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Utilization or Review or RN jobs in Columbus, OH, 43215

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Personal Injury/Discovery Review Attorney

Denovo Review  –  Columbus, OH, 43215
40USD - 45USD per hour
Job Description De Novo, a boutique staffing and recruitment agency, is currently seeking a personal injury attorney with discovery review experience to work directly with one of our clients. This is a contract to possible perm position, on site at ... - Aug 29

Registered Nurse (RN)

Supreme Touch Home Health Services Corp  –  Columbus, OH, 43204
32USD - 75USD per hour
Job Description Registered Nurse/ RN Case Manager Supreme Touch Home Health Services, Corp. is a family owned and operated ... within 72 hours of a patient's acceptance into a home health program and shall include a review of advance directives; ... - Aug 29

Utilization Management Nurse Consultant - Medical Review (Mon-Fri 8

CVS Health  –  Clinton Township, OH, 43224
... As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a vital role in ensuring ... Required Qualifications Active, unrestricted RN license in your state of residence with multistate/compact licensure ... - Aug 28

Clinical Review Clinician - Appeals

Spectraforce Technologies  –  Clinton Township, OH, 43224
... if needed Qualification & Experience: Required: LPN Minimum Preferred: RN - Not required Licensure: Required LPN minimum Must haves: Experience with Utilization Review/Management - 2 yrs Reviews relevant information within denied authorization ... - Aug 23

Utilization Management Nurse Consultant - Medical Review, Fully Remote

Lensa  –  Columbus, OH, 43213
... without personal distractions to meet quality and metric expectations.Required Qualifications Registered Nurse (RN) - active license. 3+ Years of clinical experience. 1+ Year of Utilization Review Management and/or Medical Management experience. ... - Aug 06

Utilization Management Nurse Consultant

CVS Health  –  Clinton Township, OH, 43224
... internal and external constituents in the coordination and administration of the utilization/benefit management function Function in a clinical telephone queue working with providers to secure additional information for prior authorization review. ... - Aug 22

Clinical Review Clinician - Appeals

Pyramid Consulting  –  Westerville, OH, 43082
... Education/Certification Required: LPN Minimum or RN. Direct patient care experience Longevity at positions Writing appeal or authorization outcome letters. Experience with Trucare and/or Amisys systems is greatly valued. Utilization review nurse, ... - Aug 29

RN Peer Review Specialist

Trinity Health  –  Columbus, OH
... The Peer Review Specialist provides leadership and coordination for the provider peer review processes across the facilities and service areas within Mount Carmel Health System and affiliate joint venture businesses as assigned. **Responsibilities** ... - Aug 27

Utilization Management Clinical Consultant - must reside in Ohio

CVS Health  –  Clinton Township, OH, 43224
... or a Registered Nurse (RN) with unrestricted Ohio state license with psychiatric specialty, certification, or experience. ... Preferred Qualifications Managed care/utilization review experience preferred Experience in a behavioral health inpatient ... - Aug 10

Clinical Review Manager (Medicaid Health Systems Administrator 1)

ohio.gov  –  Franklin County, OH
Schedule: Full-time What You Will Do At ODM: Office: Health Innovation & Quality Bureau: Clinical Operations Classification: Medicaid Health Systems Administrator 1 (PN 20047504) Job Overview: As the Clinical Review Manager in the Bureau of Clinical ... - Aug 22
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