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

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Clinical Authorization Review Nurse (Medicaid Health Systems

ohio.gov  –  Franklin County, OH
... Title: Clinical Authorization Review Nurse Classification: Medicaid Health Systems Specialist RN (PN 20102136) Office: ... in prior authorization and service authorization oversight and utilization activities Reviewing both physical and behavioral ... - Jun 12

Clinical Authorization Review Nurse (Medicaid Health Systems

Ohio Department of Commerce  –  Clinton Township, OH, 43224
... Title: Clinical Authorization Review Nurse Classification : Medicaid Health Systems Specialist RN (PN 20102136 ) Office : ... in prior authorization and service authorization oversight and utilization activities Reviewing both physical and behavioral ... - Jun 17

Clinical Review Clinician - Appeals

Spectraforce Technologies  –  Clinton Township, OH, 43224
... * Preferred: RN-Not required * Nice to have: - 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, ... - Jun 19

Utilization Review Specialist-PRN

Acadia External  –  Franklin Township, OH, 43223
... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified ... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... - Jun 14

Clinical Review Nurse - Prior Authorization

Spectraforce Technologies  –  Clinton Township, OH, 43224
... Authorization Nurse, Medical Review Nurse, Appeals Nurse, Utilization Management or Quality Assurance Nurse experience; ... with positive attitude Top 4 must-have hard skills (stack-ranked): RN/LPN licensed professional Comfortable toggling between ... - Jun 22

Clinical Authorization Review Nurse (Medicaid Health Systems

Medicaid  –  Columbus, OH, 43215
... Title: Clinical Authorization Review Nurse Classification\: Medicaid Health Systems Specialist RN (PN 20102136) Office\: ... in prior authorization and service authorization oversight and utilization activities Reviewing both physical and behavioral ... - Jun 20

Clinical Review Nurse - Prior Authorization

Actalent  –  Clinton Township, OH, 43224
... The role involves collaboration with healthcare providers and the authorization team to ensure timely review and approval of ... Knowledge of utilization management processes preferred LPN - Licensed Practical Nurse - State Licensure required OR RN - ... - Jun 20

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 ... - Jun 23

Speech Language Pathologist (SLP) Near Worthington

Soliant  –  Columbus, OH
Seeking a licensed Speech Therapist with 1+ years of experience for a full-time school district position in Ohio for the 2023-2024 school year. Responsibilities include conducting evaluations, diagnosing communication disorders, developing and... - Jun 17

Model Risk Review Specialist I

Huntington  –  Columbus, OH
... Summary: The primary responsibility of the Model Risk Review Specialist will be to independently and collaboratively review and validate models/ quantitative frameworks spanning credit, interest rate, market risk, economic capital or capital market ... - Jun 04
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