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Clinical or Claims or Review or Boulder jobs in Columbus, OH, 43215

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Job alert Jobs 1 - 10 of 13301

Director of Clinical Operations

TOTAL CARE CONNECT  –  Columbus, OH, 43204
... strict adherence to all clinical policies, procedures, protocols, and medical director directives. Implement quality improvement initiatives targeting protocol compliance, documentation accuracy, and patient safety. Review, update, and standardize ... - Nov 29

Clinical Review Nurse - Prior Authorization

Veterans Staffing  –  Clinton Township, OH, 43224
... necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria. Works with healthcare providers and authorization team to ensure timely review of services ... - Nov 25

Claims Examiner 3 - PN

State of Ohio  –  Columbus, OH, 43215
... supporting medical evidence is sufficient & refers for dismissal if lacking Reviews & documents information necessary to compose & write or type statement of facts Prepares 1st and 2nd level claims issues for hearing and hearing officer review. ... - Nov 28

Insurance Claims Coordinator

Central Ohio Primary Care  –  Clinton Township, OH, 43224
Insurance Claims Coordinator The Insurance Coordinator is responsible for working claims that have been denied by insurance ... For further information, please review the Know Your Rights notice from the Department of Labor. - Nov 24

Clinical Psychologist - Dublin OH

MRG Exams  –  Grove City, OH, 43123
... We are seeking a dedicated Clinical Psychologist to join our team in performing medical assessments for U.S. Veterans as part of the VA's disability benefits process. In performing Disability Assessments, you will review behavioral health records ... - Nov 29

Director of Clinical Operations

Total Care Connect  –  Clinton Township, OH, 43224
... strict adherence to all clinical policies, procedures, protocols, and medical director directives. Implement quality improvement initiatives targeting protocol compliance, documentation accuracy, and patient safety. Review, update, and standardize ... - Nov 24

Clinical Psychologist - Dublin OH

MRG Exams  –  Columbus, OH, 43201
... We are seeking a dedicated Clinical Psychologist to join our team in performing medical assessments for U.S. Veterans as part of the VA's disability benefits process. In performing Disability Assessments, you will review behavioral health records ... - Nov 25

Hospice Clinical Manager

Insight Global  –  Gahanna, OH, 43230
100000USD - 120000USD per year
... clinical activities, monitoring staff performance, ensuring compliance with regulatory standards, and maintaining a safe, high-quality care environment. Key responsibilities include: Overseeing all clinical aspects of hospice care, including chart review ... - Nov 29

RN Quality Peer Review Specialist

Trinity Health  –  Columbus, OH, 43201
... The Peer Review Specialist provides leadership and coordination for the provider peer review processes across the facilities ... Clinical and management experience preferred. + Effective Communication Skills + Current knowledge of regulatory and ... - Nov 27

Clinical Psychologist - Dublin OH

MRG Exams  –  Columbus, OH, 43201
... We are seeking a dedicated Clinical Psychologist to join our team in performing medical assessments for U.S. Veterans as part of the VA's disability benefits process. In performing Disability Assessments, you will review behavioral health records ... - Nov 29
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