- Elevance Health (Mason, OH)
- …- Monday. The **Transplant Nurse II** will be responsible for providing case and/or medical management for members receiving transplant services. Continue to learn ... preparation for advancement to the senior level. Within the case management role will within the scope of licensure...claims or service issues. + Assists with development of utilization /care management policies and procedures. + Within the medical… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …policies. + Identify, enroll and/or refer patients to Ambulatory Care Manager for Transitions of Care/Complex Case Management/Chronic Disease Management ... resource management to improve care, patient experience and reduce unnecessary cost and utilization : right care, right place, and right time. + Assist patient in… more
- Elevance Health (OH)
- …with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + Previous ... community agencies and appropriate provider/network. + Refers member to catastrophic case management. **Minimum Requirements:** Requires AS in nursing and minimum of… more
- Lumen (Columbus, OH)
- …part of planning, engineering and overseeing our SIEM (Security Information Event Manager ) environment which is undergoing significant change. Lumen is in the ... Linux Servers. + Experience in analyzing general system processing throughput, utilization , and capacity. + Strong work ethic, demonstrated self starter, ability… more
- Sharecare (Columbus, OH)
- …techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- UPMC (Wintersville, OH)
- …including daily, weekly, monthly, or other duties assigned by the Base Site Manager -Aviation. + Maintains fitness for duty by adhering to all employee health ... to conduct of flight ie, GOM, Op Specs, checklist utilization , etc.; operates without violation by regulatory authorities or...than 2,000 hours may be given consideration on a case -by- case basis based upon prior experience and… more
- ChenMed (Columbus, OH)
- …the office. + Engages with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be ... meetings, based on guidance from Market Clinical Director and Market General Manager . Fills in as needed for center clinical leadership needs, including monitoring… more
- CDM Smith (Toledo, OH)
- …identify savings and improvements. * Provide insights that matter: Report on utilization , explain budget variances, and present forecasts to key stakeholders across ... demands. **Preferred Qualifications:** * SAM, CSAM (Certified Software Asset Manager ), or SAMS (Software Asset Management Specialist) certifications preferred. *… more
- ChenMed (Columbus, OH)
- …of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed standards ... and in collaboration with other health care professionals. Consults with the manager , physician, and medical director to ensure compliance with guidelines. This… more
- Elevance Health (Mason, OH)
- …with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more