Utilization Management Nurse jobs in Ohio

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Dir.Utilization Management
Molina Healthcare 176 reviews - Columbus, OH
Evaluates Utilization Management statistics including plan utilization, staff productivity, cost effective utilization of services, management of targeted...
Utilization Review Nurse (Traveler)
Alaska Native Tribal Health Consortium 20 reviews - Columbus, OH
$5.50 an hour
Maintains compliancy with regulation changes affecting utilization management. Facilitates educational programs and advises physicians and other departments of...
Easily apply
Registered Nurse - Flex/PRN/Per Diem
Laser Spine Institute 50 reviews - Mayfield Heights, OH
Participates in budgetary, marketing, utilization, cost containment and reduction activities. Verifies operative site with pre-op nurse, patient, patient’s care...

Supervisor, Case (Care) Management - Registered Nurse (RN)

Molina Healthcare 176 reviews - Columbus, OH
Oversees, coordinates and monitors all Case Management team clinical and non clinical team activities to facilitate integrated proactive utilization management....

Registered Nurse (Patient Care Coordinator)

Department of Veterans Affairs 1,199 reviews - Dayton, OH
Staff Nurse, Utilization Management. Accountable for utilizing critical thinking skills, and sound judgment to ensure positive outcomes, maximize effective...

Home Health LPN Nurse Aide Coordinator

Shepherd of the Valley 21 reviews - Youngstown, OH
Participates in infection control, discharge planning, utilization review, case management, and quality assessment activities and analysis as required....

Homecare Private Duty RN I Le

Nationwide Children's Hospital 163 reviews - Columbus, OH
Must be licensed as a Registered Nurse in the State of Ohio. Phone communication, computer skills (word processing and data entry), communication,...

Prior Authorization Nurse I(columbus)

Centene Corporation 258 reviews - Columbus, OH
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

Case Manager

Cleveland Clinic Rehabilitation Hospital - Cleveland, OH
And Payer/Referral Management. Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management...
Easily apply

Case Manager (FT) - Mansfield

OhioHealth 77 reviews - Mansfield, OH
Collaboration to coordinate the care and utilization management for a group of patients. RNL - Registered Nurse License Ohio....

Nurse Reviewer

Healthcare Support 57 reviews - Independence, OH
$27 - $30 an hour
Quality Review experience [Medical Necessity, Utilization Review/Management, HEDIS, Chart Auditing, Medical Record Reviews]....

Utilization Review Nurse

Healthcare Support 57 reviews - Independence, OH
Are you an experienced Registered Nurse / RN or Licensed Practical Nurse / LVN / LPN looking for a new opportunity with a prestigious healthcare company?...

Home Health Registered Nurse Case Manager

Alliance Healthcare Partners, LLC - Columbus, OH
Participate in Quality Assurance and Utilization Management activities. Alliance Healthcare Partners is a Medicare/Medicaid certified home health agency based...
Easily apply
Acute Care Case Managers
Select Specialty Hospital, Vic Village - Columbus, OH
RN/Registered Nurse Preferred. Clinical discharge planning, hospital case management, acute care:. This position requires at least (2) years of work experience...
Easily apply
Staff RN Neuro Intermediate Care and Neuro ICU/EMU
Mount Carmel Health - Columbus, OH
Ability to provide assessment, consultation, education, and management of neuro patients within the scope of the Ohio Nurse Practice Act and advanced practice...
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