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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

Management Analyst

City of Upper Arlington, OH  –  Upper Arlington, OH, 43221
... Utilizes several technology software systems for transactions and processes related to parks, recreation, facility operations and project management. Maintains accurate and up-to-date records of data related to parks, recreation programming and ... - Sep 23

Utilization Management Clinical Team Lead - Medical Review (Remote)

CVS Pharmacy, Inc.  –  Clinton Township, OH, 43224
... While this role does not include direct supervisory responsibilities, it requires a strong understanding of wo Team Lead, Clinical, Medical, Management, Lead, Clinic, Retail - Sep 24

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 24

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 24

Utilization Management Nurse Consultant - Medical Review (Remote)

CVS Health  –  Columbus, OH
... medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... - Sep 24

Utilization Management Clinical Team Lead - Medical Review (Remote)

CVS Health  –  Columbus, OH
... medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... - Sep 24

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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