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RN or Um or Clinical or Appeals jobs in Columbus, OH, 43215

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RN UM Clinical Appeals Nurse Remote

Columbus Staffing  –  Clinton Township, OH, 43224
Clinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ... Candidates with UM and Appeals experience are highly preferred Work hours: Monday-Friday 8:00am - 5:00pm Central time Remote ... - Nov 25

UM Administration Coordinator

Ohio Staffing  –  Clinton Township, OH, 43224
... The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy ... - Nov 25

Travel RN - Clinical - Columbus, Ohio

Vetted Health  –  Clinton Township, OH, 43224
57.48 per hour
By applying, you consent to your information being transmitted by JobGet to the Employer, as data controller, through the Employer’s data processor SonicJobs. See Vetted Health Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at... - Nov 28

Behavioral Health UM Clinician

Quantum Health  –  Dublin, OH
... The clinician is responsible for processing all clinical documentation and appropriately reviewing the services requested against plan language and appropriate criteria; within the designated time frames indicated. The Behavioral Health Utilization ... - Nov 23

Clinical Review Clinician - Appeals

Centene Corporation  –  Clinton Township, OH, 43224
... Position Purpose: Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical ... required or LVN - Licensed Vocational Nurse required or RN - Registered Nurse - State Licensure and/or Compact State ... - Nov 24

UM Coordinator 2 - Weekend Work

Humana  –  Columbus, OH, 43201
... The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy ... - Nov 25

Registered Nurse - UM/UR

Cooperidge Consulting Firm  –  Violet Township, OH, 43147
... (RN) specializing in Utilization Management (UM) and Utilization Review (UR) to join the team of one of our DoD clients. ... Key Responsibilities: Conduct comprehensive reviews of clinical records for appropriateness and necessity of care ... - Nov 28

Director of Clinical Operations

TOTAL CARE CONNECT  –  Columbus, OH, 43204
Job Description Position Summary The Director of Clinical Operations is a key leadership role responsible for overseeing all day-to-day clinical and field operations for Total Care Connect’s Mobile Integrated Healthcare (MIH) program. This leader ... - Nov 28

Clinical Manager Surgery/Operating Room

Roljobs Technology Services Pvt Ltd  –  Westerville, OH, 43082
We are currently on a hunt for a Clinical Manager Surgery/Operating Room to join our client's team in Westerville, OH Bachelors Degree in Nursing Minimum 2 years Surgical Services RN Experience Clinical Manager or Supervisory Experience Clinical ... - Nov 14

Home Infusion Registered Nurse

CSI Pharmacy  –  Worthington, OH, 43085
... Committed to improving the health and livelihood of our patients, our Home Infusion RN will partner with our extraordinary ... You may be delegated administrative tasks by the Clinical Nursing Supervisor to achieve minimum hourly requirements as ... - Nov 28
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