| Job alert | Jobs 1 - 10 of 10074 |
RN Utilization Review Case Manager
Trinity Health
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Columbus, OH, 43213
Employment Type:Part time Shift:Day Shift Description: Utilization Review RN, Casual / PRN Position Purpose: RN Utilization ... Ministry/Facility Information: Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central ... - Sep 26
RN, Pre-Certification Review - Pharmacy
quantum-health
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Dublin, OH, 43017
... Review Nurse – Pharmacy is responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications, to include site of care assessments, for enrollees of Quantum Health’s employer groups. ... - Sep 26
Cardiovascular Health Public Health Consultant HYBRID
Health
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Columbus, OH, 43215
... in providing direct service &/or consultation in a public health, community health, hospital &/or clinic setting, to include exp. in program evaluation, grant review, developing & presenting training programs & in facilitating &/or working ... - Sep 25
RN Utilization Review Case Manager
Trinity Health
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Columbus, OH
**Employment Type:** Part time **Shift:** Day Shift **Description:** **Utilization Review RN, Casual / PRN** Position ... Ministry/Facility Information: Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central ... - Sep 27
HYBRYD - Provider Network and Data Oversight Specialist (Health
Medicaid
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Columbus, OH, 43215
What You Will Do At ODM: Office\: Managed Care Bureau: Managed Care Compliance & Oversight Classification: Health Services ... (PA)/ Code of Federal Regulations (CFR) Compliance Monitor and review MCO/ MCOP directories for compliance with PA (data ... - Sep 22
HYBRID - Care Coordination Oversight Manager (Medicaid Health Systems
Medicaid
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Columbus, OH, 43215
Completion of graduate core program in business, management or public administration, public health, health administration, ... activities related to performance overseeing external quality review activities, including the development of administrative ... - Sep 25
Medical Health Advocate Hybrid LSW
Equitas Health
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Columbus, OH
... Achieve productivity standards maintained by Equitas Health, including spending no less than 60% per month of hours worked directly engaging with clients, their families, and other informal supports. Participate in and complete Peer Review Audits ... - Sep 18
Nursing Supervisor/Psychiatric Mental Health Nurse Practitioner (PMHNP
Community for New Direction
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Columbus, OH, 43227
... s mental health symptoms to diagnose and create a comprehensive treatment plan with the treatment team. Provide client-centered care partnering with clients to promote resiliency and recovery. Order and administer screenings and tests; review and ... - Sep 27
HYBRID - Medicaid Health Systems Specialist
Medicaid
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Columbus, OH, 43215
... What You Will Do at ODM: Office: Operations Bureau: Eligibility Operations Classification: Medicaid Health Systems Specialist (PN 20097685) Job Overview: As a Central Processing Team staff member, your responsibility will include: · Researches and ... - Sep 26
Employee Health Nurse
Nationwide Children's Hospital
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Columbus, OH, 43216
Overview The Employee Health Nurse is responsible for providing routine health care for NCH new hires and employees. ... Reports positive results to the Medical Review Officer physician for follow up. * 6. Collaborates with the Department of ... - Sep 20