- Centene Corporation (Columbus, OH)
- … Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure ... adherence to performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues +… more
- OhioHealth (Grandview, OH)
- …The LPN Supervisor will serve as the go-to leader for clinical and support staff, managing scheduling, supervising and mentoring team members, and overseeing ... are seeking an experience an experienced and motivated LPN Supervisor to provide leadership, oversight, and support for our... clinical workflows. Key responsibilities include performance management ,… more
- Trinity Health (Columbus, OH)
- …Talent Acquisition Partner to ###@mchs.com . **Position Purpose:** The **RN Administrative Supervisor ** , in collaboration with the management team, serves as ... Type:** Part time **Shift:** 12 Hour Night Shift **Description:** **RN Administrative Supervisor ** + Interested candidates are welcome to send resume to Laura… more
- Bon Secours Mercy Health (Oberlin, OH)
- …cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **_Paramedic Supervisor - Allen Hospital_** ... emergency medical services. **Position Summary:** + Ensures staffing and personnel management : Assures adequate staffing and optimum utilization of personnel,… more
- Bon Secours Mercy Health (Youngstown, OH)
- …**Essential Job Functions** + Activities may include but are not limited to medication management activities typically for a specific clinical area of focus or ... effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** The … more
- Bon Secours Mercy Health (Youngstown, OH)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** The ... Clinical Pharmacy Specialist participates in clinical programs...disease prevention + Perform medication reviews and medication therapy management to ensure safe and appropriate use of medications… more
- Bon Secours Mercy Health (Mason, OH)
- …**Essential Functions:** + Activities may include but are not limited to medication management activities typically for a specific clinical area of focus or ... effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Mercy Health** As a faith-based and patient-focused… more
- Premier Health (Dayton, OH)
- …standards for administration and reporting of outcome measures and documentation of utilization management of clinical care. . Demonstrate knowledge ... client care and continuity of care. . Provides case management and CPST services to coordinate clinical ...locations and new service initiatives. . Meet regularly with supervisor and as needed to review clinical … more
- OhioHealth (Columbus, OH)
- …to claims, addition of diagnosis allowances and authorization numbers 6. Refer utilization management / clinical decisions beyond level of authority to ... and coordination of services through proactive collaboration and communications with utilization management and care coordination team. 5. Monitor commercial… more
- CVS Health (OH)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... self-insured clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures… more