The Care Manager works in partnership with patients, families, caregivers and providers to deliver ... Day Scheduled Weekly Hours : 40 Department UM Care Coord - Ambulatory Join us! ... if your passion ...
New
The Care Manager works in partnership with patients, families, caregivers and providers to deliver ... Day Scheduled Weekly Hours : 40 Department UM Care Coord - Ambulatory Join us! ... if your passion ...
New
The Care Manager works in partnership with patients, families, caregivers and providers to deliver ... Day Scheduled Weekly Hours : 40 Department UM Care Coord - Ambulatory Join us! ... if your passion ...
New
The Care Manager works in partnership with patients, families, caregivers and providers to deliver ... Day Scheduled Weekly Hours : 40 Department UM Care Coord - Ambulatory Join us! ... if your passion ...
New
The Care Manager works in partnership with patients, families, caregivers and providers to deliver ... Day Scheduled Weekly Hours : 40 Department UM Care Coord - Ambulatory Join us! ... if your passion ...
New
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-Southwest Hub Join us! ... if your passion ...
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-Southwest Hub Join us! ... if your passion ...
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-Southwest Hub Join us! ... if your passion ...
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-Southwest Hub Join us! ... if your passion ...
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-South Central Hu Join us! ... if your ...
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-South Central Hu Join us! ... if your ...
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-South Central Hu Join us! ... if your ...
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-South Central Hu Join us! ... if your ...
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-South Central Hu Join us! ... if your ...
The Care Manager collaborates with interdisciplinary staff and stakeholders within the care ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-South Central Hu Join us! ... if your ...
Columbus, OH · On-site
$18.25 - $25/hr
Utilization Review/Management (UM) to secure necessary authorizations. Support with ongoing UM, as needed, including, but not limited to pre-certifications, renewal authorizations, denial appeals ...
Columbus, OH · On-site
$18.25 - $25/hr
Utilization Review/Management (UM) to secure necessary authorizations. Support with ongoing UM, as needed, including, but not limited to pre-certifications, renewal authorizations, denial appeals ...
Delaware, OH · Remote
$155K - $175K/yr
Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and understanding how to align terms and conditions and translate into UM policy and criteria * Manage medical ...
New
Delaware, OH · Remote
$155K - $175K/yr
Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and understanding how to align terms and conditions and translate into UM policy and criteria * Manage medical ...
New
UR/UM) 50% Provides Direct Supervision of care managers, social workers, utilization review case managers, extenders, supervisors and ancillary support staff at locations as applicable. 1. ...
UR/UM) 50% Provides Direct Supervision of care managers, social workers, utilization review case managers, extenders, supervisors and ancillary support staff at locations as applicable. 1. ...
Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department's population health strategies, health ...
Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department's population health strategies, health ...
UR/UM) 50% Provides Direct Supervision of care managers, social workers, utilization review case managers, extenders, supervisors and ancillary support staff at locations as applicable. 1. ...
UR/UM) 50% Provides Direct Supervision of care managers, social workers, utilization review case managers, extenders, supervisors and ancillary support staff at locations as applicable. 1. ...
Provider Claims, Appeals and Denials - certain services require prior authorization (PA) from the Utilization Management (UM) department * 6 + months of Interqual experience * 6+ months of Coding ...
Provider Claims, Appeals and Denials - certain services require prior authorization (PA) from the Utilization Management (UM) department * 6 + months of Interqual experience * 6+ months of Coding ...
Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department's population health strategies, health ...
Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department's population health strategies, health ...
Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department's population health strategies, health ...
Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department's population health strategies, health ...
... manage multiple projects each with critical deadlines simultaneously Research and recommend innovative, and where possible automated approaches for system administration tasks Ensure maximum um ...
... manage multiple projects each with critical deadlines simultaneously Research and recommend innovative, and where possible automated approaches for system administration tasks Ensure maximum um ...
Functions as a liaison to the payer to manage the post-discharge financial resources and ensure ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-South Central Hu Join us! ... if your ...
Functions as a liaison to the payer to manage the post-discharge financial resources and ensure ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-South Central Hu Join us! ... if your ...
Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department's population health strategies, health ...
Directing all activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with the department's population health strategies, health ...
Job Summary The Field Access Manager (FAM) is a customer facing role focused on providing coverage ... of payor/UM criteria issues. • Monitors in-process patient cases through a patient navigator ...
Job Summary The Field Access Manager (FAM) is a customer facing role focused on providing coverage ... of payor/UM criteria issues. • Monitors in-process patient cases through a patient navigator ...
Functions as a liaison to the payer to manage the post-discharge financial resources and ensure ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-North Central Hu Join us! ... if your ...
Functions as a liaison to the payer to manage the post-discharge financial resources and ensure ... Day Scheduled Weekly Hours : 40 Department UM Care Coord-North Central Hu Join us! ... if your ...
$24.5K - $32.8K
9% of jobs
$32.8K - $41.1K
15% of jobs
$41.8K is the 25th percentile. Wages below this are outliers.
$41.1K - $49.5K
17% of jobs
The median wage is $52.3K / yr.
$49.5K - $57.8K
27% of jobs
$62.9K is the 75th percentile. Wages above this are outliers.
$57.8K - $66.1K
12% of jobs
$66.1K - $74.4K
8% of jobs
$74.4K - $82.7K
4% of jobs
$82.7K - $91K
3% of jobs
$91K - $99.4K
2% of jobs
$99.4K - $107.7K
2% of jobs
$107.7K - $116K
1% of jobs
$24.5K
$59.5K
$116K

7.0
Based on 339 frontline employees who took The Breakroom Quiz
416th of 887 rated healthcare providers
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.
Job Description Summary:
The Care Manager works in partnership with patients, families, caregivers and providers to deliver targeted care that is organized, coordinated, cost effective and patient-centered. The Care Manager collaborates with interdisciplinary staff and stakeholders within the care continuum to promote patients’ optimal health through disease prevention and management strategies. Evidence-based interventions are applied to populations for cost efficient and outcome-based care. Outcomes include disease-based quality measures, patient satisfaction metrics, access to services, and hospital/ED utilization rates.
Responsibilities And Duties:
Minimum Qualifications:
Bachelor's Degree (Required)APRN - Advanced Practice Registered Nurse License - State of Ohio Board of Nursing, BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing
Additional Job Description:
Work Shift:
Day
Scheduled Weekly Hours :
40
Department
UM Care Coord - Ambulatory
Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry
Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
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OhioHealth is a not-for-profit, faith-based health system based in Columbus, Ohio, US. Operating since 1981, it is one of the largest and most comprehensive health systems in its area of operation. OhioHealth's business is grounded at the union of the healthcare and medical industry. The organization provides a full range of healthcare services from acute hospital care to rehabilitative and long-term care, including medical research and development.
Hospitals and health care and social assistance
10,000+ Employees
Columbus, OH, US