Utilization Management Nurse jobs in Ohio

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CASE MANAGER

Premier Health Partners 23 reviews - Franklin, OH - +1 location
This position requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management,...

Care Coordination Manager - PRN - P3, P4

Lima Memorial Hospital 20 reviews - Lima, OH
Previous utilization, case management or bed management experience preferred. Certification in case management and/or utilization review preferred....

Aprn Provider - Ambulatory

MetroHealth 7 reviews - Cleveland, OH
Previous NP critical care experience A board certification as a Certified Emergency Nurse (CEN), Critical-Care Registered Nurse (CCRN) or Certified Flight...

Delegation Oversight Nurse

Molina Healthcare 133 reviews - Columbus, OH
Utilization Management, NCQA, State and /or Federal Auditing. Reviews all pre-contractual Care Access and Monitoring Utilization Review Programs/Plans from...

Senior Clinical Practice Consultant - Telecommuter - Ohio

UnitedHealth Group 1,942 reviews - Columbus, OH
Health care quality improvement, practice management experience. RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant,...

Director of Case Management

Select Specialty Hospital - Columbus, OH
As the Director of Case Management, you will assume responsibility for the overall functions and professional growth of the Department including yet not limited...
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Clinical Review Nurse

York Risk Services Group Inc. - Dublin, OH
The Clinical Review Nurse utilizes Med. The Clinical Review Nurse communicates results of clinical review and rationale of need for case management intervention...

Registered Nurse (eICU)

Department of Veteran Affairs 164 reviews - Cincinnati, OH
Registered Nurse (e. The Registered Nurse (e. Practice, ethics and resource utilization, Professional Development:....

EHR Implementation Specialist

StreamlineMD - Cuyahoga Falls, OH
Knowledge in the Nurse Informatics Field. Our solutions, offered on a subscription-basis, include full-spectrum EHR, Practice Management and Billing Services....
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Medical Review Nurse Quality Nurse (Medicare)

NCI Information Systems, Inc. 123 reviews - Grove City, OH
Graduate from an accredited school of nursing and has an active license as a Registered Nurse (RN). As the Medical Review Nurse / Quality Nurse ( Medical...
Assistant Director of Nursing (ADON)
Scarlet Oaks Retirement Community 2 reviews - Cincinnati, OH
Must be licensed in the state of Ohio as a Registered Nurse (RN). Minimum of one year charge nurse and or supervisory experience in a long-term care setting is...
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