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Utilization or Review jobs in Columbus, OH, 43215

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Job alert Jobs 21 - 30 of 3387

Physician / Oncology - Radiation / Ohio / Permanent / Associate

eviCore healthcare  –  Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - Jun 16

Clinical Director

Lighthouse Behavioral Health Solutions  –  Columbus, OH
... Review and sign off on Clinical documentation as required. Responsible for assigning caseloads, duties and responsibilities ... Collaborate with other departments to understand the site budget and optimize resource utilization. Create a platform for ... - Jun 29

Homecare Prior Authorization Supervisor

Nationwidechildrens  –  Discovery District, OH, 43215
... One year of medical terminology, public relations, quality improvement, and utilization review experience, required. One year leadership or management experience, required. Physical Requirements: OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Lifting / ... - Jun 16

Sales Development Representative

Datavant  –  Columbus, OH
... Attend and conduct regularly scheduled status and review meetings with geographic zones and the national accounts. Provide ... Strong utilization of SalesForce to include monitoring and documenting member information. Participate, as needed, in local ... - Jun 29

Operations Pharmacist Senior

Ohio State University Wexner Medical Center  –  Clinton Township, OH, 43224
... supply chain disruptions by coordinating operations related to repackaging, storage, and medication utilization management. ... and/or departmental committees relevant to their practice area such as the Drug Shortage and Pharmacy Review Committees. ... - Jun 09

Project Scheduler - Family

NiSource  –  Clinton Township, OH, 43224
... + Review and coordinate the management and utilization of project controls guideline, scope and schedule management standards, schedule management processes, schedule management job aids / schedule tools and information management systems. + Develop ... - Jun 26

Medical Advisor

GreenLife Healthcare Staffing  –  Clinton Township, OH, 43224
... Responsibilities of Medical Advisor: Exam/File Review Functions Protocol Management: Develop and manage guidelines for ... Utilization Management & Program Support Implement regional medical scheduling criteria and rotation procedures. Analyze and ... - Jun 15

Student Office Assistant (Federal Work Study)

Columbus State Community College  –  Clinton Township, OH, 43224
... line support to the department, including clerical duties, customer service, and utilization of Microsoft Office suite. ... Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as ... - Jun 23

Registered Nurse, Care Coordinator - Burns/Trauma Team (PFK)

Nationwidechildrens  –  Gahanna, OH, 43230
... Maintains knowledge of current concepts, researches needs and research strategies related to care coordination including case management, utilization review, and discharge planning. Assists in educating others regarding the role of care coordination ... - May 30

Intake Assessor Nights

Sun Behavioral  –  Columbus, OH, 43216
... * Demonstrates understanding of utilization review process to include treatment criteria and precertification payor to obtain initial authorization of care and document same with pass to the Utilization Management team for concurrent reviews. * As ... - Jun 28
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