Utilization Management RN jobs in Ohio

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MDS - Regional Reimbursement Specialist
Embassy Healthcare - 40 reviews - Cincinnati, OH
Processes coding, documentation, and utilization accuracy. Ideal candidates will posses excellent time management skills, critical thinking skills, be self...
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Registered Nurse (RN) Coordinator
Providing education to others regarding the case management process. Develops interdisciplinary care plan and other case management tools by participating in...
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Bridge Episode Management Nurse

Blanchard Valley Health System - 20 reviews - Findlay, OH
Performs clinician-to-clinician review of care plans to improve utilization. Assists management in monitoring IDT skills and identifies opportunities for...

RN, Call Center

ProMedica - 61 reviews - Maumee, OH 43537
Utilization of clinically appropriate guidelines,. Disease management programs, health fairs, and more. Paramount Call Center is currently recruiting for an RN....

RN Revenue Cycle Coord

Kettering Health Network - 94 reviews - Miamisburg, OH 45342
Knowledge of federal, state, industry-wide utilization and billing regulations preferred. Be responsible for analyzing revenue cycle deficiencies in order to...

Clinical Financial Case Manager

The Ohio State University Wexner Medical Center - 46 reviews - Columbus, OH
$52,000 - $84,750 a year
Experience in physician practice and/or utilization review a plus. This position uses clinical knowledge for the management of the complex process of...
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Premier Health Partners - 47 reviews - Dayton, OH  +1 location
This position requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management,...

Clinical Manager Transitional Care Unit Full-Time

Mercy Health - 225 reviews - Lima, OH
Certification in area of care management preferred. Implements actions to reduce length of stay and resource utilization within targeted populations....

Manager, Utilization Review

University Hospitals - 195 reviews - Cleveland, OH
Minimum 3 years of utilization review or case management experience. Project Management skills. Experience in a management or supervisory position....

RN, Utilization Management, Per Diem

ProMedica - 61 reviews - Toledo, OH 43607 (Scott Park area)
Utilization Management Nurse for Utilization Management will as a Conditions of Participation (COP), Center for Medicare & Medicaid Services (CMS) requires a...
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Utilization Management Manager - Care Coordination

Nationwide Children's Hospital - 237 reviews - Columbus, OH 43205 (Near East area)
Supervises utilization management staff including assigning, reviewing, and evaluating work; This role reports to the Utilization Management Director and...

Utilization Coordinator - Case Management - Part-time - Days

Fairfield Medical Center - 58 reviews - Lancaster, OH
Prioritizing and time management; Works under the supervisor of Case Management to provide utilization coordination for all admissions of every age group and...
Sales/RN Cardiology
Ashfield Healthcare - Cleveland, OH
RN:. Ability to comprehend rare disease pathophysiology, diagnosis and product utilization. CARDIOLOGY NURSE CLINICAL SPECIALIST*....
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Utilization Management - RN - New Albany US
TotalMed MDF Division - New Albany, OH
The Utilization Management Nurse operates as a key component of the Utilization management functions of one of the nation's premier managed care plans....
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RN Unit Manager $2000 Sign On Bonus
Pleasant Hill Care Center - Piketon, OH 45661
Management of nursing staff. Assure that effective quality nursing care is delivered which is outcome focused through utilization of the nursing process....
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