Utilization Management RN jobs in Ohio

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Field RN Case Manager - Akron area
UnitedHealth Group 1,739 reviews - Akron, OH
Experience in utilization review, concurrent review and/or risk management. Case Management experience....
Sponsored by UnitedHealth Group - 14 hours ago
Care Review Clinician
HealthCare Support Staffing 31 reviews - Columbus, OH
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities...
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Sponsored by HealthCare Support Staffing - 8 days ago
Clinical Reimbursement Manager
Genesis HealthCare 644 reviews - Beachwood, OH
Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable....
Sponsored by Genesis HealthCare - 21 days ago

CLIN INTEGRATION SPCLST

Kettering Health Network 34 reviews - Kettering, OH - +1 location
Current Ohio RN Licensure required. Knowledge of federal, state, Healthcare Facilities Accreditation Program standards, utilization and quality improvement...
8 days ago - save job - email - more...

Medicare Case Manager (RN) - Dublin, OH

Humana 786 reviews - Dublin, OH
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...
6 days ago - save job - email - more...

Nurse Midwife

Mount Carmel Health - Westerville, OH
Quality Outcome Management. Knowledge of the functional operations of utilization management, discharge planning, business offices, and third party payers...
1 day ago - save job - email - more...

Nurse Manager - RN Job

HCR ManorCare 632 reviews - Marysville, OH 43040 - +9 locations
Nurse Manager - RN Description:. Currently licensed in the state as RN; The Nurse Manager - RN coordinates resource utilization, timely and appropriate care...
2 days ago - save job - email - more...

Registered Nurse (RN) - Clinical Health Services Supervisor

Aetna 422 reviews - New Albany, OH 43054
Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and...
15 days ago - save job - email - more...

Care Review Nurse - RN (Columbus, OH)

Morgan Stephens - Columbus, OH
Utilization Management experience in hospital setting. Works with the Utilization Management team primarily responsible for inpatient medical necessity...
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13 days ago - save job - email - more...

Utilization Management Nurse

CareWorks 22 reviews - Dublin, OH
Certified Rehabilitation Counselor (CRC), or Certified Disability Management Specialist (CDMS), or Certified Rehabilitation Registered Nurse (CRRN), or...
14 days ago - save job - email - more...

Registered Nurse (Mental Health)

Department of Veterans Affairs 843 reviews - Akron, OH
The RN duties include:. Providing care management of patients with complex and multidimensional care needs to include utilization of computerized documentation...
5 days ago - save job - email - more...

Medical Case Manager - Workers Compensation - Broadspire Ser...

Broadspire 22 reviews - Columbus, OH
RN and Driver's License in good standing. Provides medical case management service which is consistent with Utilization Review Accreditation Commission...
Crawford & Company - 10 days ago - save job - email - more...

Director of Nursing - Long Term Care

Diversicare Healthcare Management - Hamilton, OH
Monitors Medicare utilization closely to ensure program guidelines are followed; 5.Directs and delegates management of professional and ancillary nursing...
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5 days ago - save job - email - more...
RN Clinical Quality Specialist
CareSource 31 reviews - Dayton, OH
Experience in case management, managed care terms, and practices or utilization review is preferred. Assist in identifying and evaluating the organizations risk...
Sponsored by CareerBuilder - 24 days ago
Health Services Director-UHG-Ohio Plan-Community and State
UnitedHealth Group 1,739 reviews - Westerville, OH
Must have Care Management certification. Must have an Ohio RN license. Accountable for overall local market health plan clinical operations for all products...
Sponsored by UnitedHealth Group - 21 days ago
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