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Director of Utilization Review jobs in Columbus, OH

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Medical Dir

Molina Healthcare - 239 reviews - Columbus, OH
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

CHIEF CLINICAL OFFICER

Premier Health Partners - 31 reviews - Columbus, OH
Review overall performance and assess ongoing provider participation based on clinical and financial metrics....

Registered Nurse (RN) - Concurrent Review

Buckeye Health Plan - 7 reviews - Whitehall, OH  +12 locations
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Care Review Clinician I

Molina Healthcare - 239 reviews - Columbus, OH
Hospital utilization management. Managed Care Utilization Management. Utilization Management Certification (CPHM) or other healthcare certification....

Prior Authorization Nurse I(Columbus)

Buckeye Community Health Plan - 12 reviews - Columbus, OH 43215 (Downtown area)
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Manager, Warehouse Systems Ops

AmerisourceBergen - 464 reviews - Lockbourne, OH
Provides issue/status reporting as appropriately assigned by the WSO Director. Conducts annual performance reviews and performance plans with WSO Managers....

Manager, IT Applications - Application Owner

Nationwide Mutual Insurance Company - 1,071 reviews - Columbus, OH  +1 location
Reviews and evaluates work and prepares performance reports. Evaluates project status and resource utilization and implements changes to improve the team's...

Medical Director - Occupational Medicine

U.S. Healthworks - 196 reviews - Columbus, OH
Provide utilization review of medical charts, especially those corresponding to patients seen by part-time staff....
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Supervisor Case Management - Transition of Care

Molina Healthcare - 239 reviews - Columbus, OH
Interacts with medical directors regularly, as necessary. Functions as hands-on supervisor for daily Case Management activities including medical necessity...

Sys Dir Care Coord

OhioHealth - 93 reviews - Columbus, OH
Knowledge of peer review process, and case management and utilization models. Extensive knowledge of Case Management & Utilization Review and payer...
Registered Nurse (RN) - Concurrent Review
Centene - 303 reviews - Columbus, OH
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...
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Director of Nursing, RN
IBA Support Services - Columbus, OH
$55,000 a year
Serves on utilization review committee. Director of Nursing:. IBA Support Services is in search of a DON, The Director of Nursing (RN) that will be responsible...
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Sponsored
Senior Internal Auditor
Battelle - 156 reviews - Columbus, OH
+ Plans and conducts special reviews and projects as requested by management and/or the Audit Committee of the Board of Directors....
Sponsored

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Utilization Review Nurse salaries in Columbus, OH

$30.49 per hour

1.7% lower than national average

$27.85$33.37
Common

Estimated salary from 38 jobs