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Physician Advisor, Utilization Review/Management
Sutter Health
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Columbus, OH, 43216
... * 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 ... - Sep 26
Utilization Review Specialist-FT
Acadia Healthcare Inc.
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Columbus, OH, 43216
... * Gather and develop statistical and narrative information to report on utilization, non-certified days (including ... * Facilitate peer review calls between facility and external organizations. * Initiate and complete the formal appeal ... - Sep 22
Utilization Management Clinical Team Lead - Medical Review (Remote)
CVS Pharmacy, Inc.
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Clinton Township, OH, 43224
The Team Lead plays a key role in supporting the daily operations of the team and serves as a vital resource for both staff and leadership. While this role does not include direct supervisory responsibilities, it requires a strong understanding of... - Sep 24
Discovery Review Contract Attorney - Personal Injury/Mass Tort
Denovo Review
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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 ... - Sep 27
Quality Control Analyst
Tacoma Energy
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Northern Woods, OH, 43081
20USD - 22USD per hour
Job Description Tacoma Energy is seeking a Quality Control Analyst to join our Finals Quality Control Team (QCT). This role ... Review construction plans and inspection data (training provided). Perform energy simulations using Ekotrope (training ... - Sep 27
Utilization Management Nurse Consultant - Medical Review (Remote)
CVS Health
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Clinton Township, OH, 43224
... 3+ years Medical Review or Utilization Management experience. 2+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications. 2+ years of healthcare management experience required (preferably in a managed care ... - Sep 25
Quality Control
Minutemen Workforce Solutions
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Columbus, OH, 43207
Job Description Minutemen Staffing is looking for an Experienced Quality Control Inspector in the Grove Port area, Pay rate is $18. Monday- Friday from 7:00-3:30pm. If you are looking for a Long Term Job with benefits. Submit you application now! ... - Sep 27
Associate Quality Control - Entry-Level
3 Key Consulting
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New Albany, OH, 43054
Job Title: Associate Quality Control - Entry-Level! (JP11572) Location: New Albany, OH. 43054 Business Unit: Quality group Employment Type: Contract Duration: 1+ year (with possible extensions and/or conversion to permanent) Rate: $23 - $26.50/hour ... - Sep 23
Pre-Cert Pharmacy Review Nurse, RN
quantum-health
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Dublin, OH, 43017
... About the role The Pre-Certification Review Nurse – Pharmacy is responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications, to include site of care assessments, for enrollees of ... - Sep 16
Retail Shortage Control - Part Time
Burlington
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Columbus, OH, 43201
Join our team as a **Shortage Control Associate** and contribute to a secure shopping environment while delivering ... + Ability to maintain confidentiality is required + Ability to review, analyze and comprehend business trends + Ability to ... - Sep 26