ZipRecruiter

Log In

3

Full Time Remote Utilization Review Jobs in Ohio

Manulife

Senior Underwriting Consultant

New Hampshire, OH · Remote

$88K - $104K/yr

Review contestable claims for potential misrepresentation during underwriting. * Maintain good ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

Manulife

Senior Underwriting Consultant

Delaware, OH · Remote

$93K - $110K/yr

Review contestable claims for potential misrepresentation during underwriting. * Maintain good ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

County of Delaware, OH

Social Service Worker III

Delaware, OH · On-site +1

$24.67 - $35.78/hr

Delaware, OH Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number: 2601319 Department ... AFSCME (JFS) Objectives Following a recent compensation review, the wage for this position has been ...

Kids Dental Brands

Supply Chain Specialist

Springfield, OH · On-site +1

$65K - $75K/yr

Review and approve office supply orders. * Manage backorders and discontinued items to ensure ... Job Type: Full-time. Remote * Travel: This is a primarily remote position based in a home office ...

Kids Dental Brands

Supply Chain Specialist

Maumee, OH · On-site +1

$65K - $75K/yr

Review and approve office supply orders. * Manage backorders and discontinued items to ensure ... Job Type: Full-time. Remote * Travel: This is a primarily remote position based in a home office ...

Kids Dental Brands

Supply Chain Specialist

Hamilton, OH · On-site +1

$65K - $75K/yr

Review and approve office supply orders. * Manage backorders and discontinued items to ensure ... Job Type: Full-time. Remote * Travel: This is a primarily remote position based in a home office ...

Bowling Green State University

ETL Developer

Bowling Green, OH · On-site +1

$47.75 - $62.50/hr

... a full-time position located in Bowling Green, Ohio , which offers the option for a flexible/hybrid work schedule (remote/on-campus). Application Deadline The search committee will review ...

previous pagenext page

Showing results 21-40

All JobsUtilization Review JobsFull Time Remote Utilization Review JobsFull Time Remote Utilization Review Jobs in Ohio

Full Time Remote Utilization Review information

What is the difference between Full Time Remote Utilization Review vs Part Time Remote Utilization Review?

AspectFull Time Remote Utilization ReviewPart Time Remote Utilization Review
Work HoursTypically 40 hours/weekFewer hours, often less than 20/week
CertificationsRequired certifications like AAHAM or URAC often neededSame certifications as full-time, but may vary by employer
Work EnvironmentRemote, full-time employmentRemote, part-time engagement
Job ResponsibilitiesComplete utilization reviews, documentation, complianceSimilar responsibilities but on a reduced schedule

Full Time Remote Utilization Review involves working 40 hours weekly with comprehensive responsibilities, while Part Time Remote Utilization Review offers flexible, reduced hours with similar duties. Both roles require relevant certifications and are performed remotely, but differ mainly in hours and workload.

What are the most commonly searched types of Remote Utilization Review jobs in Ohio? The most popular types of Remote Utilization Review jobs in Ohio are:
What are popular job titles related to Full Time Remote Utilization Review jobs in Ohio? For Full Time Remote Utilization Review jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Full Time Remote Utilization Review jobs in Ohio look for? The top searched job categories for Full Time Remote Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Full Time Remote Utilization Review jobs? Cities in Ohio with the most Full Time Remote Utilization Review job openings:
Full Time Remote Utilization Review jobs near you

Optometrist - Remote

Health Partners of Western Ohio

Toledo, OH • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago

Job description

Optometrist (Remote) - School Based Outreach
This is a full-time position following the assigned school districts school year and paid all year round.
(Monday through Friday 7:30am - 4:00pm)
The school year includes all working days for teachers, including remote work days, and is subject to potential modifications throughout the school year.
POSITION PURPOSE
The Optometrist is primarily responsible for examining the eyes and other parts of the visual system. In addition, the Optometrist will also diagnose and treat visual problems and manage diseases, injuries, and other disorders of the eyes. The Optometrist will also prescribe eyeglasses or contact lenses as needed. The Optometrist will promote eye health and counsel patients on how general health can affect eyesight. Position can be located remote or hybrid.
QUALIFICATIONS
EDUCATION/CERTIFICATION: Must complete a Doctor of Optometry (O.D.) degree program from an accredited optometry school and complete all sections of the National Board of Examiners in Optometry exam. Current license to practice as a Doctor of Optometry (O.D.).
REQUIRED KNOWLEDGE: Successful completion of in-house training.
EXPERIENCE REQUIRED: Minimum of 5 years as a practicing Doctor of Optometry (O.D).
BENEFITS:
  • Paid Time Off (PTO)
  • Insurance (Medical, Dental, and Vision)
  • Paid Holidays
  • 403b Retirement with up to 8% match (starts at 3% and increases with time of service at HPWO)
  • Eligible to Apply for National Health Service Corps Loan Repayment
  • Continuing Education Money ($3,000) that can be used for license, DEA, memberships, CE classes and travel expenses.
  • Annual Raises
  • Training Opportunities

ESSENTIAL FUNCTIONS AND BASIC DUTIES:
  • Assist with establishing vision policies, quality improvement procedures, and evaluating current practices, policies, and procedures.
  • Staying abreast of changing healthcare landscape and opportunities for utilization of technologies to support the enhanced provision of vision services for patients.
  • Maintain supervision and communication with optical and support staff to optimize quality clinical care and services.
  • Provides leadership in developing the vision care plan and review of the program requirements; and recommends changes when necessary to carry out the vision plan as required.
  • Assist the Clinical Director in designing, implementing, and evaluating educational programs for the Health Partners of Western Ohio patients and vision staff.
  • Assume quality care for all patients.
  • Complete patient history and conduct eye examinations using optometric equipment and general diagnostic interpretation.
  • Diagnose sight problems, such as nearsightedness or farsightedness, and eye diseases, such as glaucoma.
  • Prescribe eyeglasses, contact lenses, and other visual aids, and if state law permits, medications.
  • Provide treatments such as vision therapy or low-vision rehabilitation.
  • Evaluate patients for the presence of other diseases and conditions, such as diabetes or hypertension, and refer patients to other healthcare providers as needed.
  • Promote eye and general health by counseling patients.
  • Analyze test results and develop a treatment plan.
  • Adhere to the highest standards of vision practice, ethics, and professionalism.
  • Recommend changes in all vision areas, and/or general areas to improve the patient flow, medical records, billing practices, and appointment practices.
  • Document all patient care provided according to policy.
  • Formulate and direct a plan of care for the patient.
  • Refer to physicians or specialists, as needed.
  • Respond to vision emergencies.
  • Other duties as required by the funding agencies to carry out contractual agreements and/or as established by the Health Partners of Western Ohio, Management and Board of Directors.
  • Must become familiar with the Federal and State rules, regulations, and practices in a Community Health Center.
  • Become familiar with Federal and State Health care program requirements and assist in carrying out these programs.
  • Assist in developing the vision care plan and review of the program requirements; and recommend changes when necessary to carry out the vision plan as required.
  • Adhere to the Health Partners of Western Ohio Integrated Health Care Philosophy.
  • Participate in Performance Improvement/Risk Management Program.
  • Utilize supplies cost-effectively while ensuring that the vision department stays within budget.
  • Participate in continuing education and professional growth.
  • Maintain knowledge of, and complies with, personnel and Vision policies and procedures.
  • Adhere to the standards and policies of the Organizational Privacy/ Security and Compliance Programs, including the duty to comply with applicable laws and regulations (HIPAA, OSHA, OIG guidelines, and other State and Federal laws).
  • Promote eye and general health by counseling patients.
  • Analyze test results and develop a treatment plan.
  • Adhere to the highest standards of vision practice, ethics, and professionalism.
  • Recommend changes in all vision areas, and/or general areas to improve the patient flow, medical records, billing practices, and appointment practices.
  • Document all patient care provided according to policy.
  • Formulate and direct a plan of care for the patient.
  • Refer to physicians or specialists, as needed.
  • Respond to vision emergencies.
  • Other duties as required by the funding agencies to carry out contractual agreements and/or as established by the Health Partners of Western Ohio, Management and Board of Directors.
  • Must become familiar with the Federal and State rules, regulations, and practices in a Community Health Center.
  • Become familiar with Federal and State Health care program requirements and assist in carrying out these programs.
  • Assist in developing the vision care plan and review of the program requirements; and recommend changes when necessary to carry out the vision plan as required.
  • Adhere to the Health Partners of Western Ohio Integrated Health Care Philosophy.
  • Participate in Performance Improvement/Risk Management Program.
  • Provide services in office and throughout community in an outreach manner.
  • May be responsible for driving HPWO vehicle to provide services.
  • Employee is to follow all policies and procedures regarding company vehicle.
  • The position is responsible for other duties as assigned.

WORK ENVIRONMENT
Work is primarily sedentary, demanding sitting, walking, lifting, and bending. Those physical movements and the degree of mobility, manual dexterity, and hand-eye coordination commonly associated with duties in an office setting will be performed repetitively. This also includes bending, twisting, reaching, lifting, pulling, pushing, and walking. The ability to distinguish letters and symbols and utilize telephones, computer terminals, fax machines, and copiers is required. The work environment characteristics described here represent those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Working under stressful conditions, as well as irregular hours, may be required.

Apply