Manager Utilization Review - Franklin

Your experience matters at Columbus Springs-East. We empower and support a diverse workforce to drive quality and impact across hospitals and communities. · ...

We are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care t ...

The utilization review LVN/RN will assess services for members to ensure optimum outcomes, · cost effectiveness and compliance with all state and federal regulations · and guidelines. · ...

+Job summary · Support those that are in our facilities who are interfacing and providing care to our patients and community members.ResponsibilitiesDisplays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on beha ...

You could be the one who changes everything for our members as a clinical professional on our Medical Management/Health Services team. · Competitive pay · Health insurance · ...

Utilization review nurse responsible for ensuring high-quality and medically necessary care for patients. Maintains efficient methods of reviewing medical necessity criteria to ensure appropriateness of hospital admissions. · ...

AccessThisPermanentStaffUtilizationReviewRegisteredNurseJobinColumbusOH. · ...

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We're seeking a Registered Nurse (RN) with experience in transplant utilization review to join our team at Quantum Health. In this role, you will review medical service requests for members of our employer groups in an inpatient setting across the transplant continuum. · Assess a ...

The Registered Nurse (RN) - Transplant Utilization Review is responsible for reviewing and processing medical service requests for members of Quantum Health's employer groups in an inpatient setting across the transplant continuum. · Assess and review all requests for inpatient t ...

+The Manager UR Operations is responsible for managing the execution of Quantum's Utilization Review delivery. · This leader will have primary accountability for performance management escalation triage audit presentation. · Provide direct leadership subject matter expertise for ...

The Manager, UR Operations is responsible for managing the execution of Quantum's Utilization Review delivery. · ...

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, · the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision · ...

We are seeking a Senior Electrical Engineer with an active Professional Engineering (PE) license in the State of Ohio to support utility and energy infrastructure projects across North America. · ...

+Job summary · We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. · +Hospital Utilization Management. · Insurance Utilization Manager/Review and Millemen Experience (MCG). · +Review cases for in patients/in hos ...

A growing engineering services firm in Columbus seeks detail-oriented CAD Drafters to assist with telecom infrastructure projects. · Draft construction-level drawings for telecom installations. · Interpret field survey notes into conduit designs. · ...

+The Utility Outage Coordinator manages utility outages that ensure effective and efficient operation of the health system utility systems. + · +ResponsibilitiesEvaluates proposed outages; · Identifies impacted utilities and stakeholders; · Performs risk assessment and mitigates ...

The Damage Prevention Specialist position provides key support to the Underground Technical Committee (UTC). The UTC is an appointed body responsible for reviewing and ruling on complaints alleging violations of Ohio's damage prevention and excavation safety laws. · Processing an ...

This role entails preparation of property tax returns and review and analysis of property tax assessment notices. Prepare and file annual personal property tax returns for various entities across the firm. · Analyze and submit associated personal property tax bills for payment. · ...

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. · ...

The Instructional Services Specialist reports to the Supervisor of Instructional Services and provides support for the Instructional Services functions, · including virtual,in-person,and accommodated testing,the Faculty Assistance Center (FAC),and other duties.ESSENTIAL JOB FUNCT ...