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Care Review Nurse
Integrated Resources
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Clinton Township, OH, 43224
... Job Description Works with the Utilization Management team, primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right ... - Dec 01
Utilization Management Specialist I
SUN BEHAVIORAL HEALTH GROUP
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Columbus, OH, 43229
... Support discharge planning and utilization review when necessary Perform other duties as required Safety (15% of performance review) Strives to create a safe, healing environment for patients and family members Follows all safety rules while on the ... - Nov 16
Senior Credit Review Officer
Huntington National Bank
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Columbus, OH, 43201
Description ummary: The Credit Review Officer - Sr. is responsible for evaluating the credit risk embedded in Bank assets. The candidate will possess a detailed working knowledge of the methodologies and techniques for performing credit risk review ... - Nov 25
RN Utilization Management remote - MediGold Health Plan
Mount Carmel Health System
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Gahanna, OH, 43230
... Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the development of the Plan's UM Program and the review ... - Dec 03
Utilization Management Nurse Consultant
CVS Health
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Clinton Township, OH, 43224
... Preferred Qualifications 1+ years' experience Utilization Review experience 1+ years' experience Managed Care Strong telephonic communication skills Experience with computers toggling between screens while using a keyboard and speaking to customers. ... - Nov 30
Utilization Management RN
Columbus Staffing
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Clinton Township, OH, 43224
... Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. ... experience Prior clinical experience, managed care experience, OR utilization management experience Demonstrates Emotional ... - Dec 01
RN Quality Peer Review Specialist
Trinity Health
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Columbus, OH, 43201
... The Peer Review Specialist provides leadership and coordination for the provider peer review processes across the facilities and service areas within Mount Carmel Health System and affiliate joint venture businesses as assigned. **Responsibilities** ... - Nov 27
Marketing Content Review Analyst - Compliance
Bread Financial
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Clinton Township, OH, 43224
Marketing Content Review Analyst Bread Financial Every career journey is personal. That's why we empower you with the tools and support to create your own success story. Be challenged. Be heard. Be valued. Be you ... be here. Job Summary This role ... - Nov 29
RN Utilization Management remote - MediGold Health Plan
Trinity Health
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Columbus, OH
... Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the development of the Plan's UM Program and the review ... - Dec 03
Utilization Management Intake Coordinator remote- MediGold Health
Trinity Health
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Columbus, OH
... + Responsible for daily input of all inpatient admissions into database with proper ICD/ CPT coding for utilization review nurses. + Data entry of Health Risk Assessments into Access Database and mailing of postcard reminders to members who have not ... - Dec 03