Utilization review nurse Jobs in Cincinnati, OH

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Utilization review nurse • cincinnati oh

Last updated: 1 day ago

Promoted

Utilization Review Specialist

VirtualVocationsCincinnati, Ohio, United States

Full-time

Utilization Review Nurse Lead-RN

The Christ HospitalOhio, US

Full-time

To maintain high-quality, medically necessary, evidence-based care, and efficient treatment of all patients, regardless of payment source, by ensuring the patients receive the right care, at the ri...Show moreLast updated: 1 day ago

Virtual Utilization Review Specialist

Ensemble Health PartnersCincinnati, OH

Remote

Full-time

Thank you for considering a career at Ensemble Health Partners!.Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including...Show moreLast updated: 30+ days ago

Promoted

Principal Review Specialist- Partial Remote

Fifth Third BankCincinnati, OH, United States

$53,400.00–$109,500.00 yearly

Remote

Make banking a Fifth Third better.We connect great people to great opportunities.Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. Performs brokerage and insuran...Show moreLast updated: 22 days ago

Promoted

Quality Review Supervisor - Work from home

Millennium Information ServicesOhio, Cincinnati

We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, prote...Show moreLast updated: 10 days ago

Claims Clinical Specialist – Medical Review Team

Genworth FinancialOhio

$124,600.00 yearly

Remote

Full-time

At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 30+ days ago

Promoted

Medical Claim Review Nurse (RN)

Molina HealthcareMount Saint Joseph, OH, US

$26.41–$61.79 hourly

Full-time +1

Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG / InterQual, state / federal guidelines, bil...Show moreLast updated: 1 day ago

RN : Case Management / Utilization Review

American TravelerEdgewood KY

Case Management Travel Registered Nurse (RN) contract position in Edgewood Kentucky.RNs who work with us receive a highly competitive pay and benefits package. You'll enjoy the personalized client s...Show moreLast updated: 30+ days ago

Nurse Manager - Clinical Data Review

MEDPACECincinnati, OH, United States

Medpace is a full-service clinical contract research organization (CRO).We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries.Our mi...Show moreLast updated: 30+ days ago

Utilization Behavioral Health Professional

HumanaRemote, Ohio

Remote

Full-time

Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago

Utilization Management Representative I

Elevance HealthVANDERCAR WAY,CINCINNATI,OH

Full-time

Title : Utilization Management Representative I .This position will work a hybrid model (remote and office).Ideal candidates will live within 50 miles of one of our PulsePoint locations.Utilization ...Show moreLast updated: 30+ days ago

Quality Review Coordinator (Safety Culture Coordinator) (4028-12)

Hamilton County OhioCincinnati, OH

$53,872.00 yearly

Quality Review Coordinator (Safety Culture Coordinator) (4028-12).Paid Holidays, Immediately Begin with 40 hours of Paid Vacation and accruing Sick Time, and Paid Parental Leave.Ohio Public Employe...Show moreLast updated: 30+ days ago

Promoted

Nurse

Department of Veterans AffairsOH, United States

$75,413.00–$167,775.00 yearly

Full-time +3

SummaryThe Dayton VA Medical Center is seeking a Registered Nurse (RN) to join the Lincoln Estate Department within the Community Living Center (CLC). This is a Bargaining Unit Position.HelpOverview...Show moreLast updated: 7 days ago

Promoted

Registered Nurse (RN)- Utilization Review, West Chester, Full Time, First

UC HealthOH, United States

Full-time

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose : to advance healing and reduce suffering. As the region's adult academic health ...Show moreLast updated: 7 days ago

Utilization Management Nurse Consultant

CVS HealthWork from hom, OH, US

$29.10–$62.31 hourly

Remote

Full-time

Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago

Utilization Management Specialist II

Cincinnati Children's Hospital Medical CenterCincinnati, Ohio, United States

Utilization Management Specialist II-154905.Utilization Management Specialist.May require some brief case checks during holiday times. Expected Starting Salary Range : .Utilization Management program ...Show moreLast updated: 30+ days ago

INSTITUTIONAL REVIEW BOARD COORDINATOR - HATTON RESEARCH - FULL TIME (80 HRS), DAY SHIFT

TriHealthCincinnati, OH, United States

Full-time

This position is an administrative body established to protect the rights and welfare of human research subjects recruited to participate in research activities conducted under the auspices of the ...Show moreLast updated: 30+ days ago

Promoted

TRAVEL NURSE RN - PCU - PROGRESSIVE CARE UNIT - $2,155 PER WEEK

Nurse FirstOH, United States

$2,155.00 weekly

Full-time

Nurse First is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Columbus, Ohio.Job Description & Requirements. Specialty : PCU - Progressive Care Unit.Employment Type...Show moreLast updated: 9 days ago

SBA Eligibility Review Officer II

Huntington National BankOhio

Full-time

The SBA Eligibility Review Officer II is responsible for reviewing SBA & USDA guaranteed business loans to determine proper structure and ensure loan closes in accordance with SBA & USDA eligibilit...Show moreLast updated: 30+ days ago

Utilization Review Specialist

VirtualVocationsCincinnati, Ohio, United States

3 days ago

Job type

Full-time

Job description

A company is looking for a Utilization Review Specialist - Healthcare (Remote).Key ResponsibilitiesPerform pre-certifications and conduct concurrent reviewsReport discharges and coordinate billing census with clientsWork with insurance companies to gain approval for servicesRequired QualificationsBachelor's degree or 4 years of experience in Utilization ReviewFamiliarity with ASAM criteria, substance abuse treatment, and HIPAA guidelinesExperience in Utilization Review within the behavioral healthcare fieldEMR experience with the ability to enter notes in the systemOrganizational skills and ability to multi-task