- Amazon (Columbus, OH)
- Description Amazon Web Services (AWS) is seeking a Sr. Regional Design Manager to join its design team. As a Sr. Regional Design Manager , you will be part of a ... Data Centers are industry leading examples of innovation in the areas of space utilization , energy efficiency, and cost effectiveness. We are known for our speed to… more
- Elevance Health (Cincinnati, OH)
- …to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the ... means that the medical director is directly involved in Utilization Management and Case Management. + Daily...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- …to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions, or interactions of drugs. + ... in all clinical activities as required, including start of care prospective review of medical and drug histories, pharmacokinetic dosing, dosage monitoring for… more
- Elevance Health (Independence, OH)
- …The **Medical Director** will be part of the Central Region team responsible for utilization review case management and appeals for local Commercial business ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Elevance Health (Columbus, OH)
- …appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information regarding network providers or ... clinical information regarding case and determines...and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation… more
- Molina Healthcare (Cleveland, OH)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified… more
- Elevance Health (Wright Patterson AFB, OH)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
- Molina Healthcare (Cleveland, OH)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral… more
- Prime Therapeutics (Columbus, OH)
- …clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...Quality oversight for this program is provided by the Manager , Patient Programs. **Minimum Qualifications** + Associates - Nursing… more
- The Salvation Army (Youngstown, OH)
- …assist the Mahoning County Area Services Coordinator, Operations Director and Program Manager with social service programs, activities and assistance as requested. + ... and assistance. + Work with Operations Director and Program Manager to request volunteers as needed + Assist with...sources + Assist in the identification, recruitment, training and utilization of volunteers for both local and seasonal social… more
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