Utilization Management RN $50,000 jobs in Ohio

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UM Nurse Consultant - RN 37431BR
Aetna - 1,917 reviews - Richfield, OH 44286
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program....
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Utilization Review RN
The Maxis Group - Columbus, OH
RN. Hospital Utilization Management, Insurance Utilization Manage/Review and Millemen experience (MCG). Minimum 3-4 years of clinical practice in hospital...
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Case Manager
Regency Hospital Company - 142 reviews - Middleburg Heights, OH
Meeting patient related utilization management criteria. The Case Manager assumes responsibility for utilization reviews and resource management, discharge...
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RN Utilization Review

UC Health - 69 reviews - Ohio
RN Utilization Review. RN Utilization Review - UC Medical Center - Utilization Review - Third Shift. Utilization Review with ED assignment....

Staff Development Coordinator

Wexco Senior Services - Columbus, OH 43209 (Bexley area)
Management data, innovations in clinical care delivery and technology, regulatory requirements, the performance goals of the WHV and feedback from staff and...

Clinical Care Manager

Aetna - 1,917 reviews - New Albany, OH
Registered Nurse experience in field of case management with history in the field of managed care, or insurance preferred in addition to 5 years clinical...

Supervisor, Utilization Management

Buckeye Community Health Plan - Columbus, OH 43215 (Downtown area)
Supervise the daily operations of the utilization management (UM) department. Working knowledge and understanding of basic utilization management and quality...

CARE MANAGEMENT COORDINATOR;3405

TriHealth - 69 reviews - Lebanon, OH
CARE MANAGEMENT COORDINATOR:. Directs and or completes all functions of the government and commercial utilization management process....

RN

UC Health - 69 reviews - Ohio
RN Utilization Review. RN - Utilization Review - UC Health Business Center - Utilization Review. Current RN license in Ohio....

RN Special Projects- UC Health- Performance Improvement

UC Health - 69 reviews - Ohio
Quality management, utilization management or case management preferred. RN Special Projects. Current RN license in practicing state....

Nurse Navigator – Case Management

Mount Carmel - 19 reviews - New Albany, OH
Minimum 2 years of clinical nursing experience with 1 year experience in utilization review, discharge planning, case management, disease management or medical....

UM Nurse Consultant - RN

Aetna - 1,917 reviews - New Albany, OH  +1 location
Utilization Management experience required. An active, unrestricted RN license required. This has enabled American Health to remain an industry frontrunner in...

Care Manager II (RN)

Buckeye Community Health Plan - Ohio  +3 locations
Knowledge of utilization management principles and healthcare managed care. Current state’s RN license. Participate in case management committees and work on...
Clinical Manager/Educator - RN Required
Black Stone - 12 reviews - Columbus, OH
Management experience preferred. Access to utilization of public or private transportation system. Excellent Clinical Manager Opportunity with a Leader in Home...
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Case Manager (RN or MSW) - Inpatient Rehab
OhioHealth Rehabilitation Hospital - Columbus, OH 43201
And Payer/Referral Management. Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management...
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