Utilization Management Nurse jobs in Cincinnati, OH

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Director of Case Management
Hospital Case Management:. , you will use your clinical knowledge every day and contribute to the overall functions and professional growth of the Department...
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Registered Nurse - RN - Case Manager
Follow State/Country mandated guidelines for the nurse case management programs. Active Registered Nurse (RN) licensure in the state in which the Registered...
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Sales, Territory Manager – Image Guided Therapy Devices, Per...
Philips - 2,242 reviews - Cincinnati, OH
Ability to effectively manage assigned accounts in terms of driving utilization, customer relationship management, problem resolution, and business planning....

Utilization Management Representative I

Anthem, Inc. - 2,571 reviews - Mason, OH
Utilization Management Representative:. Utilization Management Representative I – Mason, OH – 139287. Refers cases requiring clinical review to a Nurse reviewer...

RN Utilization Review (Third Shift)

UC Health - 203 reviews - Cincinnati, OH
Knowledge of level of care management, established criteria sets, discharge planning, home health care, and case management required;...

Clinical Care Manager

Aetna - 2,772 reviews - Cincinnati, OH
Registered Nurse (RN) required. Certification in Case management (CCM) preferred. Case management and discharge planning experience preferred....

RN Denials Specialist

Mercy Health - 737 reviews - Mason, OH
Case Management or Utilization Review experience strongly preferred. Apply for this Job....


TriHealth - 114 reviews - Evendale, OH   +1 location
CARE MANAGEMENT COORDINATOR:. Directs and or completes all functions of the government and commercial utilization management process....

RN Care Management Specialist - Mercy Health West Hospital

Mercy Health - 737 reviews - Township of Green, OH
Registered Nurse – Licensed in the State of Ohio. Initiates referrals for financial counseling which assists in discharge plan development and resource...

PREOP PACU RN - West Two 10 hour shifts

Beacon Orthopaedics & Sports Medicine - 2 reviews - Cincinnati, OH 45247
PREOP PACU REGISTERED NURSE. Completes appropriate financial management responsibilities. Assumes charge nurse responsibility as assigned....
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Admissions Coordinator

Premier of Estates of Riverside - Cincinnati, OH
Prospecting for new referral sources/identify end-users, account management, presentation skills, problem solving and strong closing capabilities....
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RN Shift Supervisor - The Jewish Hospital

Mercy Health - 737 reviews - Cincinnati, OH
Human, technical and /or management problems encountered. Minimum of one year experience as a “Charge” Nurse....

RN or LPN (Clinical Coordinator)

Allergy Partners of Greater Cincinnati - Crestview Hills, KY
Quality Assurance and Risk Management*. Basic understanding of utilization review, quality assurance, and managed care process....
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Care Manager II (RN)
Knowledge of utilization management principles and healthcare managed care. Participate in case management committees and work on special projects related to...
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Quality Manager (RN)
Assurance Health System - Cincinnati, OH
Registered Nurse (RN). Currently licensed in the State of Ohio as a registered nurse. Provides leadership in performance measurement analysis, trending and the...
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