| Job alert | Jobs 1 - 10 of 3225 |
Utilization Management Nurse Consultant
CVS Health
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New Albany, OH, 43054
... Utilization Review - Precertification Nurse is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's ... - Sep 15
Hybrid Telework Regulated Materials Review Coordinator, Environmental
Transportation
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Columbus, OH, 43223
... statewide oversight, policy development, statewide training, manual creation and editing, active monitoring, report creation and review, expertise, and data tracking for the following programs: o Environmental Compliance Program\: o Voluntary Action ... - Sep 14
Utilization Management Plan Oversight Manager
AmeriHealth Caritas
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Dublin, OH
... Assist in preparation, coordination, and participation in and follow up of Utilization Management audits, such as readiness review, Data Validation, CMS Program Audit and Compliance/Internal audits, pertaining to the OH Utilization Management ... - Sep 20
Sr. Credit Review Auditor
Northwest Bank
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Columbus, OH
Description Job Summary The Senior Credit Review Auditor is responsible for performing a variety of loan review activities which aid in the evaluation of Northwest's commercial, business banking and retail loan portfolios including collecting loan ... - Sep 10
Project Manager
Intermountain Electric, Inc.
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Reynoldsburg, OH, 43068
... Review and negotiate client contracts including terms and conditions, dates, and services. Monitor optimum utilization of resources including labor, materials, and equipment. Quantify cost and/or schedule impacts associated with changes in project ... - Sep 20
Utilization Management Nurse Consultant
Cvshealth
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New Albany, OH
... Utilization Review - Precertification Nurse is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s ... - Sep 11
Production Supervisor
Azier Recruiting
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Columbus, OH
... Review budgets for the production area. Maintain control over manpower and labor costs in the production-related areas through cost- effective scheduling and utilization of personnel. Controls and minimizes overtime labor costs, maintenance/repair ... - Sep 21
MDS Coordinator (LPN)
The Laurels of West Columbus
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Columbus, OH, 43279
... Assesses resident through physical assessment, interview and chart review. Discusses resident care needs with care givers, ... maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator. ... - Sep 22
Case Manager (RN) Utilization Management Weekend Incentive Program
Shaker for ChristianaCare Direct
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Columbus, OH, 43085
... Incentive Program (WIP) with experiencein Utilization Management in an Acute Care Hospital Setting. The Utilization Management Nurse will work with ED providers to review medical necessity and collaborate for discharge planning, as appropriate. ... - Sep 23
Director of Nursing
Equitas Health
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Columbus, OH
... Creates and implements training, utilization, safety, and peer review processes for clinical staff. Works with ancillary services in order to prevent delays in services. Provides clinical guidance on the implementation of new medical center service ... - Sep 12