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

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Behavioral Health Medical Director (must reside in OH)

AmeriHealth Caritas  –  Columbus, OH
... This position is responsible for providing consultation and determinations for clinical cases in need of review. The ... This position assists in the development of Medical Necessity Criteria and performs utilization management activities. ... - Aug 28

Risk Management Credit Senior Officer Senior Associate

144780-Payments_Us  –  Columbus, OH
... Risk document updates, and ensuring adherence to regulatory requirements, including regulations impacting our line of business. You will also have an opportunity to be involved in other initiatives including but not limited to credit review and ... - Sep 14

Transition of Care - Clinical Case Manager BH - Remote - OH

CVS Health  –  Columbus, OH, 43224
... Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical ... Crisis intervention skills Managed care/utilization review experience Case management and discharge planning experience ... - Sep 09

Senior Data Scientist with Security Clearance

Battelle Memorial Institute  –  Worthington, OH, 43085
... to inform their preparedness and response planning efforts to mitigate risk to the United States or their company. ... We will support positive programs for equal treatment of all staff and full utilization of all qualified employees at all ... - Sep 17

Registered Dietician PT

Sun Behavioral  –  Columbus, OH, 43216
... Screens newly admitted patients to identify those at nutritional risk. Prescribes therapeutic diet orders as allowed by medical staff bylaws and State law. Position Responsibilities: Clinical / Technical Skills (40% of performance review) * Approves ... - Aug 25

Manager, Inpatient Coding & Clinical Documentation Integrity Services

The Ohio State University  –  Columbus, OH, 43216
... If you have questions while submitting an application, please review these frequently asked questions. Current Employees and ... This includes ensuring the documentation in the medical supports the case mix index (CMI), severity of illness (SOI), risk ... - Sep 07

Registered Nurse Care Coordinator - Cardiology (PFK)

Nationwide Children's Hospital  –  Columbus, OH
... Nursing experience may include inpatient nursing, case management, utilization review, discharge planning, community health nursing. Utilization review, and/or discharge planning experience desirable. The above list of duties is intended to describe ... - Sep 21

IT Project Management, ERP

Ringside Talent  –  Columbus, OH, 43224
... Responsibilities Development of the IT project plan, and managing its scope, schedule, resources, budget, and risk Hands-on management of IT team resources, tasks, and deliverables on multiple projects and projects with significant budgets and risks ... - Sep 20

Vice President

HGC Construction  –  Columbus, OH, 43224
... Risk Management: Conduct risk assessments and implement mitigation strategies to ensure project success. Job Requirements: A Bachelor’s degree in Construction Management, Civil Engineering, Architecture, or a related field. 15+ years of experience ... - Sep 02

Commercial Construction Sr Estimator

619 Recruiting  –  Dublin, OH, 43017
$110000 - $120000
... Review and analyze subcontractor bids for accuracy and completeness. Prepare bid proposals and ensure timely submission in accordance with client requirements and deadlines. Provide value engineering options to optimize project costs while ... - Sep 17
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