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Utilization or Review or RN or Site jobs in Columbus, OH, 43215

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Care Review Clinician, Prior Authorization Nurse

Molina Healthcare  –  Columbus, OH
... unrestricted State Registered Nursing (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) license in good standing Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and ... - May 06

Clinical Review Clinician - Appeals

Pyramid Consulting, Inc  –  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 ... - May 06

Clinical Review Clinician - Appeals

Spectraforce Technologies  –  Clinton Township, OH, 43224
... Utilization review nurse, appeal review nurse, and direct patient care experience. Experience with Utilization Review ... Education/Certification Required: LPN Minimum Preferred: RN-Not required Licensure Required: LPN minimum Preferred: - May 05

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

Site Manager

Rumpke of Ohio, Inc.  –  Clinton Township, OH, 43224
... Site Managers are responsible for the adherence to operating standards, the development of supervisory goals and objectives, ... Work with the vehicle maintenance department to monitor and improve fleet reliability, utilization, repair, and maintenance ... - Apr 28

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

Registered Nurse (RN) DAYS

SUN Behavioral Columbus  –  Columbus, OH, 43201
... Participates in the department's performance improvement and Continuous Quality Improvement (CQI) activitiesPosition Responsibilities:Clinical / Technical Skills (40% of performance review)Responsible for maintaining a therapeutic milieu that is ... - May 06

Senior Systems Administrator (On-Site)

Providence Solutions Llc  –  Columbus, OH
100000USD - 140000USD per year
... This is a mission-critical, on-site role involving support for high-availability systems across Test/Dev, Staging, COOP, and Production environments. Key Responsibilities Administer and support UNIX/Linux systems, including Red Hat Enterprise Linux ... - May 06

Site/Civil Engineer

Paul J. Ford and Company  –  Columbus, OH
... Position Summary The Site/Civil Design Engineer will work alongside structural and electrical engineers in the Power group ... Review work for completeness and accuracy before submitting it to ensure PJF QA/QC standards are followed. Sign and seal ... - May 05

Site Manager

Rumpke  –  Clinton Township, OH, 43224
... Site Managers are responsible for the adherence to operating standards, the development of supervisory goals and objectives, ... Work with the vehicle maintenance department to monitor and improve fleet reliability, utilization, repair, and maintenance ... - Apr 28
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