Utilization Management RN $50,000 jobs in Ohio

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Registered Nurse (RN) - Utilization Management Nurse Consult...
Aetna - Richfield, OH
Requires an RN with unrestricted active license. Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization....
Sponsored by Aetna - 4 days ago
Assistant Director of Nursing Job
HCR ManorCare - Canton, OH
Currently licensed in the state as RN; Two years experience as a RN with 1-year nursing supervisory experience....
Sponsored by HCR ManorCare - 3 days ago

Health Services Director - Dublin, OH

Humana - Dublin, OH
Proven background in Utilization Management (Acute and Post-acute) and Case Management (Acute and Post-acute). An RN with an active license....
7 days ago - save job - email - more...

Health Coach Associate (LPN/LVN)

Aetna - New Albany, OH 43054
Uses judgment to determine when a case is triaged to the RN for more comprehensive oversight. Application of criteria and guidelines, policies, procedures,...
18 hours ago - save job - email - more...

NCLEX RN INSTRUCTOR- Athens OH

Kaplan - Athens, OH - +3 locations
Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual. Faculty adhere to the course curriculum, position...
12 hours ago - save job - email - more...

Care Management Program Consultant (Work at Home/Telecommute...

Aetna - New Albany, OH
Q care management program, performance metrics outcomes, and impact on assigned beneficiary utilization. A Provider with Care Management background;...
1 day ago - save job - email - more...

RN - UC Health Business Center - Denials Management

UC Health - Cincinnati, OH
RN. RN - UC Health Business Center - Denials Management. Registered nurse with experience in Utilization Management, Quality Management, Performance Improvement...
30+ days ago - save job - email - more...

Case Plan Clinician Supervisor

Southwest General Health Ctr - Middleburg Heights, OH
Case Management certification helpful. Minimum 3-5 years in case management/utilization management. Qual Criteria with knowledge of Medicare/Medicaid and...
Southwest General Health Center - 8 days ago - save job - email - more...

RN Trans Care Coordinator

Summa Health System - Akron, OH
Two (2) years recent experience in clinical, utilization management, home care, discharge planning, and/or case management....
7 hours ago - save job - email - more...

Nurse Care Coordinator

Mercy Health - Springfield, OH - +2 locations
Utilization of health systems and community resources. Strong skills in independent problem solving and process management....
Easily apply
8 days ago - save job - email - more...

RN Care Navigator

Promedica - Toledo, OH 43606 (Ottawa area)
Addresses CDMP compliance, utilization management, LOS and/or avoidable/denied days with mid-level providers, physicians and the physician advisor as indicated....
18 days ago - save job - email - more...

RN Case Manager - Daniel Drake Center - Case Management

UC Health - Cincinnati, OH
RN Case Manager - Daniel Drake Center - Case Management. Responsibilities include, but are not limited to, care coordination, utilization management,...
22 hours ago - save job - email - more...
M.D.S. Director
Washington Square Healthcare Center - Warren, OH
Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable....
Easily apply
Sponsored by Washington Square Healthcare Center - 9 days ago
Care Review Clinician II
Molina Healthcare Inc. - Columbus, OH
Preferably hospital nursing and/or utilization management. Case Management Certification (CCM), Utilization Management Certification (CPHM) or other healthcare...
Sponsored by CareerBuilder - 11 days ago
RN Medical Case Manager - Workers Compensation
Travelers - Independence, OH
Disability case management experience preferred. Develop medical management strategy and give the provider information necessary to facilitate a return to work...
Sponsored by CareerBuilder - 8 days ago

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