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Utilization Review Specialist
Columbus Springs - East
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Columbus, OH
... The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”. ... Work with Director of Nursing to ensure documentation requirements are met Interface with managed care organizations, ... - May 23
Utilization Review Specialist
Springstone, Inc
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Columbus, OH, 43219
... The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”. ... Work with Director of Nursing to ensure documentation requirements are met Interface with managed care organizations, ... - May 25
Physician / Oncology / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Physician / Neurology / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Utilization Review Specialist
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 ... * Conduct quality reviews for medical necessity and services provided. * Facilitate peer review calls between facility and ... - May 07
Physician / Cardiology / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Physician / Other / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Physician / Cardiology / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Behavioral Health Medical Director
AmeriHealth Caritas
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Columbus, OH
... for clinical cases in need of review. The Behavioral Health Medical Director supports the clinical department in ... This position assists in the development of Medical Necessity Criteria and performs utilization management activities. ... - May 10
Physician / Neurology / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29