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Utilization or Management jobs in Columbus, OH, 43215

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Physician Advisor, Utilization Review/Management

Sutter Health  –  Columbus, OH, 43216
... utilization of health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial management ... - Sep 23

Pain Management Mystic - Nurse Practitioner (APRN) or Physician

Hartford Healthcare (HHC)  –  Framingham, OH, 43224
Location Detail: 100 Perkins Farm Drive Mystic (10473) Shift Detail: Tue-Fri Get MORE from your career with Hartford HealthCare Hartford Healthcare has a new opportunity available for a Pain Management Physician Assistant or Nurse Practitioner (APRN ... - Sep 23

Physician Advisor, Utilization Review/Management

Sutter Health  –  Clinton Township, OH, 43224
... utilization of health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial management ... - Sep 23

Behavioral Health Utilization Management Clinician

Quantum Health  –  Dublin, OH, 43016
... About the role The Behavioral Health Utilization Management Clinician provides utilization management for all behavioral health and substance use disorder levels of care as indicated per the Health Benefit Plan. The clinician is responsible for ... - Sep 22

Pain Management Physician

DirectShifts  –  Worthington, OH, 43085
DirectShifts is seeking a highly skilled and compassionate Pain Medicine Specialist to join our team in providing comprehensive pain management to patients in the vibrant city of Ohio. Job Description: Evaluate, diagnose, and treat patients with ... - Sep 22

Utilization Management Nurse Consultant - Work at Home - EST Zone

CVS Health  –  Clinton Township, OH, 43224
... MUST LIVE IN EASTERN STANDARD TIME ZONE Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Utilizes clinical experience and skills in a collaborative process to assess, ... - Sep 21

Utilization Case Manager

Ohio State University  –  Columbus, OH, 43201
... Job Title: Utilization Case Manager Department: OSU Health Plan Utilization Management Scope of Department The Clinical Operations Department oversees all OSU Health Plan medical and pharmacy benefits and develops clinical programs that promote ... - Sep 17

Utilization Management Specialist WEEKENDS

Sun Behavioral Health Group  –  Columbus, OH, 43229
... Preferred: Previous experience in a Utilization Management department or as a Mental Health Tech May substitute education for experience - Sep 07

Department Leader (Management)

McDonald's  –  Columbus, OH, 43201
his job posting is for a position in a restaurant owned and operated by an independent franchisee and not McDonald's USA. This franchisee owns a license to use McDonald's logos and food products, for example, when running the restaurant. However... - Sep 23

Utilization Review Specialist-FT

Acadia Healthcare Inc.  –  Columbus, OH, 43216
... * Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate ... - Sep 22
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