- Evolent (Columbus, OH)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Trinity Health (Columbus, OH)
- …Disease Management / Inpatient Navigator** **Position Purpose:** The Disease Management Coordinator provides consultation to patients, families, and nursing ... demeanor in difficult situations . Knowledge of the functional operations of utilization management , discharge planning, business office and third party payers… more
- CommuniCare Health Services Corporate (Cincinnati, OH)
- Registered Nurse (RN), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of RN Mobile MDS ... Coordinator for its skilled nursing facilities throughout our Midwest...experience with Federal Medicare/Medicaid and Managed Care reimbursement system management in working with the MDS and RAI process… more
- Bellefaire JCB (Cleveland, OH)
- Job Summary: The Youth Empowerment Program Coordinator is responsible for the comprehensive implementation and ongoing operation of the Basic Center Program, ... and both clinical and administrative oversight to the program staff. The Coordinator will champion the Positive Youth Development approach, ensuring all program… more
- Elevance Health (Columbus, OH)
- …providers and vendors which include negotiating reimbursement rates, service offerings, utilization management , and quality metrics. + Develop and maintain ... **Director Network Contract Coordinator ** **Location:** This role requires associates to be...year over year units costs for Carelon Medical Benefits Management businesses. **How you will make an impact:** +… more
- Bon Secours Mercy Health (Lorain, OH)
- …as a clinical resource and consultant for the acute rehab program. The Admissions Coordinator RN cross trains to cover case management as needed, which includes ... smooth transition to acute rehab unit. Maintains expertise in clinical field, utilization review and case management ; communicates to insurance companies/third… more
- Elevance Health (Mason, OH)
- **Managed Care Coordinator Clinician Non-RN** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - 6 pm ... CST. The **Managed Care Coordinator Clinician Non-RN (US)** is responsible for working under the direction/supervision of an RN, with overall responsibility for the… more
- Nissha Medical Technologies (Norwalk, OH)
- Value Stream Coordinator Summary **Title:** Value Stream Coordinator **ID:** 2598 **Department:** Operations **Location:** Norwalk, OH Description Nissha Medical ... Technologies is seeking a Value Stream Coordinator in Norwalk, OH! This position directly co-ordinates the manufacturing effort of multi-departmental value streams.… more
- MetroHealth (Brooklyn Heights, OH)
- …Coordinates the care of selected patients. Integrates and coordinates access and utilization management , proactive patient panel management , care ... of Science in Nursing. Valid Ohio RN licensure. Three to Five years of case management or managed care experience. Ability to work independently and as a member of a… more
- Highmark Health (Columbus, OH)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more