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Utilization or Review or Health jobs in Columbus, OH, 43215

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Chairperson - Allied Health

Columbus State Community College  –  Columbus, OH, 43215
... seeking an innovative, collaborative, and student-centered leader to serve as Chairperson of the Allied Health Department. ... Supports the department assessment committee and faculty engaged in curriculum and program review. Operational Leadership ... - Sep 18

Bid Analysis and Review Team College Intern, Office of Contract Sales

State of Ohio  –  Columbus, OH, 43216
Bid Analysis and Review Team College Intern, Office of Contract Sales & Estimating, PN 20072447 We are looking for an intern to start ASAP, to work 10-20 hrs a week during school and full time summer of 2026. What You Will Do: * You will work with ... - Sep 18

Pre-Cert Pharmacy Review Nurse, RN

quantum-health  –  Dublin, OH, 43017
... 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 Quantum Health's employer groups. ... - Sep 16

Discovery Review Contract Attorney - Personal Injury/Mass Tort

Denovo Review  –  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 20

Managed Care Systems and Payments Administrator (Medicaid Health

State of Ohio  –  Columbus, OH, 43216
What You Will Do At ODM: Office: Managed Care Bureau: Member Services Classification: Medicaid Health Systems Administrator ... * Manages design and review of enrollment, eligibility, and capitation reports, including 834/820 files and dashboards. * ... - Sep 18

Behavioral Health UM Clinician

quantum-health  –  Dublin, OH, 43017
... 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 20

Pre-Cert Pharmacy Review Nurse, RN

quantum-health  –  Dublin, OH, 43017
... 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 Quantum Health’s employer groups. ... - Sep 16

Utilization Review Specialist-FT

Acadia Healthcare Inc.  –  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

Engineer (Associate - Mid) - TRANSMISSION Systems, Asset Health

American Electric Power  –  New Albany, OH, 43054
... Summarize and report on the energization, condition, and health of critical assets to stakeholders. **Financial Strength:** - Review PSO/SWEPCO substation assets within the 5-year warranty period and address issues with vendors remotely to ensure ... - Sep 18

Utilization Review Nurse RN or LVN - Full Remote

Morgan Stephens  –  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
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