Utilization Management RN jobs in Ohio

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RN Clinical Educator
Weekly and monthly reports completed and turned in to meet time management deadlines. Attends continuum meetings to facilitate appropriate utilization of...
RN House Supervisor
Prestige Gardens Rehabilitation and Nursing Center - Marysville, OH 43040
The RN House Supervisor oversees the care management of a population of patients within this facility. This position coordinates resource utilization, timely...
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Director of Nursing
Astoria Skilled Nursing and Rehabilitation is seeking an energetic Director of Nursing. Astoria is an 83-bed skilled nursing facility located in Canton, Ohio
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Utilization Management Nurse Consultant (RN)- Registered Nur...

Aetna - 2,437 reviews - New Albany, OH
We are looking for a Utilization Management Nurse Consultant to join the New Albany Dedicated Unit. Requires an RN with unrestricted active license....

Utilization Management Nurse Consultant (RN)

Aetna - 2,437 reviews - Richfield, OH 44286
Utilization Review experience; Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization....

Utilization Management Nurse Consultant

Aetna - 2,437 reviews - Richfield, OH 44286  +1 location
An RN license is required. Requires and RN with unrestricted active license. We help our members live fuller and healthier lives while delivering positive...

Concurrent Review Nurse I ( RN & LPN )

Buckeye Community Health Plan - 494 reviews - Columbus, OH 43215 (Downtown area)
Educate providers on utilization and medical management processes. Current state’s LPN/LVN or RN license. Enter and maintain pertinent clinical information in...


TriHealth - 95 reviews - Ohio
BLOOD UTILIZATION QUALITY COORDINATOR:. This RN will be required to attend physician THC training. Bachelor's Degree in Nursing Incumbents must obtain BSN by...

Medical Review Nurse

State of Ohio - 409 reviews - Summit County, OH
$26.81 an hour
All applicants must submit a completed Ohio Civil Service Application using the online Ohio Hiring Management System....

Telephonic Nurse Case Manager RN

UnitedHealth Group - 5,949 reviews - Cincinnati, OH 45208 (Hyde Park area)
Utilization Management experience. Case Management experience. Certification in Case Management (CCM). Document assessments, interventions, and follow-up on...

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;...

Patient Care Resource Manager

Ohio State University Medical Center - 195 reviews - Columbus, OH 43212
$55,000 - $84,750 a year
And (5) an expert, knowledgeable in care management principles and the utilization of system and community resources tailored to meet individual patient needs....

Utilization Management Coordinator

Southwest General Health Center - 36 reviews - Middleburg Heights, OH
Case Management or Utilization Review) needed. The Coordinator for Utilization Management assists with the coordination and supervision of daily operations of...
Clinical Wound Care Specialist (LVN/LPV/RN/PT Required!)
In account management and sales.*. Job duties include scheduling rounds with assigned LTC facilities to facilitate timely ordering of eligible products,...
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Utilization Review Case Manager II (RN) - 956848
OhioHealth - 142 reviews - Columbus, OH 43224
Maintains compliancy with regulation changes affecting utilization management. This position assists in development, implementation, and revision of the...

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