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Registered Nurse, Transplant Utilization Review
quantum-health
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Dublin, OH, 43017
... About the role The Registered Nurse (RN) - Transplant Utilization Review is responsible for reviewing and processing medical service requests for members of Quantum Health’s employer groups in an inpatient setting across the transplant continuum. ... - Jan 04
Care Review Clinician (RN)
Molina Healthcare
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Columbus, OH, 43272
26.41 - 51.49 per hour
... • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of ... - Jan 05
Clinical Review Nurse Supervisor (Medicaid Health Systems
State of Ohio
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Columbus, OH, 43215
... Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid ... of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). ... - Jan 04
Utilization Management Specialist I
SUN Behavioral Columbus
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Columbus, OH, 43229
... Support discharge planning and utilization review when necessary Perform other duties as required Safety (15% of performance review) Strives to create a safe, healing environment for patients and family members Follows all safety rules while on the ... - 2025 Dec 20
Registered Nurse, Transplant Utilization Review
quantum-health
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Dublin, OH, 43017
... About the role The Registered Nurse (RN) - Transplant Utilization Review is responsible for reviewing and processing medical service requests for members of Quantum Health’s employer groups in an inpatient setting across the transplant continuum. ... - 2025 Dec 23
Travel RN Case Manager - per week
Prime Staffing
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Clinton Township, OH, 43224
Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Columbus, Ohio. Job Description & ... Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates ... - Jan 04
Registered Nurse, Transplant Utilization Review
Quantum Health
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Dublin, OH
... About the role The Registered Nurse (RN) - Transplant Utilization Review is responsible for reviewing and processing medical service requests for members of Quantum Health’s employer groups in an inpatient setting across the transplant continuum. ... - 2025 Dec 24
Medical Review Nurse (RN)
Ohio Staffing
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Clinton Township, OH, 43224
... Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review including diagnosis-related group (DRG) validation, ... - Jan 03
Clinical Review Nurse Supervisor (Medicaid Health Systems
ohio.gov
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Franklin County, OH
... Program Integrity Classification: Medicaid Health Systems Administrator 1 RN (PN: 20092018) Job Overview: The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). ... - 2025 Dec 29
Travel RN Case Manager
Fusion Medical Staffing
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Columbus, OH, 43210
Travel RN Case Manager Company: Fusion Medical Staffing Location: Facility in Columbus, Ohio Job Details Fusion Medical ... to care and promoting equitable access to services Conduct utilization reviews and manage length of stay, ensuring adherence ... - Jan 04