Utilization Management Nurse jobs in Ohio

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Relocate to FL - RN Utilization Review Specialist - $5k Sign...
RN Utilization Review Specialist - Case Management – Hospital Experience Required – FT Days. Case Management Certification (preferred)....
RN House Supervisor
Prestige Gardens Rehabilitation and Nursing Center - Marysville, OH 43040
The position conducts the nursing process-assessment, planning, implementation and evaluation-under the scope of the State’s Nurse Practice Act of Registered...
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Clinical Care Manager

Aetna - 2,347 reviews - New Albany, OH  +2 locations
Nursing/Registered Nurse is required. Case management and discharge planning experience preferred. Nursing / Registered Nurse and / or Mental Health / Licensed...

Homecare Staff Specialist-Private Duty Nursing

Nationwide Children's Hospital - 276 reviews - Columbus, OH 43215 (Downtown area)
Up to two years experience in health care, medical terminology, public relations, quality assurance/utilization review and/or as a practicing licensed practical...

Nurse Reviewer: Care Authorizations - Medicare

Medical Mutual of Ohio - 74 reviews - Cleveland, OH
Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members;...

Nurse Reviewer: Care Transitions - Medicare

Medical Mutual of Ohio - 74 reviews - Cleveland, OH
Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members;...

Case Manager (RN or MSW) - Inpatient Rehab

Edwin Shaw Rehabilitation Hospital - 2 reviews - Cuyahoga Falls, OH
And Payer/Referral Management. Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management...

Occupational Health Nurse

Battelle - 199 reviews - Columbus, OH 43201 (Weinland Park area)
Certified Occupational Health Nurse (COHN). Demonstrated superior organization and clinical management skills....

LPN

State of Ohio - 250 reviews - Cuyahoga County, OH
$20.53 - $25.71 an hour
Signs utilization record for medications administered from night cabinet. Participate with other program staff in relating to client management and programs,...

RN Utilization Review

UC Health - 164 reviews - Cincinnati, OH
Knowledge of level of care management, established criteria sets, discharge planning, home health care, and case management required;...

CARE MANAGEMENT COORDINATOR

TriHealth - 93 reviews - Cincinnati, OH  +1 location
CARE MANAGEMENT COORDINATOR:. Directs and or completes all functions of the government and commercial utilization management process....

Disability Plan Nurse

Cleveland Clinic - 1,780 reviews - Beachwood, OH 44122
Minimum of two years of experience in Utilization Review, Quality or Care Management, Disability Plans, FMLA, ADAA....
UTILIZATION MANAGEMENT SPECIALIST (LPN, RN, LPC, LSW, MSW )
SUN Behavioral Columbus - Columbus, OH
This position reports to the Director of Utilization Management. Registered Nurse (RN) or MSW. We are seeking a Utilization Management Specialist for SUN...
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RN Branch Manager
Pinnacle Senior Care - 42 reviews - Uniontown, OH 44685
A Registered Nurse; Serves as a member of the Utilization Review and Performance Improvement Committees....
Manager, Population Health & Quality of Care
Medical Performance & Management. Excellent analytical and project management skills. Minimum 3 years of prior management experience....
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