| Distance: | Job alert | Jobs 1 - 10 of 14405 |
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
RN Homecare
DINE RIGHT EAT WELL CONSULTING LLC
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Uptown District, OH, 43215
35USD - 45USD per hour
Job Description Dulla Care Home Healthcare LLC Registered Nurse (RN) Reports to: Clinical Director Dulla Care Home ... reduce hospital admissions, decrease ER utilization, improve client success, and increase theclient and provider experience. ... - Sep 27
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
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 Management Nurse Consultant - Medical Review (Remote)
CVS Health
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Clinton Township, OH, 43224
... We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. Position Summary The Team Lead plays a ... Performing sedentary work, including extended periods of sitting, computer use, and document review. Participate in ... - Sep 25
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
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 26
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
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
Behavioral Health Utilization Management Clinician
Quantum Health
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Dublin, OH, 43016
... The Behavioral Health Utilization Management Clinician provides the highest level of customer service both internally and externally to promote quality, medically necessary, cost effective care. What you'll do Assess and review all requests for all ... - Sep 22