Utilization Management RN jobs in Ohio

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Concurrent Review Nurse I (Independence, MO) (Sign-on Bonus...
Home State Health Plan - 3 reviews - Independence, OH
Educate providers on utilization and medical management processes. Current state’s RN license. Enter and maintain pertinent clinical information in various...
Sponsored by Centene Corporation
Dayton- Behavioral Health Advantage Case Manager
ProMedica - 53 reviews - Cincinnati, OH 45246
Coordinator or as a Utilization Management. The RN Behavioral. HMO/Advantage Case Management Manager. Behavioral Health Case Management Coordinators....
Clinical Nurse Liaison
Interprets data/reports to trend clients medical utilization, clinical outcomes. Specific to clinical issues and issues pertaining to care management....

Clinical Nurse Educator - Hem/ Onc (Ohio Valley)

The Medical Affairs Company - 3 reviews - Ohio
Exceptional organizational and time management skills are required to effectively carry out the responsibilities of this position....

Case Manager Full-Time (Hillside Rehabilitation Hospital)

Hillside Rehabilitation Hospital - 9 reviews - Warren, OH
Case Management / Utilization Review. Responsible to Case Management for management and coordination of care for all assigned cases....

Cincinnati- Behavioral Health Advantage Case Manager

ProMedica - 53 reviews - Cincinnati, OH 45246
Coordinator or as a Utilization Management. Through in-Plan provider utilization. Further, this position monitors utilization....

Registered Nurse Healthcare Services Trainer

Molina Healthcare - 307 reviews - Columbus, OH
3 or more years in case, disease or utilization management; Provides clear and timely verbal and written feedback of issues to team members and management....

Director, Utilization Management

CareSource - 73 reviews - Dayton, OH 45402 (Downtown area)
Managed Care, Utilization management Case Management and/or Quality Improvement certification preferred....

Registered Nurse Utilization Review Case Manager – Case Mana...

Mount Carmel - 19 reviews - Columbus, OH
Minimum of 3-5 years recent clinical experience in an acute care setting, case management or utilization review experience....

Behavioral Case Manager (Remote) (Akron/Cleveland Area)

Cenpatico National - Fairlawn, OH
3+ years of case and/or utilization management experience. Assist with the implementation of policies and procedures regarding case management and utilization...

RN-Care Manager

Summa Health - 115 reviews - Akron, OH
Case Management or Utilization Review certifications preferred. Demonstrates knowledge of care management strategies and the management of chronic conditions....

Occupational Health Nurse

AdvancePierre Foods - 118 reviews - Amherst, OH
Tracks outcomes, utilization and referrals. The Occupational Health Nurse’s responsibilities include participation in case management, development and...


Kettering Health Network - 80 reviews - Miamisburg, OH 45342
Directs and coordinates Case Management and Social Services including Utilization Review for Sycamore Medical Center....
Nursing Faculty - ADN
American Institute of Alternative Medicine - Columbus, OH 43229
The American Institute of Alternative Medicine (AIAM) is seeking an ADRN to work as a faculty assistant under the guidance of the Director of Nursing and...
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Case Manager (LTACH)
Meeting patient related utilization management criteria. The Case Manager assumes responsibility for utilization reviews and resource management, discharge...
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