- CVS Health (Columbus, OH)
- …promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team **Position Summary** The ... a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective...projects. Acting as the first point of contact for clinical issues, the Team Lead provides guidance… more
- OhioHealth (Pickerington, OH)
- …laboratory services into hospitals total health care system by actively attending management team meetings and participating on hospital committees; works ... Serves as campus specific representative within the OhioHealth Laboratory Services management team relative to strategic planning, regulatory compliance,… more
- Trinity Health (Canal Winchester, OH)
- …of the Organization. The scope of Multi-Skilled Technician's role is to support clinical care in the Emergency Department, Inpatient Unit, Imaging Services area and ... a community and customer service focus. **Job Relationships** _Reports to:_ Clinical Manager, Assistant Clinical Manager/Educator, Charge Nurse or designee… more
- Gentiva (Circleville, OH)
- …Nurse (RN) with strong leadership experience in hospice care, home health, or clinical operations management . If you're a natural leader who is passionate ... about patient-centered care, team development, and clinical excellence, we invite...while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain… more
- CVS Health (Columbus, OH)
- …CVS Aetna is seeking a dedicated **Appeals Nurse Consultant** to join our remote team . In this role, you will be responsible for processing the medical necessity of ... Medicare appeals for participating providers. **Key Responsibilities** + Requesting clinical , research, extrapolating pertinent clinical , applying appropriate… more
- Trinity Health (Canal Winchester, OH)
- …focus. **Job Relationships** _Reports to:_ Director of Patient Care Services, Assistant Clinical Manager, Charge Nurse or designee _Supervises:_ + N /A **Job ... & families, providing updates and initiating service recover on identified issues. + ** Clinical Practice - Routine Patient Care** : + Under the direction of an… more
- Elevance Health (Logan, OH)
- …by responsible RN, and in conjunction with the RN, member and the health care team , to ensure cost effective and efficient utilization of health benefits. + ... or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social… more
- OhioHealth (Pickerington, OH)
- …care meetings. Plans and coordinates discharge plan with multidisciplinary team . Educates patient and caregiver/family. Recommends Medical Equipment required for ... Provides information to physicians, nurses, case managers, social workers, and other team members. 5% Documents evaluation, plan of care, progress toward goals,… more
- CVS Health (Lancaster, OH)
- …of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility ... While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our...you will take on greater accountability for supporting the management , oversight, and operations within the pharmacy, including but… more
- Trinity Health (Pickerington, OH)
- …demeanor in difficult situations. . Knowledge of the functional operations of utilization management , discharge planning, business offices, and third party ... are expanding our practices in Pickerington and looking for APPs to join the team . The APRN - Nurse Practitioner provides primary or acute healthcare services for… more