Utilization Management RN jobs in Ohio

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Registered Nurse Case Manager
Cornerstone Home Health - Medina, OH
Appropriate utilization of services. Supervisory visits may be delegated to an RN visit nurse. To assure quality and coordinated care for home care patients by...
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Transitional Care RN
Sound Physicians - Youngstown, OH
RN, BSN Experience Minimum:. Facilitation of transitional care management meetings with post-acute providers....
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SR SYSTEM OPS PROJ MGR-CLIN

Premier Health Partners - 31 reviews - Dayton, OH
Management or healthcare consultant experience preferred. Demonstrated experience in facilitation, project management and healthcare operations....

Care Manager II (RN)(Maumee)

Buckeye Community Health Plan - 12 reviews - Maumee, OH  +1 location
Knowledge of utilization management principles and healthcare managed care. Current state’s RN license. Participate in case management committees and work on...

Registered Nurse Case Manager

Euclid Hospital - 16 reviews - Euclid, OH 44119 (North Collinwood area)
Minimum of two years of experience in Utilization Review, Quality, or Care Management preferred. Certification in Care Management (CCM) required within one year...

System Transfer Center RN

Mount Carmel Health - Columbus, OH 43222 (Franklinton area)
All nursing staff, physicians, other departments within the organization, outside facilities and customers in regard to transfer center utilization, patient...

POOL - RN Case Manager

CareSource - 63 reviews - Ohio
Strong organizational and time management skills. Case Management Certification (CMC) is highly preferred; Certified Case Manager (CCM) through the Commission...

Care Coordinator JIC- external applicants only

CLEVELAND CLINIC, COMMUNITY HOSPITALS, & NE OHIO C... - Cleveland, OH
Completes Utilization Management and Quality Screening for assigned patients. Integrates and coordinates utilization management, care facilitation and discharge...

Divisional Director of Case Management

Consulate Health Care - Columbus, OH
Managed care, Medicare, utilization management practices, insurance benefits, and cost management strategies....

Care Manager II (RN)(Dayton)

Buckeye Community Health Plan - 12 reviews - Ohio
Knowledge of utilization management principles and healthcare managed care. Current state’s RN license. Participate in case management committees and work on...

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...

Registered Nurse Case Manager

South Pointe Hospital - 19 reviews - Warrensville Heights, OH 44122
Minimum of two years of experience in Utilization Review, Quality, or Care Management preferred. Certification in Care Management (CCM) required within one year...
RN-LPN-SW Case Manager
Identifies utilization management information needs and technologies. 1-3 years in case management, disease management, managed care or medical or behavioral...
Case Manager RN
Trinity Medical Center West (Steubenville, OH) - Steubenville, OH
Experience in utilization review, discharge planning, case management, or quality improvement. Certification in Case Management....
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Case Manager
Grace Hospital - Cleveland, OH
The RN Case Manager is responsible for the proactive merging of the clinical, operational, and financial aspects of patient care, including utilization review...
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