Utilization Review Jobs in Columbus
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Search Results - Utilization Review Jobs in Columbus
Giant Eagle-Columbus
Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time Program.
• Process medical expense reports.
• Assist...
Columbus
and behavioral disorders. This role is integral to our mission of delivering comprehensive mental health services and requires a professional with a deep understanding of facilitating admissions, clinical intake assessments and utilization review processes...
icims.com -
Interim HealthCare-Columbus
previous case management/utilization review experience preferred.
• OASIS experience preferred.
• Practical trach and/or ventilator experience preferred, not required.
At Interim HealthCare, we know that being our best is non-negotiable – that's why we...
Columbus
balance, continuous learning, and career development.
Summary
Gainwell Technologies is seeking a Kentucky Utilization Review Medical Director. This role helps maintain the integrity of the payment integrity program. The person in this position...
tiptopjob.com -
Market District-Columbus
Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time Program.
• Process medical expense reports.
• Assist...
Pasadena Villa Outpatient-Dublin (OH), 8 mi from Columbus
admitting physicians and utilization review coordinators.
• Coordinates with the business office and Utilization Review to determine financing options for potential clients.
Qualifications
Education and Experience:
Position requires a bachelor’s degree...
mindmatch.ai -
Licking Memorial Hospital-Newark (OH), 31 mi from Columbus
of medical leave and disability paperwork for patients as necessary.
• Completes Bureau of Workman’s Compensation (BWC) forms for patients as necessary.
• Assists patients with the appeal and denial process.
• Provides clinical information (utilization review...
Interim HealthCare-Bellefontaine (OH), 44 mi from Columbus
insurance mandatory
• One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred.
• OASIS experience preferred.
• Practical trach...
Integrated Services for Behavioral Health-Lancaster (OH), 36 mi from Columbus
wherever they may be with support for self-management of health and well-being.
• Carries out utilization review and quality assurance activities as directed.
• Maintains necessary documentation, participates in program evaluation, attends team and program...
Integrated Services for Behavioral Health-Circleville (OH), 37 mi from Columbus
and well-being.
• Carries out utilization review and quality assurance activities as directed.
• Maintains necessary documentation, participates in program evaluation, attends team and program planning meetings, cross-systems training, and acquires...
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