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Um jobs in Columbus, OH, 43215

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Assistant Medicaid Medical Director (Physician Administrator 2)

Ohio Department of Commerce  –  Clinton Township, OH, 43224
... As the Assistant Medicaid Medical Director, your duties will include: Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department's population health ... - Oct 02

Manager Behavioral Health Services

Elevance Health  –  Clinton Township, OH, 43224
JR167272 Manager Behavioral Health Services Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports the Medicaid line of business. Location: Hybrid 2: This role requires associates to be in-office 3 days ... - Oct 01

RN, Utilization Management Nurse

Humana  –  Clinton Township, OH, 43224
Become a part of our caring community and help us put health first The RN, Utilization Management (UM) Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of long-term services and supports (LTSS) ... - Oct 03

Care Review Clinician, PA (RN)

Molina Healthcare  –  Clinton Township, OH, 43224
... Collaborates with multidisciplinary teams to promote Molina Care Model Adheres to UM policies and procedures. Occasional travel to other Molina offices or hospitals as requested, may be required. This can vary based on the individual State Plan. ... - Oct 03

Case Manager Extender

OhioHealth  –  Clinton Township, OH, 43224
... Refer utilization management/clinical decisions beyond level of authority to care coordination/UM team and Manager/Director of UM team for review and decision. 7. Provides general office and clerical support for office as assigned by Office ... - Oct 01

Utilization Management Nurse Consultant - Medical Review (Remote)

Lensa  –  Columbus, OH, 43213
... We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team.Position SummaryThe 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 ... - Oct 02

RN, Registered Nurse- Manager, Utilization Review Operations

Quantum Health  –  Dublin, OH
... Conducted in collaboration and partnership with Clinical Program, Clinical Delivery, and Pod leaders May support program leadership in development of new product capabilities or solutions Collaborate with UM Clinical Operations leadership on the ... - Oct 03

RN (Bachelor's ), Care Manager

OhioHealth  –  Clinton Township, OH, 43224
... Work Shift: Day Scheduled Weekly Hours : 40 Department UM Care Coord-North Central Hu Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want ... - Oct 03

RN Care Manager

OhioHealth  –  Clinton Township, OH, 43224
... Work Shift: Day Scheduled Weekly Hours : 40 Department UM Care Coord-North Central Hu Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want ... - Oct 02

Clinical Consultant Social Worker (LSW/MSW)

OhioHealth  –  Clinton Township, OH, 43224
... Work Shift: Day Scheduled Weekly Hours : 40 Department UM Care Coord-North Central Hu Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want ... - Sep 19
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