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Care Review Clinician, Prior Authorization Nurse
Molina Healthcare
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Columbus, OH
... Refers appropriate prior authorization requests to Medical Directors. Requests additional information from members or ... Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. ... - May 06
Customer Success Manager I
Vorys, Sater, Seymour and Pease LLP.
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Columbus, OH, 43215
... Position Summary: The Customer Success Manager I is a strategic and supportive partner for our customers, focused on ... highlighting best practices, and documenting both Review the customer journey, determine how it’s supported, and ... - May 06
Clinical Review Clinician - Appeals
Pyramid Consulting, Inc
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Clinton Township, OH, 43224
... Please review the job description below and contact me ASAP if you are interested. Job ID:25-68236 Pay Range: $30 - $34/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick ... - May 06
Clinical Review Clinician - Appeals
Spectraforce Technologies
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Clinton Township, OH, 43224
... Clinical Review Clinician - Appeals Location: Remote (Columbus area, OH Preferred) Duration: 6 Months (Potential to Extend) ?8a-5p (NO OT req) Position Purpose: Performs clinical reviews needed to resolve and process appeals by reviewing medical ... - May 05
Registered Nurse - Medical Care
Trailblazer Staffing Solutions
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Columbus, OH
... 06/16/2025 ~ Duration: 13 weeks ~36 hours per week ~ Shift: 12 hours, nights ~ Employment Type: Travel Trailblazer Staffing Solutions provides top notch travel and local assignments to Allied and Medical Professionals, across the United States. ... - May 07
Sr. Analyst, New Business Review (Retirement Solutions)
Nationwide
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Fairgrounds District, OH, 43211
... for review by lead. Works with lead to identify non-standard product and plan requests. Partners with lead, manager and ... Benefits We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long ... - May 02
CUSTOMER CARE MANAGER
Kingspan Insulated Panels Inc
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Columbus, OH, 43207
... We are looking for a Customer Care Manager for our Deland, FL office! Responsibility: The Customer Care Manager receives ... Essential Duties: • Review all incoming customer cases daily, triage by urgency and area of responsibility, and initiate the ... - May 06
Clinical Care Manager
MARYHAVEN,INC
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Columbus, OH, 43236
Clinical Manager Benefits Salary commensurate with experience. Medical, vision, and dental insurance effective on your first day! Paid time off (PTO) starts accruing on your first day! 11 paid holidays. 403(b) Retirement Savings Plan. Free Workforce ... - May 06
Utilization Review Specialist-PRN
Acadia External
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Franklin Township, OH, 43223
... Conduct quality reviews for medical necessity and services provided. Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process for denied admissions or continued stay. Assist the ... - Apr 27
Senior Manager - OMES Contract (Medicaid Health Systems Administrator
Medicaid
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Columbus, OH, 43215
... Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of ... As the Senior Manager - OMES Contract, your responsibilities will include: Collaborates with internal and external ... - May 05