Utilization Management Nurse jobs in Ohio

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Clinical Document Specialist (Registered Nurse - RN) -- Albu...
Lovelace Health System - United States
Minimum 5 years recent clinical experience in nursing or other clinical area, coding, process improvement, or utilization review/case management in an acute...
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Director Emergency Services
Mercy Health - Lorain, OH
Minimum of 3 - 5 years experience as staff nurse in Emergency Room Demonstrated leadership and management experience....
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Sr. Field Care Advocate Ohio Based Telecommuter
UnitedHealth Group 2,446 reviews - Akron, OH
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients....
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RN - UC Health - Utilization Review

UC Health 43 reviews - Cincinnati, OH
RN - Utilization Review. RN - UC Health - Utilization Review. Knowledge of level of care management, established criteria sets, discharge planning, home health...

Population Health 24/7 Clinical Care Line, RN

Mount Carmel Health - Columbus, OH 43222 (Franklinton area)
2-4 years of clinical nursing experience preferred with at least 3-5 years' experience acute care experience in utilization review, discharge planning, case...

Patient Care Resource Manager

Ohio State University Medical Center 360 reviews - columbus, OH 43212
$55,000 - $84,750 a year
And (5) an expert, knowledgeable in care management principles and the utilization of system and community resources tailored to meet individual patient needs....

Utilization Review / Intake Nurse

Blueridge Vista - Cincinnati, OH
UR responsibilties - participates in utilization review and/or quality assurance programs; Admissions responsibilities - taking inbound phone calls, performing...

RN Case Mgr - My Care OH

CareSource 55 reviews - Cleveland, OH  +1 location
§ Collaborate with the utilization management department for service authorizations. § Case Management or Managed Care Nurse Certification, such as Certified...

Columbus, Ohio- UM Coordinator, RN

ProMedica 42 reviews - Columbus, OH 43235 (Northwest area)
Nurses,interested in a Utilization Management. Utilization Management Coordinator will Identify and. Or case management experience....

Patient Care Coordinator

CareSource 55 reviews - Dayton, OH
§ Three years utilization review and/or case management experience is preferred. § Time management skills. § Medical management experience is preferred....

Team Lead, Case Management Integrated Care

CareSource 55 reviews - Cleveland, OH
§ Time management skills. § Certification in Case Management (CMC) is preferred. § One (1) year of management experience is preferred....

RN Care Facilitator Part-Time

Mercy Health - Lima, OH
Education, Care Coordination, Compliance, Transition Management and Utilization Management. Project management skills preferred....

Medical Drug Management Nurse Reviewer

Medical Mutual of Ohio 42 reviews - Cleveland, OH
Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered medical drugs and associated services...
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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Telephonic Neonatal RN Case Manager - Telecommute
UnitedHealth Group 2,446 reviews - Ohio
Case Management experience. RN, Registered Nurse, NICU, Case Manager, CCM, Managed Care, Discharge Planning, Utilization Review, Telecommute, Telecommuter,...
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