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Utilization or Review or Case or CPT jobs in Columbus, OH, 43215

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Clinical Review Nurse

A-Line Staffing Solutions  –  Columbus, OH
... on our eligibility dates Registered Nurse Case Manager Highlights The required availability for this position is Monday – Friday from 8AM – 5PM Registered Nurse Case Manager Responsibilities Clinical review and documentation of medical request for ... - May 08

SBA Eligibility Review Officer I

Huntington  –  Columbus, OH
Description Summary: The SBA Eligibility Review Officer I is responsible for reviewing SBA & USDA guaranteed business loans to determine proper structure and ensure loan closes in accordance with SBA & USDA eligibility requirements. Duties & ... - May 06

Utilization Review Specialist

Acadia Healthcare Inc.  –  Columbus, OH, 43216
... * Gather and develop statistical and narrative information to report on utilization, non-certified days (including ... * Facilitate peer review calls between facility and external organizations. * Initiate and complete the formal appeal ... - May 07

Case Manager (R & P)

Ethiopian Tewahedo Social Services  –  Whitehall, OH, 43213
Job Description Basic Function The Case Manager provides services that assist refugees in adjusting to life in the United States by helping the refugee or client meet immediate needs upon arrival and by preparing and implementing a resettlement plan ... - Apr 27

Case Manager (RN or LSW)- Inpatient Rehab

OhioHealth Rehabilitation Hospital  –  Columbus, OH
... assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager, assesses the social work needs of the patient and provides social ... - Apr 30

Case Manager - Columbus Veterans Program

Volunteers of America Ohio-Indiana  –  Columbus, OH, 43224
... The Case Manager will be responsible for developing service plans designed to ensure stable, permanent housing and ... client and community service providers to ensure appropriate utilization of resources in meeting the needs of the client We ... - May 08

Social Worker, MSW - Case Management

Mount Carmel Health System  –  Columbus, OH
... and other Case Management initiatives. Completes comprehensive assessment of patient situations utilizing Case Management documentation standards, review of medical record, collaboration with health care team and discussion with patient/family. ... - May 02

Medical Director - Medicare Risk Adjustment HCC Review

DOCTORS CHOICE PLACEMENT SERVICES, INC.  –  Worthington, OH, 43085
... Advises manager of possible trends in inappropriate utilization (under and/or over), and other quality of care issues. Develops and ensures compliance with policies, procedures, bylaws, regulatory requirements, and best practice guidelines. Review ... - May 07

Analyst, Case Management

CVS Health  –  Columbus, OH
... Fundamental Components + Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or ... - May 08

Case Manager

Lbrands  –  Columbus, OH
... The Case Management Consultant is an individual contributor responsible for supporting associates through the absence management process in conjunction with TPA including ADA tracking and management. They provide guidance to managers and associates ... - May 01
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