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Quality Manager (RN)
Assurance Health System - Wilmington, OH
Provides leadership in performance measurement analysis, trending and the utilization of benchmarking data to facilitate decision making for improvement....
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Infusion Center Team Leader (RN) - 961372
OhioHealth - 162 reviews - Delaware, OH 43015
Position involves direct patient care, daily assignment and staffing management. Implements a continuous quality improvement program to enhance utilization of...

Utilization Review RN Gatekeeper

Lake Health - 70 reviews - Center, OH
RN, Nursing, Utilization. Certification in clinical case management or utilization review strongly desired. Collects and documents admission recommendation data...

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - 710 reviews - Columbus, OH
Utilization Management Certification (CPHM). Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess,...

RN Utilization Review Case Management Mount Carmel East Casu...

Mount Carmel Health - 304 reviews - Columbus, OH
Utilization review or case management experience preferred. RN Utilization Review Case Manager performs utilization review with payors, assists the physician...

RN / Registered Nurse - Utilization Management - Full Time -...

ProMedica - 75 reviews - Sylvania, OH 43560
Nurse uses effective utilization management, resource. Utilization Management (UM) nurses work to maximize the. Management, discharge planning, CDMP....

Utilization Review Specialist

Assurance Health System - Akron, OH
Utilization Review or Case Manager Experience. The Assurance Health family is now accepting applicants for a utilization review manager....
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Case Manager BH Care4U

CareSource - 137 reviews - Ohio
Time management skills. Substance abuse experience/pain management experience desirable. Two years of managed care/case management experience preferred....

Patient Care Resource Manager

Ohio State University Medical Center - 236 reviews - Columbus, OH 43212
$55,000 - $84,750 a year
The RN Care Coordinator is:. Ensuring access to appropriate care and services, promoting self-care management and prevention;...

RN Denials Specialist

Mercy Health - 737 reviews - Mason, OH
Case Management or Utilization Review experience strongly preferred. Active RN or LPN license in the state of Ohio required....

ED Utilization Management Nurse

University Hospitals - 252 reviews - Cleveland, OH 44101 (Central area)
Current valid Ohio RN Licensure required. Improved communication, awareness and adherence to regulatory requirements associated with utilization....

RN Utilization Review (Third Shift)

UC Health - 203 reviews - Cincinnati, OH
Current RN license in Ohio. RN with current license minimum required. UR Nurse will work with hospital Care Management staff, Social Work, and Revenue Cycle...
Senior Director of Utilization Management-RN
Showe and Associates LLC - Columbus, OH
RN. Managed Care Uilization Management:. Identifying qualtiy and risk management issues:. Ensure that UM process is integrated with case management program-...
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Referral Coordinator RN - Hospice
Cleveland Clinic - 2,047 reviews - Independence, OH 44131
Admissions/General In Patient/Symptom Management admissions - Performs admission assessments for new admissions into the CCHS hospitals and documents...
Case Manager (RN) - 960659
OhioHealth - 162 reviews - Marion, OH
RN - Registered Nurse. A hospital-based case manager coordinates and performs comprehensive patient care review, which includes the integration of Utilization...
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