- Elevance Health (Mason, OH)
- **Medical Management Nurse ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... will drive the future of health care. The **Medical Management Nurse ** is responsible for reviewing the...experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination… more
- Elevance Health (Norwood, OH)
- …Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case. As required by ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
- Trinity Health (Canal Winchester, OH)
- …to:_ Director of Patient Care Services, Assistant Clinical Manager, Charge Nurse or designee _Supervises:_ + N /A **Job Responsibilities** _Essential ... Patient Care** : + Under the direction of an RN , or other licensed staff member. + Delivers patient...+ Accepts responsibility for being pro-active in cost effective utilization of supplies and resources. + Accepts responsibility for… more
- Trinity Health (Columbus, OH)
- …Services Director. Works in collaboration with other Interventional Services Management staff and Interventional Services Radiologists in aspects of radiology ... Technology program. BA or BS degree preferred. + Licensure / Certification: Registered by the American Registry of Radiologic Technologist (ARRT) required. Valid… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …coordinates work with the patient, family or support members, inpatient case management team, and interdisciplinary care team members during post-acute admission for ... appropriate utilization of services, length of stay and safe discharge...by their supervisor, subject to reasonable accommodation. **Licensing/Certification** Current RN License in the state in which they are… more
- CommonSpirit Health at Home (Cambridge, OH)
- …Education:** Act as a Clinical Educator when needed. + **EMR Utilization :** Utilize Homecare Homebase to accurately document patient interactions, assessments, and ... and timely client care in compliance with regulations. + **Staff Management :** Ensure appropriate staffing, participate in recruitment and retention, and manage… more
- J&J Family of Companies (Columbus, OH)
- …relationships with identified OLs and health care providers (MD, PA, NP, RN , Pharm.D., biocoordinators) and developing and managing a geographical territory. These ... their skills in agility, applying the competencies of Change Management , Time Management and Innovation. The Sr....PharmD, PhD, MD, or other advanced medical degree NP ( Nurse Practitioner), PA (Physician Assistant), with +3 years relevant… more
- Cleveland Clinic (Cleveland, OH)
- …Operations team. Eligible patients (from value-based contracts) that demonstrate high utilization of healthcare services, are at greater risk of rapidly escalating ... medical needs, and/or are fragile and require more high-touch management . This exciting opportunity focuses on building a team-based practice to provide high touch… more
- Highmark Health (Columbus, OH)
- …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year of ... + In-depth knowledge of the pharmacy industry, including benefit design, formulary management , and pharmacy best practices. + Proven ability to interpret and analyze… more