Utilization Management RN jobs in Ohio

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Onsite Utilization Management RN - Dayton area needed
UnitedHealth Group 1,514 reviews - Dayton, OH
planning, utilization or case management experience... to random drug testing. Keywords: RN, utilization management, discharge planning, case management, Dayton...
Sponsored by CareerBuilder - 8 days ago
Director of Nursing
Omni Healthcare Management Inc. - Toledo, OH
to budget goals through utilization, documentation, providing appropriate and accurate patient care, case mix weight, and appropriate utilization of delivery of...
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Sponsored by Omni Healthcare Management Inc. - 30+ days ago

Nurse Reviewer

HMS 300 reviews - Westerville, OH
Relates any questions or concerns that cannot be addressed to Service Line Manager. Distributes contract-specific and HMS information as appropriate....
16 days ago - save job - block - email - more...

Manager Utilization/Care Coord

St. Vincent Charity Medical Center 12 reviews - Cleveland, OH
Current RN license valid in the State of Ohio. BSN required, Master’s Degree preferred. Responsible for directing and supporting Utilization Review Coordinators...
26 days ago - save job - block - email - more...

RN Utilization Review - UC Health - UCMC ED

UC Health 24 reviews - Cincinnati, OH
RN Utilization Review - UC Health - UCMC ED. The RN-Utilization Review nurse will use established criteria and policy/procedures to perform pre-admission,...
1 day ago - save job - block - email - more...

RN - UC Health Business Center - Denials Management

UC Health 24 reviews - Cincinnati, OH
RN - UC Health Business Center - Denials Management. To monitor the delivery of timely, appropriate, quality patient care on specific patient populations.To...
14 days ago - save job - block - email - more...

RN Utilization Review Case Manager

Mount Carmel Health - Westerville, OH
performs utilization review with payors, assists the physician with level of care determinations using screening criteria, assists the physician, bedside...
4 days ago - save job - block - email - more...

ADMISSION/DISCHARGE RN SUPP

Premier Health Partners 17 reviews - Dayton, OH
Utilization or case management experience is preferred. Knowledge of Interqual ISD-A and Milliman & Robertson guidelines and third party insurance requirements...
21 hours ago - save job - block - email - more...

RN Utilization Review - UC Health - UCMC 6NW Solid Organ Tra...

UC Health 24 reviews - Cincinnati, OH
RN Utilization Review - UC Health - UCMC 6NW Solid Organ Transplant. UCMC 6NW - Solid Organ Transplant. Day/Evening....
8 days ago - save job - block - email - more...

RN Admin Supv

Mount Carmel Health - Columbus, OH
Minimum of four to five years recent clinical experience in hospital setting with Care Manager/Charge Nurse or other relevant hospital management experience...
1 day ago - save job - block - email - more...

QUALITY DATA ABSTRACTOR-RN

Premier Health Partners 17 reviews - Dayton, OH
Experience in quality, utilization and/or case management preferred. Skills/Other:. Interpersonal skills necessary to communicate effectively with a variety of...
20 days ago - save job - block - email - more...

Registered Nurse/LPN

Technosoft Corporation 9 reviews - Ohio
Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management)....
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20 days ago - save job - block - email - more...
Social Worker or RN Telephonic Utilization Manager in Columb...
UnitedHealth Group 1,514 reviews - Columbus, OH
new standard for care management. We're going beyond... needs Refers patients to disease management or case management programs Assists with the development of...
Sponsored by CareerBuilder - 2 days ago
Assistant Director of Nursing Job
HCR ManorCare 554 reviews - North Olmsted, OH
position coordinates resource utilization, timely and... experience as a RN with 1-year nursing supervisory experience. Category: Nursing - Management About The...
Sponsored by HCR ManorCare - 18 days ago
LPN/RN UM Coordinator Referral Management
Promedica 22 reviews - Maumee, OH
The Utilization Management department at Paramount is... as appropriate. A Utilization Management Coordinator can be filled with a RN or LPN. Please review the...
Sponsored by ProMedica - 30+ days ago
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Company with Utilization Management RN jobs
Omni Home Health is an experienced and Medicare certified provider of different medical services at the patient's home.