Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
CASE MANAGER - Part Time
Dayton, OH · On-site
Case Manager (RN) Dept: Integrated Care Management Program Shift: Part Time -0830-1700 / 48 Hours ... analysis, utilization management, transition planning and process, resource allocation, team ...
CASE MANAGER - Part Time
Dayton, OH · On-site
Case Manager (RN) Dept: Integrated Care Management Program Shift: Part Time -0830-1700 / 48 Hours ... analysis, utilization management, transition planning and process, resource allocation, team ...
CASE MANAGER - Part Time
Dayton, OH · On-site
Case Manager (RN) Dept: Integrated Care Management Program Shift: Part Time -0830-1700 / 48 Hours ... analysis, utilization management, transition planning and process, resource allocation, team ...
CASE MANAGER - Part Time
Dayton, OH · On-site
Case Manager (RN) Dept: Integrated Care Management Program Shift: Part Time -0830-1700 / 48 Hours ... analysis, utilization management, transition planning and process, resource allocation, team ...
Family Practice Physician Outpatient Only Practitioner - Physicians Only Apply - Perm
Columbus, OH · On-site
$215K - $344K/yr
Provides medical leadership of all for utilization management, cost containment, and medical ... Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or ...
Family Practice Physician Outpatient Only Practitioner - Physicians Only Apply - Perm
Columbus, OH · On-site
$215K - $344K/yr
Provides medical leadership of all for utilization management, cost containment, and medical ... Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or ...
Telehealth BCBA - Board Certified Behavior Analyst
Findlay, OH · On-site
$46 - $52/hr
Demonstrated leadership skills and relationship management * Self-development as well as seeking ... Job Type: Full-time/Part Time-Minimum 20 to 25 hours a week Pay: $46-$52 an hour/1099 Medical ...
Quick apply
Telehealth BCBA - Board Certified Behavior Analyst
Findlay, OH · On-site
$46 - $52/hr
Demonstrated leadership skills and relationship management * Self-development as well as seeking ... Job Type: Full-time/Part Time-Minimum 20 to 25 hours a week Pay: $46-$52 an hour/1099 Medical ...
Board Certified Behavior Analyst (BCBA) - Part-time
Cincinnati, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Cincinnati, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Columbus, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Columbus, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Westerville, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Westerville, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Mason, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Mason, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Gahanna, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Gahanna, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Dublin, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Board Certified Behavior Analyst (BCBA) - Part-time
Dublin, OH · On-site
$45 - $75/hr
... OR part-time & center-based Board Certified Behavior Analyst (BCBA) to join a motivated and ... Direct, lead & supervise behavior technicians as part of managing programs, including oversight of ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Part Time Utilization Management Bcba information
What is the difference between Part Time Utilization Management Bcba vs Part Time Behavior Analyst?
| Aspect | Part Time Utilization Management Bcba | Part Time Behavior Analyst |
|---|---|---|
| Certifications | BCBA or BCaBA, plus utilization management training | BCBA or BCaBA |
| Work Environment | Healthcare, insurance, or managed care settings | Clinical, educational, or behavioral therapy settings |
| Job Focus | Reviewing service necessity, authorizations, and resource allocation | Developing and implementing behavior intervention plans |
| Employer Usage | Health plans, insurance companies, healthcare providers | Schools, clinics, private practices |
While both roles require BCBA credentials, the Part Time Utilization Management Bcba focuses on managing healthcare resources and authorizations, whereas the Part Time Behavior Analyst concentrates on direct behavioral assessment and intervention. Understanding these differences helps professionals choose the role that aligns with their skills and career goals.
Part-time
Posted 27 days ago
Kettering Health rating
7.3
Based on 188 frontline employees who took The Breakroom Quiz
305th of 887 rated healthcare providers
Job description
Utilization Management | Miamisburg | Part-time | Varied Shift
Responsibilities & Requirements- Registered professional nurse with education, knowledge and experience.
- Role focuses on review of inpatient and observation admissions to ensure correct assignment of Admit status.
- Communicates concurrently and resolves medical necessity discrepancies with physicians and other hospital leadership as needed.
- Responsible for completing clinical review on all assigned patients and communicates these reviews to payers.
- Identifies potential or actual denials for admission or ongoing stay both during the patient's hospital stay and post discharge.
- Review and decide the validity of medical necessity payer denials. Submits payer denial appeals.
- Participates in design of work flows and procedure to reduce incidence of denials.
- Current unrestricted Ohio RN licensure, BSN required.
- Experience with computers required.
- 5 years clinical experience with 2 years case management
- Case Management certification
- Works independently
- Familiar with MCG Care guidelines
- Ability to adapt quickly to changing priorities and regulations
- Experience with Microsoft applications and EPIC software
! WEEKEND ONLY!
OverviewKettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.
Employment Type: PART_TIMEWhat Kettering Health employees say
Pay
Benefits
Hours and flexibility
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