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Bid Analysis and Review Team College Intern, Office of Contract Sales
State of Ohio
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Columbus, OH, 43216
Bid Analysis and Review Team College Intern, Office of Contract Sales & Estimating, PN 20072447 We are looking for an intern to start ASAP, to work 10-20 hrs a week during school and full time summer of 2026. What You Will Do: * You will work with ... - Sep 18
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 21
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 15
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
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
Utilization Review Nurse RN or LVN - Full Remote
Morgan Stephens
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Columbus, OH, 43231
Utilization Review Nurse – RN or LVN (Remote, $43/hr) Join one of the nation’s leading managed care organizations, committed to transforming health care for underserved communities. Our client is a mission-driven health plan known for delivering ... - Sep 10
Utilization Management Nurse Consultant (Weekend)
CVS Health
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Columbus, OH
... **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days **including every Weekend** , both Saturday and Sunday, and two weekday shifts of 10hrs each (to be determined). Also includes holiday ... - Sep 20
Pre-Cert Pharmacy Review Nurse, RN
Quantum Health
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Dublin, OH
... 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
Utilization Management Nurse Consultant - Medical Review (Mon-Fri 8
Lensa
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Columbus, OH, 43213
... As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a vital role in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers.This fully ... - Sep 06
Utilization Case Manager
Ohio State University
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Columbus, OH, 43201
... Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: Utilization Case Manager Department: OSU Health Plan Utilization Management ... - Sep 17