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Director Service Operations (Aetna / Clinical)
Aetna - 1,985 reviews - New Albany, OH 43054
10+ years of Medical Management experience (preferred in Utilization Management) including a track record of developing high performing teams....
Lead Case Manager
Meeting patient related utilization management criteria. Hospital Case management:. Using discretion and independent judgment, the Lead Case Manager assumes...
Easily apply
Director of Quality Management DQM *NEW Inpatient Rehab Hosp...
Cleveland Clinic Rehabilitation Hospital Beachwood - Beachwood, OH
Director of Quality Management (DQM)*. As a *Director of Quality Management*. We are currently seeking a *Director of Quality Management*....
Easily apply

Director Heart Lung and Vascular Service Line

Genesis HealthCare System - 3 reviews - Zanesville, OH
Risk assessment, surveillance, prevention, wellness and education programming, acute episode management, chronic disease management, palliation and end of life...

RN Manager Healthcare Services

Molina Healthcare - 350 reviews - Cincinnati, OH
Utilization management, case management, care transition and/or disease management. Care review/utilization management (prior authorizations, inpatient...

Dialysis Clinical Manager -RN Required - NEW West Hamilton F...

Fresenius Medical Care - 1,984 reviews - Hamilton, OH  +3 locations
Maintains current knowledge of disease management software and systems as pertinent. Communicates changes in patient status regarding clinical, insurance,...

Milford Clinical Manager - RN Required - NEW Milford Clinic

Fresenius Medical Care - 1,984 reviews - Milford, OH
Maintains current knowledge of disease management software and systems as pertinent. Communicates changes in patient status regarding clinical, insurance,...

RN Case Manager

UC Health - 75 reviews - Ohio
Responsibilities include, but are not limited to, care coordination, utilization management, participation in discharge planning, and quality improvement...

Director of Quality Management DQM *NEW Inpatient Rehab Hosp...

Cleveland Clinic Rehabilitation Hospital Beachwood - Beachwood, OH
Director of Quality Management (DQM)*. As a *Director of Quality Management*. We are currently seeking a *Director of Quality Management*....
Easily apply

Utilization Review RN

The Maxis Group - Columbus, OH
Utilization Review Nurse. Hospital Utilization Management, Insurance Utilization Manage/Review and Millemen experience (MCG)....
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Director Neurosciences & Orthopedics Service Line

Genesis HealthCare System - 3 reviews - Zanesville, OH
Risk assessment, surveillance, prevention, wellness and education programming, acute episode management, chronic disease management, palliation and end of life...

Medical Liaison- Pediatric Endocrinology & Growth Hormone- O...

Novo Nordisk - 366 reviews - Cleveland, OH
Ensures effective administrative management of regional business as well as operational budgets. Combines account management skills, business acumen, and...

Director of Quality Management - Inpatient Rehab

Cleveland Clinic Rehabilitation Hospitals - Beachwood, OH
Director of Quality Management. As a Director of Quality Management , you will:. Other requirements of the Director of Quality Management role include:....
Unit Manager - RN - Sign on Bonus
HCR ManorCare - 2,341 reviews - Dublin, OH 43016
Under the scope of the State's Nurse Practice Act of Registered Nurse licensure. Your positive impact, excellent clinical skills, experience, and natural...
Registered Nurse Case Manager
FH Memorial Medical Center - Cleveland, OH 44102
Utilization Review, Resource Management:. Utilization review, resource management, care coordination, discharge planning Preferred....

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