- Molina Healthcare (Akron, OH)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... **JOB DESCRIPTION** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and… more
- Molina Healthcare (Akron, OH)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization...experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (Dayton, OH)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member… more
- Datavant (Columbus, OH)
- …review of admissions for medical necessity and necessity of continued stay in the inpatient patient care setting and/or discharge to an alternative level of ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with clinical criteria resources and payor… more
- Cleveland Clinic (Cleveland, OH)
- …Exercise autonomy in medical decision-making while collaborating with supervising physicians. + **Direct Inpatient Care ** + Provide care for patients on ... programs. The Cleveland Clinic Neurological Institute seeks a **full-time inpatient APRN (Adult, Family, or Acute Care ... certified) or PA** to work as an independent clinician in collaboration with physicians, fellows, residents, and other… more
- Cleveland Clinic (Cleveland, OH)
- …program + opportunity for developing educational and outcomes research participation in inpatient PM&R acute care inpatient consultation activities + ... participation in acute care inpatient PM&R consultation activities Practice: + Collaboratively with nationally prominent physicians in the Cleveland Clinic… more
- Cleveland Clinic (Cleveland, OH)
- …program, a high-acuity alternative to traditional hospitalization that expands the continuum of inpatient care into the community. This innovative care model ... makes IHI uniquely suited to studying the full patient journeyfrom preoperative care and emergency presentation through critical illness, inpatient treatment,… more
- Cleveland Clinic (Cleveland, OH)
- …with interesting pathology and undiagnosed disorders. In addition to providing clinical care , our geneticists and genetic counselors are actively engaged in clinical ... Details include: + Outpatient clinics (pediatric and adult) + Inpatient service with night/weekend call shared with 6 other...position is flexible and could fit a 1.0 FTE clinician or a clinician -scholar. Training and/or experience… more
- Cleveland Clinic (Cleveland, OH)
- …& Geriatrics at Cleveland Clinic is seeking a board-certified Internal Medicine Clinician Educator to serve as Associate Program Director (APD) in their ... and clinical experiences of our residents, fostering a holistic approach to patient care , and maintaining the highest standards of medical education. This APD will… more
- Cleveland Clinic (Cleveland, OH)
- …recognized in the US and throughout the world for its expertise and patient care . The Cleveland Clinic Heart Vascular and Thoracic Institute is nationally ranked and ... recognized as the global leader in cardiovascular care ._ Heart, Vascular, and Thoracic Institute at Cleveland Clinic...be provided. The ideal candidate will be an outstanding clinician with a passion for advancing the field of… more