Utilization Management RN jobs in Ohio

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RN Case Manager Hospice

Mount Carmel Health - Columbus, OH
RN Case Manager Hospice. The Hospice Registered Nurse Case Manager oversees appropriate utilization of services and resources , appropriately authorizing care...

Medical Review Nurse Quality Nurse (Medicare)

NCI Information Systems, Inc. 124 reviews - Grove City, OH
Advanced knowledge of utilization review/quality assurance procedures, ICD-9-CM and CPT-4 coding, Medicare coverage guidelines, and payment methodologies (i.e.,...

RN Case Manager

ACMC Healthcare System - Ashtabula, OH
The role integrates and coordinates utilization management, care facilitation and discharge planning functions....

RN Case Manager

Mercy Health - Warren, OH - +1 location
Basic knowledge regarding utilization review and managed care. Participates in orientation of new personnel and students during clinical practice, and may...

RN Team Leader

Crossroads Hospice of Northeastern Ohio - Uniontown, OH
Must possess excellent stress management skills. Must demonstrate an above average knowledge of pain management, symptom management, palliative care, as well as...
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Kaplan 602 reviews - Akron, OH - +6 locations
Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual. Faculty adhere to the course curriculum, position...

Care Review Clinician RN

Healthcare Support 53 reviews - Columbus, OH
Provides concurrent review and prior authorizations (as needed) according to plans policy for members as part of the Utilization Management team....

Case Manager HR Behavioral Health

CareSource 39 reviews - Warren, OH - +1 location
Source Case Management (“CM”) team; § Strong organizational and time management skills. Acceptable case management certification include (but are not limited to...

RN-Care Manager

Akron General Health System - Akron, OH
Current working knowledge of case management performance improvement activities utilization management discharge planning and managed care....

Registered Nurse (RN)

Sono Bello 12 reviews - Garfield Heights, OH
Attend weekly RN conference calls. Quality, Risk, Rules, Regulations and Utilization. Infection control, risk management, hazardous communications and...
Nurse Practitioner (Cancer Care Coordinator)
Federal Government Jobs - United States
Practice, ethics and resource utilization; Demonstrated excellence in written/verbal communication, time management and working with an interdisciplinary team....
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