Utilization Management Nurse jobs in Ohio

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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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Regional Director of Clinical Reimbursement
Use effective relationships, management skills, coordination of services, resource management, education, patient advocacy, and related interventions to:....
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Care Manager, RN

Concerto HealthCare - 12 reviews - Butler, OH  +2 locations
In Fidelis Care Management System Assist with identification of high risk patients that require a high frequency of care coordination and contact Perform...

Nurse Case Manager

Lorain County Alcohol & Drug Abuse Service Inc - Elyria, OH
Case Management services:. Along with primary therapist, assure implementation of behavioral management strategies....
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Disability Plan Nurse

Cleveland Clinic - 1,341 reviews - Beachwood, OH 44122
Minimum of two years of experience in Utilization Review, Quality or Care Management, Disability Plans, FMLA, ADAA....

Patient Care Resource Manager

Ohio State University Medical Center - 524 reviews - Columbus, OH 43212
$55,000 - $84,750 a year
And (5) an expert, knowledgeable in care management principles and the utilization of system and community resources tailored to meet individual patient needs....

Onsite RN, Akron, OH

Humana - 2,721 reviews - Dublin, OH
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

Mgr, Care4U Disease Management & Member Wellness

CareSource - 98 reviews - Dayton, OH 45402 (Downtown area)
Management and prior supervisory skills. Analyze membership, enrollment and utilization data to identify populations within membership that would benefit from a...

Registered Nurse

Management & Training Corporation - 78 reviews - Marion, OH
Practice basic cost containment and utilization management for patient care and facility operations. Equal Opportunity Statement Management & Training...

Mgr Nurse - Ambulat&inpatient-Nursing Cardiology Step

METROHEALTH MEDICAL CENTER - 66 reviews - Cleveland, OH
Current registered nurse licensure in the State of Ohio. Utilizes productivity metrics and performance measures to drive labor utilization....

Nurse Navigator – Case Management – Mount Carmel New Albany

Mount Carmel Health - 54 reviews - New Albany, OH
Requirements/Qualifications Associates degree from an accredited RN program Current license to practice as a Registered Nurse in the State of Ohio Minimum 2...

RN Case Mgr - My Care OH

CareSource - 98 reviews - Cleveland, OH
Collaborate with the utilization management department for service authorizations. Works collaboratively with the utilization management department in...
Awesome Outstanding RN Needed Under New Management
Logan Care and Rehabilitation - Logan, OH 43138
Must hold and maintain a current license to practice as a Registered Nurse (RN) in practicing state. Assure that effective quality nursing care is delivered...
Prior Authorization Nurse I
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....
Utilization Management - LPN
Prior Authorization Nurse:. The Utilization Management Nurse utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor...
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