Director of Utilization Review jobs in Columbus, OH

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Director of Clinical Operations
Gentiva Health Services, Inc. 412 reviews - Columbus, OH
Mentor office management in understanding clinical aspects of the reimbursement process, (e.g., utilization management, focused medical reviews, denials, etc.)....
Sponsored by TheLadders.com - 3 days ago

Pharmacy Tech

Molina Healthcare 113 reviews - Columbus, OH
Consults with and refers cases to Molina Pharmacy Director and/or medical directors regularly, as necessary....
3 days ago - save job - email - more...

Web Operations Director WebSphere Commerce V7/AIX/DB2

JEGS - Columbus, OH
WEB OPERATIONS DIRECTOR. Maximizing the utilization of Web. We are seeking a Web Operations Director for a D2C environment....
SQL Server Worldwide User's Group (SSWUG) - 4 days ago - save job - email - more...

Clinical Assessment Nurse

York Risk Services Group Inc. - Dublin, OH
Receives and review Med. Initiates new or improved workflow processes to increase efficiency and effectiveness of the Utilization Review and Clinical...
4 days ago - save job - email - more...

Specialist, IT Process Management - Release Manager

Nationwide Mutual Insurance Company 641 reviews - Dublin, OH
Evaluates systems processes for design effectiveness and resource utilization to ensure process performance meets targeted service levels....
5 days ago - save job - email - more...

IS Backup and Storage Administrator- IS Systems Engineering

Nationwide Children's Hospital 110 reviews - Columbus, OH
 Provide storage reports on utilization and consumption including historical trending by frame.  Ensures data recovery, maintenance, data integrity and space...
5 days ago - save job - email - more...

RN (Registered Nurse)

Maxim Healthcare Services 609 reviews - Worthington, OH - +6 locations
Participate in Quality Assurance and Utilization review activities, as directed. Partner with the Program Director in development and review of the patient’s...
5 days ago - save job - email - more...

Creative Director

inVentiv Communications 2 reviews - Columbus, OH
O Assists in utilization and workload management. O Conducts continuous performance reviews of direct reports....
11 days ago - save job - email - more...

Supervisor Case Management

Molina Healthcare 113 reviews - Columbus, OH
Interacts with medical directors regularly, as necessary. Functions as hands-on supervisor for daily Case Management activities including medical necessity...
9 days ago - save job - email - more...

Medical Director - MyCare Ohio, Cleveland/Columbus/Cincinnat...

UnitedHealth Group 1,665 reviews - Columbus, OH
Medical Director careers at United. Conducts Medical Director activities primarily focused on support of the daily review activities and external interaction...
12 days ago - save job - email - more...

Clinical Pharmacist-Westerville, OH

Helios, (formerly PMSI) - Westerville, OH
Responsible for performing various levels of drug utilization reviews (DURs), drug information questions, clinical audits, presentations, physician intervention...
Easily apply
13 days ago - save job - email - more...
Director of Case Management Large Hospital Florida
The CSI Companies 16 reviews - Columbus, OH
$80,000 - $155,000 a year
Utilization management UM utilization review social work case management manager of case management hospital medical center inpatient director of case...
Sponsored by CareerVitals.com - 11 days ago
Health Services Director-UHG-Ohio Plan-Community and State
UnitedHealth Group 1,665 reviews - Westerville, OH
Reviews clinical scorecard monthly/quarterly at the health plan level (shared with Inpatient Team Director)....
Sponsored by UnitedHealth Group - 30+ days ago
Oncology, Seeking Quality & Patient Safety Medical Director...
The Ohio State University Wexner Medical Center 16 reviews - Columbus, OH
Quality of care, resource utilization, protocol and practice guideline development and review. Nationally Ranked Cancer Program Seeks Quality & Patient Safety...
Sponsored by PracticeMatch - 30+ days ago

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