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Personal Injury/Discovery Review Attorney
Denovo Review
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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 ... - Sep 17
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 17
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 15
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
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
Clinical Review Nurse - Concurrent Review
Spectraforce Technologies
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Clinton Township, OH, 43224
... delivered Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines Works with healthcare ... - Sep 12
RN Peer Review Specialist
Trinity Health
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Clinton Township, OH, 43224
... review and OPPE processes to ensure adherence to established protocols while identifying potential gaps. Communicates identified system-level issues arising during the peer review process to the appropriate team for follow-up and resolution. Travel ... - Sep 09
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
Utilization Management Nurse Consultant
CVS Health
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Clinton Township, OH, 43224
... Utilization Management (UM) Nurse Consultant to join our remote team. Key Responsibilities Apply critical thinking and evidence-based clinical criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review. ... - Sep 14
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