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Utilization or Reviewer jobs in Columbus, OH, 43215

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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 ... Research status of vague or questionable procedures and present to the Chief Medical Officer/Physician Peer Reviewer for ... - Sep 22

Utilization Case Manager

Ohio State University Wexner Medical Center  –  Clinton Township, OH, 43224
... Scope of Position The Utilization Case Manager is responsible for delivering superior customer service and achieving operational excellence as it relates to the implementation and execution of OSU Health Plan medical/pharmacy benefits and clinical ... - Sep 21

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

Physician Advisor, Utilization Review/Management

Sutter Health  –  Clinton Township, OH, 43224
... Office-Valley Position Overview: The Physician Advisor (PA) is a key member of the hospital's leadership team charged with meeting the organization's goals and objectives for ensuring the effective, efficient utilization of health care services. ... - Sep 22

Behavioral Health UM Clinician

quantum-health  –  Dublin, OH, 43017
... About the role The Behavioral Health Utilization Management Clinician provides utilization management for all behavioral ... Research status of vague or questionable procedures and present to the Chief Medical Officer/Physician Peer Reviewer for ... - Sep 22

Seasonal Honors Reviewer

Ohio State University  –  Columbus, OH, 43201
... Job Title: Seasonal Honors Reviewer Department: Strategic Enrollment Undergraduate Admissions The Honors Application Reviewer in Undergraduate Admissions within Strategic Enrollment Management (SEM) provides a holistic evaluation source for domestic ... - Sep 09

Behavioral Health UM Clinician

quantum-health  –  Dublin, OH, 43017
... About the role The Behavioral Health Utilization Management Clinician provides utilization management for all behavioral ... Research status of vague or questionable procedures and present to the Chief Medical Officer/Physician Peer Reviewer for ... - Sep 22

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

Pre-Certification Nurse

quantum-health  –  Dublin, OH, 43017
... The Pre-certification Nurse also functions as a clinical resource to other staff in the company such as Utilization Review, ... Research status of vague or questionable procedures and present to the Chief Medical Officer/Physician Peer Reviewer for ... - 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
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