Nurse or Towson jobs in Columbus, OH, 43215

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Clinical Review Clinician - Appeals

Pyramid Consulting, Inc  –  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

Clinical Review Clinician - Appeals

Spectraforce Technologies  –  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

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 ... - Apr 27

Clinical Review Clinician - Appeals

Pyramid Consulting  –  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

Student Assistant - Utilization Management

Ohio State University  –  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

RN Case Manager

Interim HealthCare  –  Columbus, OH, 43201
... One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience preferred. Practical trach and/or ventilator ... - May 09

Registered Nurse (RN)

Columbus Springs - East  –  Columbus, OH, 43207
Overview: Registered Nurse (RN) 7am-7pm Columbus Springs East, part of Lifepoint Behavioral Health, nationally known ... Experience in patient assessments, family motivations, treatment planning and communication with external review ... - May 08

School Nurse

Tree Of Life Christian Schools  –  Dublin, OH, 43017
... Review current health and first-aid trends and provide periodic updates to staff and students. Maintain AED in assigned school campuses. Serve on committees related to school health and wellness. Evaluation Criteria Performance for the School Nurse ... - May 09

Director of Nursing RN

OH SNF Milford Opco LLC  –  Columbus, OH, 43215
Job Description Director of Nursing Registered Nurse - Relocation Opportunity to Milford OH Area We invite you to apply and ... Review time sheets for accuracy after payroll. Participates in developing, implementing and evaluating programs that promote ... - May 09

Director, Utilization Management

Sun Behavioral Health Group  –  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
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