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Utilization or Review jobs in Columbus, OH, 43215

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Job alert Jobs 31 - 40 of 3335

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

Registered Nurse, Care Coordinator - Nephrology/Urology (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

IRP-Clinical Case Manager (RN), University and Ross Hospital

Ohio State University  –  Columbus, OH, 43201
... If you have questions while submitting an application, please review these frequently asked questions. Current Employees and ... trends and proactively responds with initiatives to enhance provision of care and ensure efficient resource utilization. ... - Jun 23

Appeals Nurse

WPS Health Solutions  –  Clinton Township, OH, 43224
... Basic knowledge and understanding of medical/clinical review processes (i.e., Appeals/Utilization Review). Solid computer skills with experience working in multiple on-line systems including MS Outlook, Teams, OneNote, Word, and Excel. Preferred ... - Jun 24

Senior Project Manager - Utility Infrastructure - Columbus, OH

American Structurepoint  –  Clinton Township, OH, 43224
... schedule, and the financial plan that includes the project budget, a man-hour utilization forecast, and a billing forecast Monitor and control the project financial plan, review project cost sheets, and prepare monthly invoices for each project ... - Jun 11

Operations Supervisor

Gflenv  –  Columbus, OH
... Plant % Utilization, UMO, Intermediate and Product Inventory levels, maximizing yield, minimizing downtime, etc.), whilst ... and review of engineering evaluations, turnarounds, projects and problem solving for the process operations (e.g. ... - Jun 25

Project Scheduler - Family

NiSource  –  Columbus, OH
... + 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 18

MDS Nurse Transition Leader

Otterbein SeniorLife  –  Columbus, OH
... Discharge planning for residents/elders including home services upon discharge Complete the certifications and recertification's for residents/elders Facilitate the weekly Medicare/therapy Utilization Review Meetings Act as the therapy liaison ... - Jun 29

Prior Auth Nurse

Pyramid Consulting  –  Clinton Township, OH, 43224
... Care manager Prior authorization Medical knowledge Computer skills, medical knowledge, Care manager or clinical nursing experience Works well for this role: Prior Authorization Nurse, Medical Review Nurse, Appeals Nurse, Utilization Management or ... - Jun 17

Research Scientist

Nationwidechildrens  –  Gahanna, OH, 43230
... in Microbiology, Molecular Bio or Free Radical & Radiation Biology, plus 1 yr exp evaluating kidney toxicity assoc w/utilization of radiopharmaceuticals in diff preclinical models that resulted in peer review publications & 1 yr exp evaluating tumor ... - Jun 06
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