- Trinity Health (Columbus, OH)
- **Employment Type:** Part time **Shift:** **Description:** ** Utilization Review RN , Case Management** **Why Mount Carmel?** With five hospitals ... Mount Carmel College of Nursing **About the job:** The ** RN Case Manager, Utilization Review **...Licensure / Certification: Current license to practice as a Registered Nurse ( RN ) in the… more
- CVS Health (Columbus, OH)
- …personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days **including ... other events, as directed by their Leader. **Required Qualifications** + Active and unrestricted Registered Nurse in state of residence + 3+ years of experience… more
- Fresenius Medical Center (Columbus, OH)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- AmeriHealth Caritas (Dublin, OH)
- …+ Assist in preparation, coordination, and participation in and follow up of Utilization Management audits, such as readiness review , Data Validation, CMS ... Current and unrestricted RN license in OH. + 3+ years of utilization /case management experience in relevant scope preferred, one year required. + 3+ years… more
- Prime Therapeutics (Columbus, OH)
- …oversight for this program is provided by the Manager, Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical ... Experience in managed care, specialty drugs, care management and utilization review . + Meets Magellan Credentialing criteria....- Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State… more
- Lincoln Financial Group (Columbus, OH)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred ... for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …Provide administrative support to Physicians, Physician's Assistants, Nurses, Advanced Registered Nurse Practitioners, Social Workers, and other administrative ... patient of cancelled or missed appointment. Coordinate with the patient care team to review the clinic utilization by using various reports, to ensure that the… more