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Utilization Review Specialist
1 day ago
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Utilization Review Specialist
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Columbus, Ohio, United States Mount Carmel Behavioral Health Full timeJob SummaryThe Utilization Review Specialist is a critical role at Mount Carmel Behavioral Health, an 80-bed inpatient acute treatment center for adult men and women experiencing mental or behavioral health challenges. This position serves as a liaison between managed care organizations and the facility's professional clinical staff, ensuring seamless...
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RN Utilization Review Case Manager
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RN Utilization Review Case Manager
5 hours ago
Columbus, United States Mount Carmel Health System Full timeJob DescriptionEmployment Type:Part timeShift:Day ShiftDescription:Utilization Review RN, Casual / PRNPosition Purpose: RN Utilization Review Case Mgr ensures that services are delivered in a manner that balances quality of care with efficiency, cost-containment and compliance.Minimum Qualifications:* Graduate of an accredited Registered/Professional Nursing...
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RN Utilization Review Case Manager
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RN Utilization Review Case Manager
9 hours ago
Columbus, Ohio, United States Mount Carmel Health System Full timeJob Summary:Mount Carmel Health System is seeking a skilled RN Utilization Review Case Manager to ensure that services are delivered in a manner that balances quality of care with efficiency, cost-containment, and compliance.Responsibilities:Conduct thorough reviews of patient records to ensure that services are medically necessary and meet regulatory...
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RN Utilization Review Case Manager
3 days ago
Columbus, OH, United States Mount Carmel Health System Full timeEmployment Type:Part timeShift:Day ShiftDescription:Utilization Review RN, Casual / PRNPosition Purpose: RN Utilization Review Case Mgr ensures that services are delivered in a manner that balances quality of care with efficiency, cost-containment and compliance.Minimum Qualifications:* Graduate of an accredited Registered/Professional Nursing program.*...
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RN Utilization Review Case Manager
4 days ago
Columbus, OH, United States Mount Carmel Health System Full timeEmployment Type:Part timeShift:Day ShiftDescription:Utilization Review RN, Casual / PRNPosition Purpose: RN Utilization Review Case Mgr ensures that services are delivered in a manner that balances quality of care with efficiency, cost-containment and compliance.Minimum Qualifications:* Graduate of an accredited Registered/Professional Nursing program.*...
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Utilization Management Nurse Consultant
4 days ago
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Utilization Management Specialist I
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Utility Coordination Specialist
2 weeks ago
Columbus, Ohio, United States Resource Innovations Full timeAbout the RoleResource Innovations is seeking a highly skilled Utility Coordination Specialist to join our team focused on delivering energy transformation solutions across various states.Key ResponsibilitiesDevelop and implement a plan for engaging and coordinating with Utilities throughout the program lifecycle.Build best practices and SOP for coordination...
Utilization Review
4 months ago
Utilization Review Specialist Job Description
Unique opportunity to join Maryhaven, Central Ohio’s largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team Maryhaven was founded on the principles of Diversity, Equity, and Inclusion in 1953, opening our doors to serve an overlooked segment of our population, women in need of substance abuse recovery services. We remain driven by our value of excellence in quality care for all and fostering a culture that embraces dignity of all. The Utilization Review Specialist coordinates the design, development, implementation, and monitoring of the organization’s Benefits and utilization review functions. The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management. The Utilization Review Specialist participates in department development and unit performance improvement.
Utilization Review Specialist Benefits
- Knowledge and skills at a level normally acquired through the completion of a Bachelor's Degree in human service or behavioral health with two (2) years experience in the field of chemical dependency, or adolescent treatment or equivalent experience and training in behavioral health field.
- Knowledge of Electronic Health Records.
- Must have valid State of Ohio LPCC, LSW, LCDC II or III, RN licensure.
Utilization Review Specialist Requirements
- Salary commensurate with experience.
- Medical, vision, and dental insurance effective on your first day
- Paid time off (PTO) starts accruing on your first day
- 11 paid holidays.
- 403(b) Retirement Savings Plan.
- Free Workforce Development and CEU's.
- Tuition reimbursement.
- A well-funded and managed non-profit organization driven not by the bottom line, but by helping its customers.
- Equal Employment Opportunity (EEO).