Utilization Management RN jobs in Ohio

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Dialysis Clinical Manager Cleveland OH (by Metro Hospital) 1...
Fresenius Medical Care 928 reviews - Cleveland, OH
When required by the Area Manager, acts as the initial RN Case Manager for disease management patients. Maintains current knowledge of disease management...
Sponsored by Fresenius Medical Care - 7 days ago
Clinical Admissions Director
Genesis HealthCare 625 reviews - Toledo, OH
Preferred case management experience. Prior experience in utilization review or discharge planning preferred....
Sponsored by Genesis HealthCare - 12 days ago

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 402 reviews - Richfield, OH - +1 location
Registered Nurse with a current, active, unrestricted RN license. The UMNC utilizes clinical skills in a collaborative process to assess, plan, implement,...
1 day ago - save job - email - more...

RN Utilization Management

Mercy Health - Cleveland, OH
RN - Utilization Management. Assists with post service utilization activities as requested by RMCR management....
25 days ago - save job - email - more...

Population Health Management, Care Coordination RN

Mount Carmel Health - Columbus, OH
Population Health Management, Care Coordination RN. Coordinates with the utilization review, case management, discharge planning staff within network facilities...
4 days ago - save job - email - more...

Medicaid Health Systems Administrator 1-RN

State of Ohio 102 reviews - Franklin County, OH
$27.93 - $36.59 an hour
Assists with the day-to-day management of Utilization Review contractors. Evaluates Medicaid providers’ utilization review processes (e.g....
6 days ago - save job - email - more...

RN Patient Care Manager

TalentCare LLC - Columbus, OH - +1 location
Polypharmacy, and high utilization rates. Responsibility is to oversee care management and coordination. Our client, a Virginia based FQHC, is seeking to hire...
10 days ago - save job - email - more...

RN Case Manager

University Hospitals 87 reviews - Beachwood, OH
Practices utilization management. Participation in Case Management training preferred. RN with current license to practice in the state of Ohio....
5 days ago - save job - email - more...

NAM UM Nurse Consultant

Aetna 402 reviews - New Albany, OH 43054 - +1 location
The Utilization Nurse Consultant is an integral member of the care management team. We are looking for a Utilization Management Nurse Consultant to join the New...
15 days ago - save job - email - more...

RN Clinical Documentation Specialist

PAS-Cincinnati - Mason, OH
Clinical knowledge, understanding and judgement are required, as well as an understanding of payer utilization management processes....
HCA Inc - 14 days ago - save job - email - more...

Assistant Director of Nursing Job

HCR ManorCare 606 reviews - Willoughby, OH 44094 - +4 locations
Currently licensed in the state as RN; Two years experience as a RN with 1-year nursing supervisory experience....
3 days ago - save job - email - more...

Clinical Care Manager

Aetna 402 reviews - Cincinnati, OH
Adheres to care management and quality management processes. Case management and discharge planning experience preferred....
1 day ago - save job - email - more...
Clinical Documentation Specialist - UH Elyria Medical Center
EMH Healthcare 8 reviews - Elyria, OH
Utilization Review/Management experience strongly preferred. RN, RHIT, RHIA, or CCS required. Insures hospital case-mix index, severity profiles and quality...
Sponsored by EMH Healthcare - 4 days ago
Nurse Care Coordinator
Mercy Health 47 reviews - Springfield, OH
Utilization of health systems and community resources. Strong skills in independent problem solving and process management....
Easily apply
Sponsored by Mercy Health - 30+ days ago
Clinical Documentation Improvement, Relocate to Duke Health...
Duke University Health System 269 reviews - Cincinnati, OH
Clinical Documentation Improvement, CDI, CCDS , CDIP, CCS Certification Certified Nurse RN, BSN, MSN, Nurse, Nursing, Registered Nurse, Practitioner, Physician...
Sponsored by TooBusyWorking.com - 2 days ago

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Company with Utilization Management RN jobs
8 reviews
Expert Care. Exceptional Caring. We are committed to improving the health of our community through safe, high quality cost effective care.