Utilization Management Nurse jobs in Ohio

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Care Review Clinician II
The Maxis Group - Columbus, OH
Background in Utilization Management, Case Management, Appeals, Prior Authorizations, or Concurrent Reviews. Registered Nurse (RN)....
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Home Health RN Manager 5K SIGN ON BONUS
Kindred At Home - Marion, OH 43302
Current Registered Nurse. Proven track record of clinical management, education and management of healthcare staff....
Clinical Specialist
Human Arc - 17 reviews - Cleveland, OH
Utilization Review and/or Case Management. Conflict Management Intermediate. Position requires Inpatient and Outpatient chart review and specifically ICD-9/ICD...

RN Supervisor Case Management (Registered Nurse)

Molina Healthcare - 260 reviews - Columbus, OH
Oversees, coordinates and monitors all Case Management team clinical and non clinical team activities to facilitate integrated proactive utilization management....

Hospice Nurse-Hospice

Nationwide Children's Hospital - 197 reviews - Columbus, OH
$25.17 an hour
The Nurse demonstrates competence defined (*). Knowledge of Hospice/Palliative Care and/or Homecare and pain management preferred....

Home Health Clinical Nurse Supervisor - RN

Senior Independence - Akron/Canton - Akron, OH
Operations Management and Administration. Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN) required....

HCS Clinical Trainer

Molina Healthcare - 260 reviews - Columbus, OH
Certified Clinical Coder, Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Medical Audit Specialist (CMAS), Certified...

Care Coordination Manager - Case Mngmt 209-8852

Lima Memorial Hospital - 25 reviews - Lima, OH 45804
Certification in case management and/or utilization review preferred. Registered Nurse with a valid unrestricted Ohio license....

Senior Case Manager (RN) - Dublin, OH

Humana - 1,991 reviews - Dublin, OH
Previous experience in case management, utilization management, discharge planning and/or home health or rehab. Certification in Case Management a plus....

Occupational Health Nurse

The Will-Burt Company - Orrville, OH 44667
Provide appropriate case management. JOB TITLE Occupational Health Nurse. Wellness Program with onsite company nurse....

Clinical Reviewer/Medical Coder

Senior Independence Corporate - Columbus, OH
Quality and Compliance Management. Ensures that service utilization correlates with the assessment data....

Health Navigator Cat Scan PRN

Mercy Health - 164 reviews - Lorain, OH
Effective organizational and time management skills. Demonstrated competence in business development strategies including 1:1 customer relationship management...

RN Pt Care Analyst PRN

Mercy Health - 164 reviews - Lima, OH
Interfaces with external reviewing and paying agencies regarding utilization management activities to insure reimbursement to the medical center for services...
Clinical Manager - RN Required
Black Stone - 9 reviews - Dayton, OH
Management experience preferred. Registered Nurse with an Ohio license. Access to utilization of public or private transportation system....
Sponsored by Almost Family
Director of Nursing
Assurance Health System - Cincinnati, OH
Registered Nurse by the State of Ohio. Oversees appropriate utilization of patient care equipment and supplies....
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