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Care Review Clinician
The Maxis Group - Columbus, OH
Hospital Utilization Management. Insurance Utilization Manager/Review. Works with the Utilization Management team primarily responsible for inpatient medical...
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Case Manager
Identifies utilization management information needs and technologies. 1-3 years in case management, disease management, managed care or medical or behavioral...
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Clinical Nurse Educator, RN - Dublin, OH

UnitedHealth Group - 3,951 reviews - Dublin, OH
Provide external education to clients regarding symptom management. Participate in quality improvement, drug utilization evaluation and CQI activities....

Utilization Management Specialist

CC Administrative Campus - Beachwood, OH 44122
Prior Utilization Management experience is preferred. Recommends resource utilization. Completes Utilization Management for assigned patients with a minimum of...

LPN Utilization Management Coordinator

ProMedica - Cincinnati, OH  +1 location
We are currently seeking qualified Registered Nurses or Licensed Practical Nurses, interested in a Utilization Management Coordinator position....
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Utilization Management Coordinator

Assurance Health System - Cincinnati, OH
Utilization or case management in a behavioral health system either through managed care or provider. Implement, coordinate and participate in a variety of...
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Nurse Clinician (Utilization Management)

Express Scripts - 1,718 reviews - Dublin, OH 43017  +1 location
The Nurse Clinician – RN is responsible for reviewing escalated clinical criteria reviews for providers, members and patient client advocates within the Prior...

Clinical Care Manager (RN)

Aetna - 1,627 reviews - Columbus, OH 43215 (Downtown area)
Nursing/Registered Nurse is required. Case management and discharge planning experience preferred. Analyzes all utilization, self-report and clinical data...

QUALITY DATA ABSTRACTOR-RN

Premier Health Partners - 31 reviews - Dayton, OH
Experience in quality, utilization and/or case management preferred. Current State of Ohio Registered Nurse License....

Clinical Quality Specialist- MyCare

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
One to three (1 to 3) years of experience in Quality Improvement, Project Management, Case Management or Utilization Review....

RN Utilization Review Case Manager

Mount Carmel Health - Columbus, OH 43222 (Franklinton area)
Utilization Review or Case Management experience preferred. The RN Utilization Review performs utilization review with payors, assists the physician with level...

Utilization Management Nurse Reviewer- Care Transitions

Medical Mutual of Ohio - 49 reviews - Strongsville, OH 44136  +1 location
Licensed State of Ohio Registered Nurse. Performs discharge planning and utilization management activities to ensure the provision of safe, timely, appropriate,...
Assistant Director of Nursing
Vista Center at the Ridge - Mineral Ridge, OH
Knowledge in wound care management and restorative nursing also preferred. The position conducts the nursing process – assessment, planning, implementation and...
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RN Nurse Manager Telehealth
The Nurse Manager Telehealth is a member of the Care Management and Social Work (CMSW) Service. Functional Statement Title Nurse Manager Telehealth....
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RN Case Manager - Orthopedic Nurse Navigator
Mount Carmel Health - New Albany, OH
To learn more on how you can become a member of the exceptional Case Management team at Mount Carmel, please apply online at mchs.com....
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Company with Utilization Management Nurse jobs
Headquartered in Long Beach, California, Molina Healthcare is a managed care company serving around 3.5 million people through government-based healthcare programs.
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