• Utilization Management

    Humana (Columbus, OH)
    …us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures… more
    Humana (10/10/25)
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  • Utilization Review Coordinator

    Sedgwick (Cincinnati, OH)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **This is a hybrid position, that requires 2 ... Blue Ash, OH 45242.** **PRIMARY PURPOSE** : To assign utilization review requests; to verify and enter data in...Enters demographics and UR information into claims or clinical management system; maintains data integrity. + Obtains all necessary… more
    Sedgwick (10/24/25)
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  • SNF Utilization Management RN…

    Humana (Columbus, OH)
    …the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
    Humana (09/12/25)
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  • Transmission System Operations Engineering…

    American Electric Power (New Albany, OH)
    …of best practices, the development of improved work methods, improved work management systems, the utilization of technology, the development of streamlined ... date. **Job Summary** Assist and coordinate with Transmission Field Services (TFS) management and field personnel with the interpretation and development of safe… more
    American Electric Power (10/21/25)
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  • Sepsis Coordinator

    Cleveland Clinic (Garfield Heights, OH)
    …experience. As a Safety, Quality and Patient Experience (SQPE) Specialist - Sepsis Coordinator , you will play a critical role in advancing our sepsis care ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more
    Cleveland Clinic (10/16/25)
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  • Accounting Coordinator III - Remote

    Ryder System (Columbus, OH)
    …on proper card usage, expense reporting, and policy compliance + Prepares management reports on program utilization , spending trends, and compliance metrics ... **Job Description** : The Card Administrator is responsible for the comprehensive management and oversight of the company's purchasing card (P-Card) and travel card… more
    Ryder System (10/01/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Columbus, OH)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... role anywhere in the US with virtual** **training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
    CVS Health (10/23/25)
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