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Relocate to FL - RN Utilization Review Specialist - $5k Sign...
RN Utilization Review Specialist - Case Management – Hospital Experience Required – FT Days. The RN Clinical Case Manager/ Utilization Review Specialist will...
Manager, Population Health & Quality of Care
Medical Performance & Management. Excellent analytical and project management skills. Minimum 3 years of prior management experience....
Case Manager
Medical case management:. The Select Case Manager also performs verification of utilization criteria reviews, builds relationships and coordinates with payor...
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Utilization Management Nurse Reviewer- Care Transitions

Medical Mutual of Ohio - 74 reviews - Strongsville, OH 44136
Performs discharge planning and utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare...

Utilization Management Nurse Reviewer-Care Authorizations

Medical Mutual of Ohio - 74 reviews - Cleveland, OH
Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members;...

UM Nurse Consultant

Aetna - 2,346 reviews - New Albany, OH
Utilization management experience required. An active unrestricted RN License required. This has enabled American Health to remain an industry frontrunner in...

Utilization Management Nurse Consultant - 44088BR

Aetna - 2,346 reviews - New Albany, OH
Utilization Management Nurse Consultants utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management...

Utilization Management Nurse (RN)

Quantum Health - 27 reviews - Columbus, OH 43235 (Northwest area)
Utilization Management Nurse (RN). We are looking for a Utilization Management Nurse. Excellent time management skills. Experience in health management desired....

Nurse Navigator - St. Ann's

Mount Carmel Health - 58 reviews - Westerville, OH
Requirements Associates degree from an accredited RN program Current license to practice as a Registered Nurse in the State of Ohio Minimum 2 years of clinical...

Nurse Reviewer: Care Authorizations - Medicare

Medical Mutual of Ohio - 74 reviews - Cleveland, OH
Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members;...

Nurse Reviewer: Care Transitions - Medicare

Medical Mutual of Ohio - 74 reviews - Cleveland, OH
Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members;...

Utilization Review Spclst

Kettering Health Network - 104 reviews - Miamisburg, OH 45342
Join our Utilization Management team! Current unrestricted Ohio RN licensure, BSN required. 5 years clinical experience with 2 years case management preferred...

Nurse Navigator - Service Line - Mount Carmel New Albany

Mount Carmel Health - 58 reviews - Columbus, OH
Requirements/Qualifications Associates degree from an accredited RN program Current license to practice as a Registered Nurse in the State of Ohio Minimum 2...
UTILIZATION MANAGEMENT SPECIALIST (LPN, RN, LPC, LSW, MSW )
SUN Behavioral Columbus - Columbus, OH
This position reports to the Director of Utilization Management. We are seeking a Utilization Management Specialist for SUN Behavioral Columbus - a free...
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RN Branch Manager
Pinnacle Senior Care - 42 reviews - Uniontown, OH 44685
Serves as a member of the Utilization Review and Performance Improvement Committees. Evaluates own job performance and utilization of resources in planning for...

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