- baymark (Youngstown, OH)
- …billing records, and resolution of a variety of problems. Responsibilities: Review , maintain, and process fiscal/account records and transactions related to ... Insure completion of pre-authorization process by inquiry and referral to clinician . Monitor insurance authorizations and claim rejections. Maintains fiscal records… more
- Molina Healthcare (OH)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (OH)
- …Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Columbus, OH)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (Akron, OH)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Dayton, OH)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Applewood Centers (Cleveland, OH)
- …of behavioral, emotional and learning problems, we provide a continuum of care from outpatient counseling to residential treatment Position Summary: Are you a ... skills? Is a flexible schedule appealing? Then either of our Community-Based Therapist/ Clinician team would be a good fit for you! Using Multisystemic Therapy,… more
- Cleveland Clinic (Cleveland, OH)
- **Director, Chronic Critical Illness and Recovery Program Mid-Career/ Senior Critical Care Medicine Staff Physician** The Department of Critical Care Medicine in ... Clinic is launching a national search to recruit mid-career or senior critical care attending physicians with an opportunity to lead our recently launched Program… more
- CVS Health (Columbus, OH)
- …The Behavioral Health UM Clinician position is designed to clinically review of behavioral health prior authorized services for assigned members. This ... and trainings to New Albany Office in OH. **Preferred Qualifications** + Managed care /utilization review experience preferred + Experience in a behavioral health… more
- Humana (Columbus, OH)
- …key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ million ... and partnering across the enterprise (eg, with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to develop discrete, high-value strategies… more
