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Physician Advisor, Utilization Review/Management
Sutter Health
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Columbus, OH, 43216
... Office-Valley Position Overview: The Physician Advisor (PA) is a key member of the hospital's leadership team charged with meeting the organization's goals and objectives for ensuring the effective, efficient utilization of health care services. ... - Sep 23
Post Close Reviewer
SummitHR
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Jefferson Township, OH, 43004
Job Description Corporate Culture and Compensation: Be part of friendly and professional team for one of the largest title companies in the United States where employees can learn, grow and make a difference. Be an instrumental part of a company... - Sep 25
Behavioral Health Utilization Management Clinician
Quantum Health
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Dublin, OH, 43016
... About the role The Behavioral Health Utilization Management Clinician provides utilization management for all behavioral ... Research status of vague or questionable procedures and present to the Chief Medical Officer/Physician Peer Reviewer for ... - Sep 22
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 identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate ... - Sep 22
Utilization Management Clinical Team Lead - Medical Review (Remote)
CVS Pharmacy, Inc.
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Clinton Township, OH, 43224
The Team Lead plays a key role in supporting the daily operations of the team and serves as a vital resource for both staff and leadership. While this role does not include direct supervisory responsibilities, it requires a strong understanding of... - Sep 24
Behavioral Health UM Clinician
quantum-health
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Dublin, OH, 43017
... About the role The Behavioral Health Utilization Management Clinician provides utilization management for all behavioral ... Research status of vague or questionable procedures and present to the Chief Medical Officer/Physician Peer Reviewer for ... - Sep 24
Utilization Case Manager
Ohio State University
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Columbus, OH, 43201
... Job Title: Utilization Case Manager Department: OSU Health Plan Utilization Management Scope of Department The Clinical Operations Department oversees all OSU Health Plan medical and pharmacy benefits and develops clinical programs that promote ... - Sep 17
Utilization Management Nurse Consultant - Medical Review (Remote)
CVS Health
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Clinton Township, OH, 43224
... We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. Position Summary The Team Lead plays a key role in supporting the daily operations of the team and serves as a vital resource for both staff and leadership. While ... - Sep 25
Utilization Management Nurse Consultant - Work at Home - EST Zone
CVS Health
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Clinton Township, OH, 43224
... MUST LIVE IN EASTERN STANDARD TIME ZONE Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Utilizes clinical experience and skills in a collaborative process to assess, ... - Sep 21
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