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Physician Advisor, Utilization Review/Management
Sutter Health
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Columbus, OH, 43216
... * Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Patient Processing Service ... - Sep 26
Utilization Review Specialist-FT
Acadia Healthcare Inc.
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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 ... - Sep 22
Quality Control Analyst
Tacoma Energy
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Northern Woods, OH, 43081
20USD - 22USD per hour
Job Description Tacoma Energy is seeking a Quality Control Analyst to join our Finals Quality Control Team (QCT). This role ... Review construction plans and inspection data (training provided). Perform energy simulations using Ekotrope (training ... - Sep 29
Utilization Management Nurse Consultant - Medical Review (Remote)
CVS Health
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Clinton Township, OH, 43224
... 3+ years Medical Review or Utilization Management experience. 2+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications. 2+ years of healthcare management experience required (preferably in a managed care ... - Sep 25
Document Control Specialist
Jacobs
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Columbus, OH, 43201
... Upon receipt of any document, the Document Control Specialist will review it for completeness, clarity, approvals, and release authorization. The Document Control Specialist then enters the document into the document control system per established ... - Sep 27
Associate Quality Control - Entry-Level
3 Key Consulting
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New Albany, OH, 43054
Job Title: Associate Quality Control - Entry-Level! (JP11572) Location: New Albany, OH. 43054 Business Unit: Quality group Employment Type: Contract Duration: 1+ year (with possible extensions and/or conversion to permanent) Rate: $23 - $26.50/hour ... - Sep 23
Pre-Cert Pharmacy Review Nurse, RN
quantum-health
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Dublin, OH, 43017
... About the role The Pre-Certification Review Nurse – Pharmacy is responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications, to include site of care assessments, for enrollees of ... - Sep 16
Pre-Cert Pharmacy Review Nurse, RN
quantum-health
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Dublin, OH, 43017
... About the role The Pre-Certification Review Nurse - Pharmacy is responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications, to include site of care assessments, for enrollees of ... - Sep 29
Scanning Quality Control Operator
Cass Information Systems, Inc
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Columbus, OH, 43216
... PRINCIPAL RESPONSIBILITIES AND DUTIES: * Performs quality control checks to ensure images of the invoices are legible and meet department and client standards. Rescans and replaces bad images utilizing a computer. * Performs back end research for ... - Sep 28
Retail Shortage Control - Part Time
Burlington
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Columbus, OH, 43201
Join our team as a **Shortage Control Associate** and contribute to a secure shopping environment while delivering ... + Ability to maintain confidentiality is required + Ability to review, analyze and comprehend business trends + Ability to ... - Sep 26