Utilization review nurse jobs in Cincinnati, OH

Maintains positive, open communication with the physicians, nurses, multidisciplinary team members and.. Educates hospital and medical staff regarding utilization review program. Maintains a calm, rational..

Job Description American Traveler is offering a rewarding Case Management Travel Registered Nurse (RN) contract position in Edgewood Kentucky. Shift. Days 8 Job Length. 19 weeks. RNs who work..

Position Summary. The Director of Utilization Management (UM) is responsible for the oversight of the.. This includes the precertification and recertification process, peer to peer reviews, and appeal..

Months. Preference is given to attorneys who have worked on review projects before, however we.. Review attorneys design their own schedules and work 40 hours per week between the hours of 7 00a. 7 00p..

Seeks additional information and related follow up to evidence the review process, in conformance with.. assists with the maintenance of the department procedure manual. The sales supervision review process..

Seeks additional information and related follow up to evidence the review process, in conformance with.. assists with the maintenance of the department procedure manual. The sales supervision review process..

Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess.. Managed care experience. UM Certification. MedCompass. 1. year(s) of inpatient utilization experience..

For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care.. Utilization Review. Utilization Management and knowledge of InterQual. MCG guidelines. COMPACT RN..

Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members.. Preferred License, Certification, Association. Active, unrestricted Utilization Management Certification..

Manufacturing Contract Review Quality Assurance Engineer Metalex Manufacturing Inc. is seeking a highly.. The successful candidate will be detail oriented with proven experience in reviewing and helping to..

Overview Medpace is a full service clinical contract research organization (CRO). We provide Phase I IV clinical development services to the biotechnology, pharmaceutical and medic..

Data CoordinationDirect and coordinates all aspects of data collection, data harvest, quarterly outcomes report analysis and review. Responsible for monthly statistical and analysis reporting of..

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..

Job Description. Title. Utilization Management Representative I Location. This position will work a.. and post service requests.Refers cases requiring clinical review to a Nurse reviewer.Responsible for the..

Description Summary The SBA Eligibility Review Officer II is responsible for reviewing SBA & USDA.. Reviews use of proceeds, orders SBA Number, prepares SBA Loan Authorization and other SBA forms and is..

Medical Review Team POSITION LOCATIONThis position is available to Virginia residents as Richmond or.. What you bringActive Registered Nurse (RN) licensure At least two years experience working in a role..

Of Openings. 1 Quality Review Coordinator (Safety Culture Coordinator) (4028 12) Highly Competitive.. OR One (1) year of experience as a Quality Review Analyst AGENCY PREFERRED QUALIFICATIONS. Ability to..

Works in collaboration with peers and the Chairman of the TriHealth IRB to receive, review for.. Provides advice on non technical proposal content and format and providing preliminary reviews of draft..

Titan Nurse Staffing is seeking a travel nurse RN OR. Operating Room for a travel nursing job in.. About Titan Nurse Staffing We Take Care of You. While the availability of medical technicians and..