- CVS Health (Columbus, OH)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills in a… more
- CVS Health (Columbus, OH)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... Weekend, and late rotations. **Required Qualifications** + Active current and unrestricted Registered Nurse in the state of residence + Willing and able to obtain… more
- CVS Health (Columbus, OH)
- …**Required Qualifications:** -3+ Years of clinical experience -1+ Year of Utilization Review Management and/or Medical Management experience. ... -Must have active and unrestricted RN license in the state you reside. -5 years demonstrated to make thorough independent decisions using clinical judgement -5 Years proficient use of equipment experience including phone, computer, etc and clinical… more
- CVS Health (Columbus, OH)
- …reimbursement policy. + 1+ year of Coding experience **Preferred Qualifications** + Utilization Management review + Managed Care experience **Education** + ... years of clinical experience required + 2+ years of experience as a Registered Nurse + Must have active, current and unrestricted RN licensure in state of residence… more
- Bon Secours Mercy Health (Warren, OH)
- …professional nursing standards activity on their shift. Works collaboratively with management for change, evaluation of practice standards, and problem resolution. ... Functions as a consultant to the staff and other departments; monitors problems...be filled according to policy. + Represents administration and management on their shifts. Approves staff request for overtime… more
- ProMedica Health System (Toledo, OH)
- …Specialist focuses on the lifelong learning needs of the professional nurse including orientation, continuing education, and ongoing competency development. The ... department, division, hospital or system level. He/she serves as a consultant , researcher, evidence-based practice mentor, performance improvement leader and project… more
- Bon Secours Mercy Health (Perrysburg, OH)
- …clinical and operational excellence. Job Description **Summary:** The Supervisor Clinical Nurse functions in an administrative role on off-shifts, weekends and ... professional nursing standards activity on their shift. Works collaboratively with management for change, evaluation of practice standards and problem resolution.… more