- Humana (Columbus, OH)
- …PH ,UM Administration Coordinator 2 contributes to administration of PH utilization management . The UM Administration Coordinator 2 provides non-clinical ... treatment, care or services for members. The UM Administration Coordinator 2 processes requests for authorization of health services, requiring interpretation of… more
- MetroHealth (Brooklyn Heights, OH)
- … of selected patients. Integrates and coordinates access and utilization management , proactive patient panel management , care facilitation, and treatment ... in Nursing. Valid Ohio RN licensure. Three to Five years of case management or managed care experience. Ability to work independently and as a member of a… more
- Cherry Bekaert (Columbus, OH)
- …and continuous professional development. Our team is looking for a Senior Resource Coordinator to support our Tax group. The Senior Resource Coordinator will ... to work remotely from within the United States. The Senior Resource Coordinator will effectively fill resource engagement requests overseeing the utilization … more
- Cleveland Clinic (Cleveland, OH)
- …advanced, safest and clinically proven treatments of the gastrointestinal tract. As a Care Coordinator in the DDSI/Gastroenterology Department, you will serve as ... patients to develop goals, plan interventions and maximize patient outcomes. + Provide care and disease management coordination. + Identify patients in the… more
- Elevance Health (Mason, OH)
- …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management of person-centered care plans. May also ... unless an accommodation is granted as required by law._ The **LTSS Service Coordinator -RN Clinician** is responsible for overall management of member's case… more
- Elevance Health (Mason, OH)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... **LTSS Service Coordinator (Case Manager)** **Hiring statewide across Ohio** **Location**...management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members… more
- Intermountain Health (Columbus, OH)
- … savings and improved health outcomes for patients. **Preferred Requirements:** + Primary Care office experience + Care Management + Social Determinates ... care team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation,… more
- Bon Secours Mercy Health (Lorain, OH)
- …as a clinical resource and consultant for the acute rehab program. The Admissions Coordinator RN cross trains to cover case management as needed, which includes ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, ...to acute rehab unit. Maintains expertise in clinical field, utilization review and case management ; communicates to… more
- Elevance Health (Canton, OH)
- …member and the health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will be based upon the current ... **LTSS Service Coordinator - Clinician (Case Manager)** **Hiring statewide across...law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope… more
- Medtronic (Cleveland, OH)
- …**A Day in the Life** **Careers that Change Lives** The **Sr. Inventory Coordinator ** role is an on-site/office position that is responsible for managing the Spinal ... the local area surrounding the office. The Sr. Inventory Coordinator works closely with local sales managers and sales...reps in managing the assigned inventory and ensuring top utilization of the systems. This role acts as an… more