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

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Job alert Jobs 81 - 90 of 4350

Clinical Director

Lighthouse Behavioral Health Solutions  –  Clinton Township, OH, 43224
... Review and sign off on Clinical documentation as required. Responsible for assigning caseloads, duties and responsibilities ... Collaborate with other departments to understand the site budget and optimize resource utilization. Create a platform for ... - Apr 28

Senior Manager - OMES Contract (Medicaid Health Systems Administrator

Medicaid  –  Columbus, OH, 43215
... requirements, managing change processes, approving invoices, and identifying opportunities to optimize contract utilization. ... contract budgets, monitors financials, and oversees invoice review and approval to ensure alignment with contractual terms ... - May 05

Registered Nurse Case Manager

Ashealthnet  –  Columbus, OH
... HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse Case Manager (RNCM) you will make a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in ... - Apr 14

Physician / Cardiology / Ohio / Permanent / Associate Medical Director

eviCore healthcare  –  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 ... - Apr 21

Physician / Other / Ohio / Permanent / Associate Medical Director

eviCore healthcare  –  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 ... - Apr 21

Physician / Neurology / Ohio / Permanent / Associate Medical Director

eviCore healthcare  –  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 ... - Apr 21

Case Management Extender - Behavior Health (PFK)

Nationwidechildrens  –  Market Exchange District, OH, 43215
Overview: Full-Time, 1.0 FTE, 40 hours per week Monday - Friday, 8am - 5pm Learn about Care Navigation: Family Experience: Visit our website: Job Description Summary: The Case Management Extender PFK helps navigate and access community services and ... - Apr 28

Physician / Oncology / Ohio / Permanent / Associate Medical Director

eviCore healthcare  –  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 ... - Apr 21

Physician / Surgery - Orthopedics / Ohio / Permanent / Associate

eviCore healthcare  –  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 ... - Apr 21

Physician / Gastroenterology / Ohio / Permanent / Associate Medical

eviCore healthcare  –  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 ... - Apr 21
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