Utilization Management RN jobs in Ohio

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Case Manager (RN) - Dublin, OH
Humana 984 reviews - Columbus, OH
Previous experience in case management, utilization management, discharge planning and/or home health or rehab. Case Manager, RN....
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Registered Nurse
Laser Spine Institute 45 reviews - Mayfield Heights, OH
Participates in budgetary, marketing, utilization, cost containment and reduction activities. In our patient-centric environment, the RN is responsible for...
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Care Coordinator JIC- external applicants only Job
Cleveland Clinic Foundation 740 reviews - Cleveland, OH
Completes Utilization Management and Quality Screening for assigned patients. Integrates and coordinates utilization management, care facilitation and discharge...
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Nurse Care Coordinator

J.P. Farley Corporation - Cleveland, OH
Outstanding Time Management Skills. Farley offers the advice, assessment, analysis and administration of smarter integrated benefit plans for the well-being of...

Care Manager II (RN)-Akron/Fairlawn

Centene Corporation 225 reviews - Fairlawn, OH
Knowledge of utilization management principles and healthcare managed care. Current state’s RN license. Participate in case management committees and work on...


Firelands Regional Medical Center 15 reviews - Tiffin, OH
RN with current Ohio license. Attends case management team meetings for coordination purposes. Notifies the respective Site Director in a timely manner of any...

Registered Nurse (RN) - UM Nurse Consultant

Aetna 530 reviews - New Albany, OH
Utilization Review/Utilization Management/1+ Years Required. Requires an RN with unrestricted active license....

Activation & Reinforcement Specialist

University Hospitals 111 reviews - Shaker Heights, OH
Supports EMR change management plans relating to practice adoption. RN, RT, RD, PT, MA, LPN or other health care professional licensure/ certification a plus....

Behavioral Health Case Manager (Based from home)

The Judge Group 50 reviews - Ashtabula, OH
Monitors utilization and evaluates outcomes. Case Management experience is highly sought after. The RN Case Management Coordinator assesses, plans, implements,...
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Associate Case Manager

CareSource 44 reviews - Dayton, OH
Time management skills. Monitor and promote effect utilization of healthcare resources through clinical variance and benefits management....

Concurrent Review Nurse I

Centene Corporation 225 reviews - Columbus, OH  +1 location
Educate providers on utilization and medical management processes. Current state’s RN license. Enter and maintain pertinent clinical information in various...

Clinical Practice Consultant - Telecommuter - Ohio

UnitedHealth Group 2,130 reviews - Cleveland, OH
Monitor practice efforts to address performance and care management opportunities. Experience in Quality Improvement, practice management and facilitation...

Registered Nurse

Healogics - Mount Vernon, OH  +2 locations
Providing case management for patients. Providing specific assessments according to protocols and procedures, clinical competence in procedural skills,...
Registered Nurse (RN) - Utilization Manager - Wright Patters...
- Dayton, OH
Develops and implements a comprehensive Utilization Management plan/program in accordance with the facility’s goals and objectives....
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RN Case Manager - Orthopedic Nurse Navigator
Mount Carmel Health - New Albany, OH
In doing so the RN Case Manager collaborates with others, both internal and external to the organization to achieve timely, cost effective utilization of...
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