- ChenMed (Columbus, OH)
- …you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. ... The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of care across the continuum of care . The incumbent… more
- Elevance Health (Cincinnati, OH)
- …employment, unless an accommodation is granted as required by law_ The **Nurse Care Manager I** is responsible for collaborating with healthcare providers and/or ... will make an impact:** + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions and… more
- Trinity Health (Columbus, OH)
- …who reside within a 50mile radius of Columbus, Ohio is required to come onsite 1x per quarter for quarterly meeting. Why MediGold? MediGold is a not-for-profit ... United States. We're dedicated to providing excellent customer service, cost-effective care , and exceptional healthcare coverage. We rely on talented colleagues in… more
- Elevance Health (Cincinnati, OH)
- …spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group ... of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are… more
- Elevance Health (Mason, OH)
- …from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... DRG coding via medical record and attending physician's statement sent in by acute care hospitals on submitted DRG. **Primary duties may include, but are not limited… more
- Elevance Health (Mason, OH)
- …required. + BA/BS or higher in a health related field or certification as a care manager preferred. + Knowledge of medical management process and ability to ... medical transplant issues. + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions,… more
- ChenMed (Cincinnati, OH)
- …in clinical rounds and conferences. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides excellent inpatient and outpatient cardiovascular care as well as, ... you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.… more
- Elevance Health (Mason, OH)
- …and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . **Office location:** The selected candidate must reside within 50 miles ... resource to other pharmacists on areas such as prospective, inpatient and retrospective DURs and provides dosage conversion and...BA/BS in Pharmacy. Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of… more
- Elevance Health (Seven Hills, OH)
- …as a clinical resource to other pharmacists on areas such as prospective, inpatient and retrospective DURs and provides dosage conversion and clinical support for ... in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more