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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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Medical Director
Assist management in identifying, analyzing and resolving work problems. Recruit physicians and physician assistants and nurse practitioners as necessary....
Clinical Documentation Specialist - St. Ann's
Current license to practice as registered nurse in the State of Ohio. Utilization/Case Management, managed care, or Clinical Documentation and experience in ICD...

Utilization Management Nurse Associate

Aetna - 2,891 reviews - New Albany, OH
Nursing/Licensed Practical Nurse (LPN) is required. The UM Nurse Associate performs medical necessity review in response to requests for prior authorization of...

MDS Coordinator RN or LPN

Astoria Skilled Nursing and Rehabilitation - 16 reviews - Canton, OH
Coordinates the facility case management and utilization review processes. Coordinates with Rehabilitative Services at the facility and oversees rehabilitation...
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Utilization Management Nurse Consultant

Aetna - 2,891 reviews - New Albany, OH   +1 location
Nursing/Registered Nurse is required. Telephonic utilization review of inpatient cases. The UM Nurse Consultant reviews inpatient cases for medical necessity....

Utilization Management Nurse Consultant (RN)- Registered Nur...

Aetna - 2,891 reviews - Richfield, OH 44286
Nursing/Registered Nurse is required. We help our members live fuller and healthier lives while delivering positive financial results to our plan sponsors....

Utilization Management Nurse Reviewer-Care Authorizations

Medical Mutual of Ohio - 83 reviews - Cleveland, OH
Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members;...

Utilization Review Nurse - FULL TIME AND PART TIME OPENINGS

Southwest General Health Center - 39 reviews - Middleburg Heights, OH
Previous Care Management, Case Management or Utilization Management Experience *in a hospital setting *. Utilization Review or Case Management)....
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Utilization Review Nurse

Quantum Health - 30 reviews - Columbus, OH 43235 (Northwest area)
Utilization Review Nurse. Experience in health management preferred. The utilization review nurse is responsible for reviewing and processing medical services...
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Nurse Utilization Management - Hudson, OH

University Hospitals - 257 reviews - Hudson, OH 44236
The Utilization Management Nurse (UM) will utilize clinical skills and criteria to facilitate and coordinate services for patients that are hospitalized in...

Concurrent Review Nurse I (RN)

Centene - 636 reviews - Columbus, OH
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

UM Nurse Consultant

Aetna - 2,891 reviews - Richfield, OH 44286
Nursing/Registered Nurse is Required. This is a utilization review position. The UMNC utilizes clinical skills in a collaborative process to assess, plan,...
RN Nursing Manager- Bring your leadership skills to us!
Audits Medicare process through the Utilization Review program.*. Must be Registered Nurse in the State of Ohio....
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AVP Clinical Operations
KINDRED AT HOME - 243 reviews - Columbus, OH 43229
Participate in management interviewing and orientation. Assist staff and line management in determining appropriate actions to take in appropriately managing...