- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- …EHR integration, mentors staff, and drives evidence-based improvements across services . Collaborates across disciplines to enhance care delivery, safety, and ... implementation, sustainment, and daily operations of Health Informatics (HI) services . Optimize patient care delivery and systems management through informatics.… more
- Humana (Columbus, OH)
- …taking inbound calls and assisting providers in determining whether a specific service for a member requires prior authorization or referral, ensuring compliance ... verifying medical necessity, ensuring members are not subjected to unnecessary services or expenses. + Responds to provider inquiries regarding existing… more
- Humana (Columbus, OH)
- …Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have ... with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely… more
- Humana (Columbus, OH)
- …We are seeking a dynamic and experienced project leader to join our Shared Services team to partner and work closely with business owners and project sponsors. This ... + Experience with Agile Methodologies + Knowledge and/or experience in a healthcare services setting + Knowledge and/or experience in a Shared Services … more
- Humana (Columbus, OH)
- …to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ... provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members,...modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). + A… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …The Registered Nurse - Assistant Chief Nurse will function in Community Outpatient Services . Duty Station is listed for the Cleveland location. However, other VA ... organizational processes and/or systems, improving outcomes at the program or service level; Provides leadership in identifying and addressing ethical issues that… more
- Bon Secours Mercy Health (Toledo, OH)
- …people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and ... with internal departments and external stakeholders to support student recruitment , clinical site engagement, and community partnerships under the direction… more
- Humana (Columbus, OH)
- …re-architecting legacy systems, driving cloud and AI adoption, and enabling "as-a- service " platforms. + Define and evolve architecture standards, reusable patterns, ... operations + Proven ability to evaluate tools, platforms, and services and select the right fit for the job...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A… more
- Humana (Columbus, OH)
- …to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ... procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties… more
- Humana (Columbus, OH)
- …the platform is scalable, observable, and resilient. + Utilizing cloud-native tools and services to build and deploy the platform. **Use your skills to make an ... other Anaplan modules + Experience with cloud platforms and services . + Excellent problem-solving and communication skills. + Experience...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A… more