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Utilization or Review or Nurse jobs in Columbus, OH, 43215

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Utilization Review Specialist-FT

Acadia Healthcare Inc.  –  Columbus, OH, 43216
Proactively monitor utilization of services for patients to optimize reimbursement for the facility. ESSENTIAL FUNCTIONS: * ... * Reports all denials to Director of UR immediately, and facilitates peer review calls between facility and external ... - May 10

Utilization Review Specialist-PRN

Acadia External  –  Franklin Township, OH, 43223
... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified ... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... - Apr 27

RN Case Manager

Interim HealthCare  –  Columbus, OH, 43201
... One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience preferred. Practical trach and/or ventilator ... - May 19

Clinical Review Clinician - Appeals

Pyramid Consulting  –  Clinton Township, OH, 43224
... Key Requirements and Technology Experience: Skills-RN, Utilization management and Appeals, Experience with Utilization Review/Management--2 yrs. Reviews relevant information within denied authorization/prior authorization case to ensure a complete ... - Apr 24

Manager, Clinical Program -Behavioral Health Utilization Management

quantum-health  –  Dublin, OH, 43017
... About the role The Manager, Clinical Program - Behavioral Health Utilization Management (BH UM) is responsible for ... process Conduct 1 on 1 meetings and quarterly check in/review conversations with all assigned clinicians leveraging ... - May 18

Manager, Clinical Program -Behavioral Health Utilization Management

quantum-health  –  Dublin, OH, 43017
... About the role The Manager, Clinical Program - Behavioral Health Utilization Management (BH UM) is responsible for ... process Conduct 1 on 1 meetings and quarterly check in/review conversations with all assigned clinicians leveraging ... - May 18

Director, Utilization Management

Sun Behavioral Health Group  –  Columbus, OH, 43229
... Care Description Position Summary: The Director of Utilization Management (UM) is responsible for the oversight of the ... Position Responsibilities: Clinical / Technical Skills (40% of performance review) Oversees the request for services ... - Apr 29

Manager, Clinical Program -Behavioral Health Utilization Management

Quantum Health  –  Dublin, OH
... About the role The Manager, Clinical Program – Behavioral Health Utilization Management (BH UM) is responsible for ... process Conduct 1 on 1 meetings and quarterly check in/review conversations with all assigned clinicians leveraging ... - May 14

Travel Nurse RN - Med Surg - per week

Trailblazer Staffing Solutions  –  Clinton Township, OH, 43224
51.12 per hour
Trailblazer Staffing Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 06/02/2025 Duration: 13 weeks 36 hours per week Shift: 12 ... - Apr 28

Licensed Practical Nurse (LPN) dayshift

Danbury Columbus  –  Columbus, OH
LPN position available near Dublin. Full-time and part-time shifts. Benefits include medical, dental, vision, 401(k), tuition reimbursement, bonuses, and more. LPN responsibilities include direct nursing care, medication administration, and... - May 14
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