Job Address: 10123 Alliance Road, Sutie 300 Blue Ash, OH 45242 Role: UM Director Job Post Title: Utilization Review Director Shift: M-F Hours: 8-4:30 9-5 The Role Itself * Oversees service requests ...
60 Communicarehealth Jobs Hiring Near You
Job Address: 10123 Alliance Road, Sutie 300 Blue Ash, OH 45242 Role: UM Director Job Post Title: Utilization Review Director Shift: M-F Hours: 8-4:30 9-5 The Role Itself * Oversees service requests ...
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Job Address: 20 Wilson Drive Cameron, WV 26033 A DEEPER COMPASSION, FOR A HIGHER PURPOSE Nurses are at the heart of our world-class, patient-centered standard of care. Day in and day out, they go the ...
RN Registered Nurse, Part Time
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$17 - $20/hr
Job Address: 315 Lilienthal Street Cincinnati, OH 45204 Brookside Healthcare Center , a member of the CommuniCare Family of Companies, is currently recruiting for a PT Maintenance Technician to join ...
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Cincinnati, OH · On-site
$17 - $20/hr
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Executive Director / Nursing Home Administrator (LNHA)
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$85K - $112K/yr
Job Address: 1115 Maplewood Avenue Lewisburg, WV 24901 Executive Director / Nursing Home Administrator (LNHA) Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional ...
Executive Director / Nursing Home Administrator (LNHA)
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Job Address: 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Nurse Practitioner - Adult Telemedicine 3rd Shift Shifts can vary: 7P-7A, 1A-7A, and could also accommodate 10P-7A PHP Telehealth is ...
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NEMT, Non-Emergency Medical Transport Morgantown
$18.25 - $24.25/hr
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NEMT, Non-Emergency Medical Transport Morgantown
$18.25 - $24.25/hr
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Elkhart, IN · On-site
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Part Time Speech Language Pathologist (SLP)
Elkhart, IN · On-site
$37.50 - $50.75/hr
Job Address: 333 West Mishawaka Road Elkhart, IN 46517 Speech Language Pathologist CommuniCare Rehab , a member of the CommuniCare Family of Companies has a Part Time opening for a Speech Language ...
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Therapeutic Support Technician
$21 - $29/hr
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Therapeutic Support Technician
$21 - $29/hr
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Job Address: 955 Garden Lake Parkway Toledo, OH 43614 Lynx EMS is hiring non-emergency medical transportation drivers to cover various shifts in Toledo and surrounding areas. Seeking drivers who are ...
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STNA Nursing Assistant, Up to $26
Cincinnati, OH · On-site
$26/hr
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STNA Nursing Assistant, Up to $26
Cincinnati, OH · On-site
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Staff Pharmacist
Indianapolis, IN · On-site
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Staff Pharmacist
Indianapolis, IN · On-site
$56.75 - $67/hr
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Massillon, OH · On-site
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Massillon, OH · On-site
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Job Address: 5500 South Broadway St Louis, MO 63111 Registered Nurse (RN) Inpatient Behavioral Health - Day Pay: Up to $40/Hr | Location: St Louis, MO | Schedule: Day Shift | 3x12s (7p-7a) | Every ...
Job Address: 5500 South Broadway St Louis, MO 63111 Registered Nurse (RN) Inpatient Behavioral Health - Day Pay: Up to $40/Hr | Location: St Louis, MO | Schedule: Day Shift | 3x12s (7p-7a) | Every ...
RN Assistant Director of Nursing
$71K - $95K/yr
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RN Assistant Director of Nursing
$71K - $95K/yr
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RN Nursing Supervisor
Cincinnati, OH · On-site
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RN Nursing Supervisor
Cincinnati, OH · On-site
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Receptionist, Part Time
$11.25 - $15/hr
Job Address: 712 Professional Park Dr Summersville, WV 26651 Summersville Healthcare Center , a member of the CommuniCare Family of Companies, is currently recruiting for a Part Time Receptionist to ...
Receptionist, Part Time
$11.25 - $15/hr
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STNA Nursing Assistant , Nights
Chardon, OH · On-site
$22/hr
Job Address: 620 Water Street Chardon, OH 44024 A DEEPER COMPASSION, FOR A HIGHER PURPOSE Our Nursing Team is the heart of our world-class, patient-centered standard of care. Day in and day out, they ...
STNA Nursing Assistant , Nights
Chardon, OH · On-site
$22/hr
Job Address: 620 Water Street Chardon, OH 44024 A DEEPER COMPASSION, FOR A HIGHER PURPOSE Our Nursing Team is the heart of our world-class, patient-centered standard of care. Day in and day out, they ...
Communicarehealth Jobs Information

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 20 days ago
Job description
Job Address:
10123 Alliance Road, Sutie 300 Blue Ash, OH 45242Role: UM Director
Job Post Title: Utilization Review Director
Shift: M-F
Hours: 8-4:30 9-5
The Role Itself
Oversees service requests, authorizations and LOS metrics.
Reviews documentation quality for clinical effectiveness in regards to reimbursement.
Participates in clinical team for goal alignment and compliance.
Manages patient transitions between LOC and updates denial log.
Develops processes to minimize denials and provides education.
Possesses strong knowledge of external review organizations.
Facilitates UM team meetings.
Perks with us!
Medical Packages with Rx - 3 Choices
Flexible Spending Accounts (FSA)
Dependent Care Spending Accounts
Health Spending Accounts (HSA) with a company match
Dental Care Program - 2 choices
Vision Plan
Life Insurance Options
Accidental Insurances
Paid Time Off + Paid Holidays
Employee Assistance Programs
401k with a Company Match
Education + Leadership Development
Up to $15,000 in Tuition Reimbursements
Student Loan Forgiveness Programs
Education:
Related and relevant field experience
Or Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences,
Or Master's Degree
Must be 21 yrs or older
License:
LPN, RN, LMSW, LPC, BSW, LSW, LPCC, LISW or applicable license preferred.