Utilization Management RN $70,000 jobs in Ohio

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Utilization Review Nurse-Utilization Management (RN)
Stanwell Health - Hudson, OH
Utilization Management (RN):. The Utilization Management Nurse (UM) will utilize clinical skills and criteria to facilitate and coordinate services for patients...
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Sponsored by Stanwell Health
Assistant Director of Nursing
Mentor Woods Skilled Nursing & Rehabilitation - Mentor, OH
Knowledge in wound care management and restorative nursing also preferred. The successful candidate must be an Ohio RN with 2 years long-term care supervisory...
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Sponsored by Mentor Woods Skilled Nursing & Rehabilitation
Manager of Orthopedic Case Management
CMC 196 reviews - Cambridge, OH
The Orthopedic Case Management Leader will provide leadership and direction for all RN Case Managers and Orthopedic Nurse Navigators, while managing policies...
Sponsored by Nurse Management

Care Manager II (RN)-Akron/Fairlawn

Centene Corporation 238 reviews - Ohio  +1 location
Knowledge of utilization management principles and healthcare managed care. Current state’s RN license. Participate in case management committees and work on...

Utilization Management Nurse (UM) - Registered Nurse

Stanwell Health - Cleveland, OH
Utilization Management - RN:. Utilization Management (RN):. The Utilization Management Nurse (UM) will utilize clinical skills and criteria to facilitate and...
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Care Manager II (RN)-Columbus

Centene Corporation 238 reviews - 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...

Care Manager II (RN)-Cleveland

Centene Corporation 238 reviews - Ohio
Knowledge of utilization management principles and healthcare managed care. Current state’s RN license. Participate in case management committees and work on...

Orthopedic Case Management Leader

Clinical Management Consultants - Dublin, OH
The Orthopedic Case Management Leader will provide leadership and direction for all RN Case Managers and Orthopedic Nurse Navigators, while managing policies...

Prog Mgr-Clinal Excellence

CHI Health at Home - Cincinnati, OH 45217
+ Experience in quality management methodologies and measurements systems required\. + Participates in delivery of comprehensive orientation for new clinical...

Registered Nurse (RN) - Appeals Nurse Consultant

Aetna 552 reviews - New Albany, OH
Managed care, utilization management or coding & reimbursement experience, preferred. Responsible for the review and resolution of medical policy appeals....

Utilization Review Nurse

Medical Staffing Options 5 reviews - Columbus, OH
$35 an hour
Retrospective Review RN. Individual must be a licensed Ohio RN. Payer experience, Case Management experience, clinical documentation specialist experience,...
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Registered Nurse (eICU)

U.S. Department of State 144 reviews - Cincinnati, OH
$46,909 - $93,723 a year
Duties of the RN (eICU) include:. Practice, ethics and resource utilization, Professional Development:. Collects and analyzes patient and family data for the...

Care Manager I-Cincinnati

Centene Corporation 238 reviews - Cincinnati, OH
Actively participate in integrated team care management rounds. Effective 07/05/2015, all new position will require current state’s RN license....
RN - Utilization Review - Daniel Drake Center - Case Managem...
UC Health 35 reviews - Cincinnati, OH
UR Nurse will work with hospital Care Management staff, Social Work, and Revenue Cycle team members, as well as with managed care agencies to assure...
Sponsored by HospitalCareers
RN - UCMC - Utilization Review
University of Cincinnati Medical Center 21 reviews - Cincinnati, OH
UR Nurse will work with hospital Care Management staff, Social Work, and Revenue Cycle team members, as well as with managed care agencies to assure...
Sponsored by HospitalCareers

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