Utilization Management RN jobs in Ohio

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Case Management - RN
Necnic Group, LLC - Akron, OH
The Director provides development and oversight of utilization management. Case Management opening in Akron, Ohio....
Sponsored by Nursing Job Cafe - 16 days ago
Registered Nurse- PRN/Per Diem/Flex
Laser Spine Institute 42 reviews - Cincinnati, OH
Participates in budgetary, marketing, utilization, cost containment and reduction activities. In our patient-centric environment, the RN is responsible for...
Sponsored by Laser Spine Institute - 30+ days ago
Nurse Manager of Care Management
Clinical Management Consultants - Springfield, OH
Nurse Manager Care Management, Nurse Manager Case Management, Nurse Manager Complex Care, Nurse Manager Utilization Review, Manager Utilization Management, RN,...
Sponsored by Clinical Management Consultants - 14 days ago

RN - Medicare Claims Reviewer (Columbus, OH)

Catapult Consultants - Columbus, OH
RN - Medicare Claims Reviewer (Columbus, OH). This policy reflects our belief that providing equal opportunities for all employees is a both our legal and moral...


Kaplan 602 reviews - Akron, OH - +7 locations
Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual. Faculty adhere to the course curriculum, position...

Care Review Clinician

Nissan North America 415 reviews - Columbus, OH
Hospital Utilization Management. Must have Utilization Review or Management. Insurance Utilization Manager/Review....

Medical Review Cood-RN-West

Lake Health 36 reviews - Concord, OH
Certification in Case Management or Utilization Management preferred but not required. On all patients regardless of payor source, in accordance with...

Case Manager High Risk-Central

CareSource 39 reviews - Mahoning, OH - +3 locations
Source Case Management (“CM”) team; § Strong organizational and time management skills. § Case Management Certification (CMC) is highly preferred;...

Registered Nurse Case Manager Job

Cleveland Clinic 680 reviews - Medina, OH - +1 location
Minimum of two years of experience in Utilization Review, Quality, or Care Management preferred. Certification in Care Management (CCM) required within one year...

RN Case Mgr - My Care OH

CareSource 39 reviews - Akron, OH - +1 location
Collaborate with the utilization management department for service authorizations. Works collaboratively with the utilization management department in...

Registered Nurse (RN) - Part-time UM Nurse Consultant

Aetna 481 reviews - Richfield, OH 44286
Requires an RN with unrestricted active license. Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization....

RN Case Manager

Alliance Community Hospital 16 reviews - Alliance, OH
Responsible for a designated patient population to complete the utilization management process, discharge planning and patient education and facilitate the...

Utilization Review Nurse

Ohio Healthcare - Columbus, OH
Preferably hospital nursing, utilization management, and/or case management. Works with the Utilization Management team primarily responsible for inpatient...
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Dialysis Clinical Manager Days Euclid OH
Fresenius Medical Care 1,123 reviews - Willoughby, OH
When required by the Area Manager, acts as the initial RN Case Manager for disease management patients. Maintains current knowledge of disease management...
Sponsored by Fresenius Medical Care - 26 days ago
Field RN Case Manager
Healthcare Support Staffing 53 reviews - Cleveland, OH
Charting, Discharge Planning, Utilization Review, Case Management Experience. Long Term Assignment....
Sponsored by HealthCare Support Staffing - 1 day ago
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