Utilization Management RN jobs in Ohio

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RN Nursing Manager- Bring your leadership skills to us!
RN. Audits Medicare process through the Utilization Review program.*. We are looking for a Full Time RN Nursing Manager *,\*....
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Referral Coordinator RN - Hospice
Cleveland Clinic - 2,107 reviews - Independence, OH 44131
Admissions/General In Patient/Symptom Management admissions - Performs admission assessments for new admissions into the CCHS hospitals and documents...
Utilization Review Nurse - FULL TIME AND PART TIME OPENINGS
Previous Care Management, Case Management or Utilization Management Experience *in a hospital setting *. Utilization Review or Case Management)....
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Case Manager

Aetna - 2,879 reviews - Cincinnati, OH
An RN license is required. Certification in Case Management (CCM) preferred. Case management and discharge planning experience preferred....

Clinical Case Manager BH

Aetna - 2,879 reviews - New Albany, OH
Case management and discharge planning experience preferred. Functional - Medical Management/Medical Management - Direct patient care/1+ Years....

RN Utilization Rvw Spclst - Case Management- Resource

Kettering Health Network - 122 reviews - Miamisburg, OH 45342
Join our Utilization Management team! Case Management certification preferred. Current unrestricted Ohio RN licensure, BSN required....

RN Utilization Rvw Spclst - Case Management- Resouce

Kettering Health Network - 122 reviews - Miamisburg, OH 45342
Join our Utilization Management team! Case Management certification preferred. Current unrestricted Ohio RN licensure, BSN required....

Clinical Care Manager

Aetna - 2,879 reviews - New Albany, OH   +2 locations
Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and...

RN Utilization Rvw Spclst - Case Management- Part Time

Kettering Health Network - 122 reviews - Miamisburg, OH 45342
Join our Utilization Management team! Case Management certification preferred. Current unrestricted Ohio RN licensure, BSN required....

Quality Improvement Coordinator I

Centene - 635 reviews - Columbus, OH
Utilization management certification preferred. LPN, LVN, RN, PA, or LCSW license preferred. 2+ years clinical, quality management or healthcare related...

Manager, Utilization Management

University Hospitals - 257 reviews - Cleveland, OH 44101 (Central area)
Minimum 3 years of utilization review or case management experience. Project Management skills. Experience in a management or supervisory position....

Care Review Clinician, Inpatient Review (RN)-E

Molina Healthcare - 742 reviews - Columbus, OH
Utilization Management Certification (CPHM). Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess,...

Manager, Home Care Operations

CareSource - 144 reviews - Cleveland, OH
Strategic management skills. Excellent leadership, management and supervisory skills and experience. Develops and monitors a process to ensure appropriate...
MDS Coordinator RN or LPN
Coordinates the facility case management and utilization review processes. Coordinates with Rehabilitative Services at the facility and oversees rehabilitation...
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Clinical Documentation Specialist - St. Ann's
A degree in Health Information Management with credentials of RHIA, RHIT, or CCS with extensive clinical knowledge and a minimum of 5 years inpatient coding...
RN/LPN Supervisor-EVERY WEEKEND-Premium Wages!
Prestige Gardens Rehabilitation and Nursing Center - Marysville, OH 43040
The RN/LPN Supervisor oversees the care management of a population of patients within this facility. This position coordinates resource utilization, timely and...
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