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Utilization or Review jobs in Columbus, OH, 43215

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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 ... - Jul 16

Discovery Review Contract Attorney - Personal Injury/Mass Tort

Denovo Review  –  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 ... - Aug 08

Utilization Management Nurse Consultant - Medical Review

CVS Health  –  Clinton Township, OH, 43224
... 1+ Year of Utilization Review Management and/or Medical Management experience. Must have active and unrestricted RN license in the state you reside. 5 years demonstrated to make thorough independent decisions using clinical judgement. 5 Years ... - Aug 02

Physician Advisor, Utilization Review/Management

Sutter Health  –  Clinton Township, OH, 43224
... Comprehensive knowledge of Utilization Review, levels of care, and observation status. Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Patient Processing Service (PPS) ... - Aug 08

Utilization Management Nurse Consultant - Medical Review, Fully Remote

Lensa  –  Columbus, OH, 43213
... 1+ Year of Utilization Review Management and/or Medical Management experience. Must have active and unrestricted RN license in the state you reside. 5 years demonstrated to make thorough independent decisions using clinical judgement. 5 Years ... - Aug 06

Analyst, QC Deal Review (GWO)

Scotiabank  –  Huber Ridge, OH, 43081
... Accountabilities • Review Credit Agreements and Loan Documentation. • Perform a post-review of set up of new facilities in Loan IQ, as well as other types of transactions that are in scope for Corporate Lending Services • Record discrepancies in ... - Jul 23

RN Homecare

DINE RIGHT EAT WELL CONSULTING LLC  –  Uptown District, OH, 43215
35USD - 45USD per hour
... The opportunity for this position is to contribute to clinical compliances while helping reduce hospital admissions, decrease ER utilization, improve client success, and increase theclient and provider experience. Below are some of the specific job ... - Aug 08

Registered Nurse, Care Coordinator - (PFK)

Nationwide Children's Hospital  –  Clinton Township, OH, 43224
... Maintains knowledge of current concepts, researches needs and research strategies related to care coordination including case management, utilization review, and discharge planning. Assists in educating others regarding the role of care coordination ... - Aug 04

RN Care Coordinator, Non-integrated (PFK)

Nationwide Children's Hospital  –  Clinton Township, OH, 43224
... Maintains knowledge of current concepts, researches needs and research strategies related to care coordination including case management, utilization review, and discharge planning. Assists in educating others regarding the role of care coordination ... - Aug 05

Utilization Counselor/Social Worker - Bonus

Buckeye Ranch  –  Columbus, OH, 43204
$50000.00 - $69000
Job Details Columbus, OH Hybrid Full Time $50000.00 - $69000.00 Salary/year 10 - 20% Description The Buckeye Ranch is seeking a Utilization Counselor/Social Worker to join our Community Based & Education teams. The Utilization Counselor/Social ... - Aug 03
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