- 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 ... Lake Forest Drive. Blue Ash, OH 45242.** **PRIMARY PURPOSE** : To assign utilization review requests; to verify and enter data in appropriate system(s); and to… more
- Humana (Columbus, OH)
- …new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management....the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to… more
- Humana (Columbus, OH)
- … or discharge planner in an acute care setting + Previous experience in utilization management/ utilization review for a health plan or acute care ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- Summary Incumbent serves as program coordinator and is administratively responsible for the Medical Foster Home Program and a portion of the Community Residential ... Care Program. Coordinator manages the daily operation of the programs and...and evaluates clinical guidelines and protocols to establish appropriate utilization of services The incumbent provides assessment, treatment, and… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... to track service activities including admissions process, bed management, bed utilization across bed types, patient demographics, equipment utilization and… more
- UGI Corporation (Brooklyn Heights, OH)
- Delivery Coordinator Location: Brooklyn Heights, OH, US, 44131 Workplace Environment: Hybrid Company: AmeriGas Propane, Inc. Requisition Number: 27192 When you work ... this position will be accepted until 10/24/25. Posting Job Summary: The Delivery Coordinator (DC) will be responsible for optimizing the distribution of propane and… more
- 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
- Highmark Health (Columbus, OH)
- …nurse reviewer and other departments based on documentation procedures, including review type, clinical information, and decision timeframes. Follows policies and ... timeframes and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and… more
- Ryder System (Columbus, OH)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : The Card ... reporting, and policy compliance + Prepares management reports on program utilization , spending trends, and compliance metrics for both countries + Implements… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... ineligible to apply for incentive. Contact ###@va.gov, the EDRP Coordinator for questions/assistance Pay: Competitive salary, annual performance bonus, regular… more