- Select Medical (Columbus, OH)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager (PRN)** _Requires a current licensure in a...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Columbus, OH)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager ** _Requires a current licensure in a clinical...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- ChenMed (Columbus, OH)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... local travel EDUCATION AND EXPERIENCE CRITERIA: + ARNP or similar advanced degree in Nursing required + Current Nurse Practitioner Certification in the State of… more
- Elevance Health (Columbus, OH)
- …management plan and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates in or leads ... **Anticipated End Date:** 2024-11-01 **Position Title:** Nurse Care Mgr II (US) **Job Description:** The...services in multiple states. + AS or BS in nursing preferred. + Certification as a Case Manager… more
- Trinity Health (Columbus, OH)
- …outpatient clinics (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) ... and enrollment opportunities at the Mount Carmel College of Nursing + Mount Carmel offers **_DailyPay -_** if you're...accordance with the Mission and Guiding Behaviors; the Regional Manager - First Choice Ohio manages the daily operations… more
- Highmark Health (Columbus, OH)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- Trinity Health (Westerville, OH)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN Case Manager ** Our RN Case Manager in collaboration with other internal and external ... transfer or discharge. This is done with the intentions of cost-effective utilization of hospital resources, minimizing out of pocket expenses for patients,… more
- CVS Health (Columbus, OH)
- …providers. Serves as advocate for patients, ensuring effective communication, resource utilization , and continuous monitoring of their progress to promote positive ... healthcare personnel as appropriate. + Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients… more
- Elevance Health (Columbus, OH)
- …Level:** Non- Management Exempt **Workshift:** **Job Family:** MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation ... responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment… more
- Trinity Health (Canal Winchester, OH)
- …+ Exhibits a community and customer service focus. **Job Relationships** _Reports to:_ Clinical Nurse Manager , Assistant Clinical Manager , Charge Nurse ... requested. + Accepts responsibility for being pro-active in cost effective utilization of supplies and resources. + Accepts responsibility for non-direct patient… more