Utilization Management Nurse $80,000 jobs in Ohio

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Acute Care Case Manager
Regency North Central Ohio - Cleveland West - Middleburg Heights, OH
RN/Registered Nurse Required. Medical discharge planning, hospital case management, acute care:. This position requires at least (2) years of work experience in...
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RN - Purchased Care Nurse Manager
Purchased Care Nurse Manager. As a primary leader of the management team, the incumbent directs strategic planning, program development, budget management, and...
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Nursing Director of Labor Delivery Post Partum Obstetrics
Clinical Management Consultants - Dayton, OH
$105,692 - $143,731 a year
Nursing Director of Perinatal Services, Nursing Director of Obstetrics, Nurse Director of Women’s Services, Nurse Director OB, Nursing Director Gynecology,...
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Utilization Management Nurse Reviewer-Care Authorizations

Medical Mutual - 23 reviews - Cleveland, OH 44115 (Downtown area)  +1 location
Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members;...

Regional Manager, Merz Aesthetics Injectables - Ohio Valley

Merz North America, Inc. - Valley, OH
Ability to prospect and uncover new opportunities as well as provide account management functions. Develop the skills of the Territory managers within your...

Director Quality and Productivity

EnvisionRx - Twinsburg, OH
Project management experience preferred. EnvisionRx, with a commitment to providing transparency and disclosure to the Pharmacy Benefit Management (PBM)...
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RN Director Utilization Review/Care Coordination

The Clinical Recruiter - Lima, OH
Director of Case Management experience in case management, discharge planning or other cost/quality management program required....

Supv UM II

Molina Healthcare - 191 reviews - Columbus, OH
Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification....

Mid-Atlantic Territory Manager - US Acute Care Hospitals

Nonin Medical Inc. - Ohio
Relationship management, strategy development, problem solving, and change management skills. CRM knowledge and current utilization experience....

Population Health Specialist

Aetna - 625 reviews - Columbus, OH
Functional - Management/Management - Project management (non-IT)/1-3 Years. Managed Care/Certified Managed Care Nurse, CMCN is desired....

Regional Account Manager-Oncology

Ambry Genetics - 8 reviews - Cleveland, OH  +1 location
Expand menu utilization in existing accounts. You will advocate the clinical and financial benefits of our products to all levels and call points in the...
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Medical Dir

Molina Healthcare - 191 reviews - Cincinnati, OH  +1 location
Knowledge of NCQA, HEDIS, Medicaid, MediCare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems,...

Mental Health Advanced Practice Nurse (CNS/NP)

Department Of Veterans Affairs - 1,249 reviews - Sandusky, OH
$64,413 - $123,743 a year
Clinical Nurse Specialist:. Practice, ethics and resource utilization; A full and current certification as a Nurse Practitioner from the American Nurses...
Medical Director – Clinical Health Plan (Behavioral Health)...
Knowledge of NCQA, HEDIS, Medicaid, MediCare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems,...
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