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Medical or Director or Utilization or Review jobs in Columbus, OH, 43215

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Utilization Review Specialist

Columbus Springs - East  –  Columbus, OH
... The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”. ... Work with Director of Nursing to ensure documentation requirements are met Interface with managed care organizations, ... - May 23

Utilization Management Nurse Consultant

CVS Health  –  Columbus, OH
... internal and external constituents in the coordination and administration of the utilization/benefit management function Function in a clinical telephone queue working with providers to secure additional information for prior authorization review. ... - May 25

Utilization Review Specialist

Springstone, Inc  –  Columbus, OH, 43219
... The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”. ... Work with Director of Nursing to ensure documentation requirements are met Interface with managed care organizations, ... - May 25

Utilization Review Specialist

Acadia Healthcare Inc.  –  Columbus, OH, 43216
... * Gather and develop statistical and narrative information to report on utilization, non-certified days (including ... * Conduct quality reviews for medical necessity and services provided. * Facilitate peer review calls between facility and ... - May 07

Float Maintenance Director

Laurel Health Care Ohio Columbus Region  –  Worthington, OH, 43085
unknown
As our Maintenance Director, you will act as a hands-on leader in maintaining the physical plant in our skilled nursing ... Comprehensive health insurance - medical, dental and vision 401K with matching funds DailyPay, a voluntary benefit that ... - May 27

Credit Review Officer Sr

Huntington  –  Columbus, OH
Description Summary: The Credit Review Officer - Sr. is responsible for evaluating the credit risk embedded in Bank assets. The candidate will possess a detailed working knowledge of the methodologies and techniques for performing commercial credit ... - May 20

Behavioral Health Medical Director

AmeriHealth Caritas  –  Columbus, OH
... for clinical cases in need of review. The Behavioral Health Medical Director supports the clinical department in ... This position assists in the development of Medical Necessity Criteria and performs utilization management activities. ... - May 10

Utilization Case Manager-RN

Ohio State University  –  Columbus, OH, 43201
... If you have questions while submitting an application, please review these frequently asked questions. Current Employees and ... Ohio State University Wexner Medical Center. The UM CM contributes to the hospitals Utilization Management Program Plan by ... - May 23

Director of Nursing

Bryce Poynt Consulting  –  Columbus, OH
... with external review organizations or comparable entities. Nice-To-Haves: direct experience working with chemical dependency, dual diagnosis, psychiatric and geriatric patients preferredJob Description: This is a 72-bed facility. The Director of ... - Apr 29

Medical Director (Behavioral Health OhioRISE)

CVS Health  –  Columbus, OH
... The Medical Director provides oversight for medical policy implementation, and participates in the development, ... the Medical Management staff ensuring timely and consistent responses to members and providers.• Oversees utilization review ... - May 24
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