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Clinical or Review or Appeals jobs in Columbus, OH, 43215

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Clinical Review Nurse Supervisor (Medicaid Health Systems

ohio.gov  –  Franklin County, OH
... As a Clinical Review Nurse Supervisor your responsibilities will include: Helping to manage an over $ 7million/ year hospital utilization contract Reviewing necessary medical record reviews and making a determination on hospital appeals. Supervising ... - Oct 16

Clinical Manager- Hospice

Insight Global  –  Gahanna, OH, 43230
110000USD - 115000USD per year
... clinical activities, monitoring staff performance, ensuring compliance with regulatory standards, and maintaining a safe, high-quality care environment. Key responsibilities include: • Overseeing all clinical aspects of hospice care, including chart review ... - Oct 31

RN, Registered Nurse- Pre-Certification Pharmacy Review

quantum-health  –  Dublin, OH, 43017
... clinical reviews. The role requires use of multiple systems, acquisition of all relevant clinical documentation, and other clinical resources to achieve proper decisions in utilization management reviews. The Pre-Certification Review Nurse ... - Oct 30

RN, Registered Nurse- Pre-Certification Pharmacy Review

quantum-health  –  Dublin, OH, 43017
... clinical reviews. The role requires use of multiple systems, acquisition of all relevant clinical documentation, and other clinical resources to achieve proper decisions in utilization management reviews. The Pre-Certification Review Nurse ... - Oct 30

Clinical Supervisor

Nex Level Behavioral Health & Addiction Services,  –  Columbus, OH, 43215
... Participates in the review of clinical issues and program policies and procedures. Consults with other therapists and related professional and paraprofessional staff, as appropriate in the performance of the therapeutic and/or casework. Attends all ... - Oct 31

Board of Tax Appeals Senior Hearing Officer

State of Ohio  –  Columbus, OH, 43216
... * Preparing appropriate decision and order of judicial quality disposing of difficult/complex appeals and forwarding to board or chief attorney for review. * Advising board and recommending policy decisions based on the outcome of cases. * Providing ... - Oct 25

Clinical Review Nurse Supervisor (Medicaid Health Systems

State of Ohio  –  Columbus, OH, 43215
... As a Clinical Review Nurse Supervisor your responsibilities will include: Helping to manage an over $ 7million/ year hospital utilization contract Reviewing necessary medical record reviews and making a determination on hospital appeals. Supervising ... - Oct 29

RN, Registered Nurse- Pre-Certification Pharmacy Review

quantum-health  –  Dublin, OH, 43017
... clinical reviews. The role requires use of multiple systems, acquisition of all relevant clinical documentation, and other clinical resources to achieve proper decisions in utilization management reviews. The Pre-Certification Review Nurse ... - Oct 29

Hospice Clinical Team Assistant

Capital City Hospice  –  Columbus, OH, 43231
... time off accruals Paid holidays Tuition Reimbursement Employee Referral Program Merit Increases Employee Discount Programs What You’ll Do: Manage all daily clinical records functions including establishing and implementing clinical records policies. ... - Oct 31

Clinical Supervisor

Lighthouse Behavioral Health Solutions  –  Columbus, OH
... In addition to our state-of-the-art treatment facilities and peer support centers across Central Ohio, we work to remove barriers and promote access to care through our integrative approach and evidence-based clinical treatment. Join our exciting ... - Oct 31
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