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

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Job alert Jobs 1 - 10 of 14691

Physician Advisor, Utilization Review/Management

Sutter Health  –  Columbus, OH, 43216
... * Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Patient Processing Service ... - Sep 23

RN Homecare

DINE RIGHT EAT WELL CONSULTING LLC  –  Uptown District, OH, 43215
35USD - 45USD per hour
Job Description Dulla Care Home Healthcare LLC Registered Nurse (RN) Reports to: Clinical Director Dulla Care Home ... reduce hospital admissions, decrease ER utilization, improve client success, and increase theclient and provider experience. ... - Sep 22

Pre-Cert Pharmacy Review Nurse, RN

quantum-health  –  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 24

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 22

Pre-Cert Pharmacy Review Nurse, RN

quantum-health  –  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

Utilization Management Nurse Consultant - Medical Review (Remote)

CVS Health  –  Columbus, OH
... We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position Summary** The Team Lead ... + Performing sedentary work, including extended periods of sitting, computer use, and document review. + Participate in ... - Sep 24

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 22

Physician Advisor, Utilization Review/Management

Sutter Health  –  Clinton Township, OH, 43224
... Comprehensive knowledge of Utilization Review, levels of care, and observation status. Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Patient Processing Service (PPS) ... - Sep 23

Pre-Cert Pharmacy Review Nurse, RN

quantum-health  –  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 24

Utilization Management Clinical Team Lead - Medical Review (Remote)

CVS Health  –  Columbus, OH
... We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position Summary** The Team Lead ... + Performing sedentary work, including extended periods of sitting, computer use, and document review. + Participate in ... - Sep 24
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