| Distance: | Job alert | Jobs 1 - 10 of 3778 |
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 23
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
Discovery Review Contract Attorney - Personal Injury/Mass Tort
Denovo Review
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Columbus, OH, 43215
40USD per hour
Job Description De Novo, a boutique staffing and recruitment agency is currently seeking a Discovery Review Contract Attorney with experience in the area of personal injury and/or mass tort/class action to work directly with one of our clients. This ... - Sep 22
Physician Advisor, Utilization Review/Management
Sutter Health
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Clinton Township, OH, 43224
... 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 (PPS) ... - 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 24
Utilization Management Nurse Consultant - Medical Review (Remote)
CVS Health
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Columbus, OH
... + 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 ... - Sep 24
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
Utilization Management Clinical Team Lead - Medical Review (Remote)
CVS Health
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Columbus, OH
... + 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 ... - Sep 24
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 24
Utilization Review Nurse RN or LVN - Full Remote
Morgan Stephens
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Columbus, OH, 43231
Utilization Review Nurse – RN or LVN (Remote, $43/hr) Join one of the nation’s leading managed care organizations, committed to transforming health care for underserved communities. Our client is a mission-driven health plan known for delivering ... - Sep 10