Review Management Jobs in Ohio (NOW HIRING)

Previous Care Management, Case Management, or Utilization Management Experience. * Experience with doing 30+ reviews a day. * Previous experience with screening criteria including Cerner, InterQual ...

Please review the job opportunity below: Client: Southwest General Hospital Health Center Location ... Previous Case Management or Utilization Management Experience required * Previous experience with ...

The Utilization Review Specialist is responsible for the authorizations and certifications process ... Medicare/Managed Care/Medicaid) with knowledge of payor resources and planning. * Report ...

May also manage appeals for services denied * Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with ...

... management and long-term services and supports (LTSS) issues. • Identifies and reports quality of care issues. • Assists with complex claim review including diagnosis-related group (DRG ...

Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams and ...

Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams and ...

Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams and ...

Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams and ...

Utilization Management (UM) RN / Utilization Specialist Schedule: Full-Time | 40 Hours/Week ... Review medical necessity using InterQual and MCG Criteria . * Complete utilization reviews ...

Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating ...

Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating ...

Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating ...

... for the management and success of the program. Collaborate with interdisciplinary team to define outcome parameters, design measurement tools, and evaluate results. Build relationships and gain ...

Solomon Page is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Middleburg Heights, Ohio. & Requirements * Specialty: Utilization Review * Discipline: RN * ...

Previous Care Management, Case Management, or Utilization Management Experience. * Experience with doing 30+ reviews a day. * Previous experience with screening criteria including Cerner, InterQual ...

Solomon Page is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Middleburg Heights, Ohio. & Requirements * Specialty: Utilization Review * Discipline: RN * ...

Overview As a Legal Solutions Consultant at IST Management, you will leverage your operational expertise as a Document Review Attorney/eDiscovery Attorney toward a career in sales. No experience in ...

The Care Review Clinician will provide prior authorization for behavioral health services for the ... Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least ...

Similarly, he/she is responsible for assisting the Director of UR/Case Management to assure ... UR/UM) 50% Provides Direct Supervision of care managers, social workers, utilization review case ...