Talent.com

Utilization review nurse Jobs in Columbus, OH

Last updated: 16 hours ago
  • Promoted
QA Data / Document Review Associate

QA Data / Document Review Associate

American Regent, Inc.Columbus, OH, United States
Full-time
To provide a comprehensive Quality compliance review of cGMP analytical data and results for raw materials, in-process and finished product release, stability program results and summaries, and raw...Show moreLast updated: 21 days ago
Model Risk Review Specialist II

Model Risk Review Specialist II

Huntington National BankColumbus, OH
Full-time
The Model Risk Review Specialist II is responsible for independently and collaboratively review and validate models / quantitative frameworks spanning credit, interest rate, market risk, economic cap...Show moreLast updated: 30+ days ago
RN, PRE-CERTIFICATION REVIEW - PHARMACY

RN, PRE-CERTIFICATION REVIEW - PHARMACY

quantum-healthOH, United States
Permanent
Location : This position is located at our Dublin, OH campus with hybrid flexibility.Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation org...Show moreLast updated: 1 day ago
HYBRID - Clinical Authorization Review Nurse (Medicaid Health Systems Specialist - RN)

HYBRID - Clinical Authorization Review Nurse (Medicaid Health Systems Specialist - RN)

Ohio Department of Developmental DisabilitiesColumbus, Franklin County, OHIO
$31.86 hourly
HYBRID - Clinical Authorization Review Nurse (Medicaid Health Systems Specialist - RN)(24000752).Lazarus 550 West Town StreetColumbus43215. United States of America-OHIO-Franklin County-ColumbusComp...Show moreLast updated: 30+ days ago
Claims Clinical Specialist – Medical Review Team

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
FT Utilization Review Specialist

FT Utilization Review Specialist

Acadia HealthcareColumbus, OH, USA
Full-time
Mount Carmel Behavioral Health, an 80-bed inpatient acute treatment center for adult men and women who have been / currently are experiencing a wide range of mental or behavioral health challenges.Th...Show moreLast updated: 30+ days ago
Coverage Review Operations - Director - Hybrid

Coverage Review Operations - Director - Hybrid

The Cigna GroupOH, Grove City, 2297 Southwest Blvd
Full-time
Coverage Review Operations provides a variety of clinical services that help health plans and pharmacy benefit managers protect patient health and safety and improve affordability while reducing un...Show moreLast updated: 30+ days ago
Utilization Review Director

Utilization Review Director

Longterm Health Management Service.Columbus, OH
Longterm Health Management Service.A Behavioral Health hospital in the Columbus, OH area is recruiting a licensed clinician to lead our Utilization Review team. The Utilization Review Director overs...Show moreLast updated: 30+ days ago
  • Promoted
Loan Review Manager

Loan Review Manager

Plante MoranColumbus, OH, United States
United States, Illinois, Chicago.United States, Michigan, Kalamazoo.United States, Michigan, Southfield.United States, Michigan, Grand Rapids. If you are looking for a JOB, try another firm.Plante M...Show moreLast updated: 30+ days ago
  • Promoted
Personal Injury / Discovery Review Attorney - (507 / o)

Personal Injury / Discovery Review Attorney - (507 / o)

Denovo ReviewColumbus, OH, US
Full-time +1
De Novo, a boutique staffing and recruitment agency, is currently seeking a personal injury attorney with discovery review experience to work directly with one of our clients.This is a contract to ...Show moreLast updated: 30+ days ago
Utilization Specialist Supervisor

Utilization Specialist Supervisor

The Buckeye RanchWhitehall, Ohio, United States
Full-time
Learn about The Buckeye Ranch : .For decades, The Buckeye Ranch has been restoring hope and providing healing for children, youth, and families in Central Ohio. Our continuum of care addresses every s...Show moreLast updated: 30+ days ago
Utilization Management Administrative Assistant

Utilization Management Administrative Assistant

The Ohio State UniversityColumbus, OH
Remote
Part-time
Current Employees and Students.If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.Welcome to The O...Show moreLast updated: 30+ days ago
Lead Coordinator - Clinical Review, LPN / RN (Remote)

Lead Coordinator - Clinical Review, LPN / RN (Remote)

MaximusColumbus, US
$31.75 hourly
Remote
Full-time
Description & Requirements Maximus is currently hiring a Lead Coordinator - Clinical Review to support the Independent Medical Review (IMR) program. What You Will Receive : • Work / Life...Show moreLast updated: 15 days ago
  • Promoted
Utilization Case Management - RN Specialist 2

Utilization Case Management - RN Specialist 2

Ohio State University Wexner Medical CenterColumbus, OH, United States
Full-time
Job Description Scope of Position / Position Summary : The Utilization Management Case Manager (UM CM) implements and supports the philosophy, mission, values, standards, policies and procedures of ...Show moreLast updated: 4 days ago
Utilization Behavioral Health Professional

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 Medical Director - Remote in US

Utilization Management Medical Director - Remote in US

Gainwell Technologies LLCAny city, OH, US
$100,000.00–$150,000.00 yearly
Remote
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.Join us and put your expertise to work in ways you never imagined possible.We know ...Show moreLast updated: 11 days ago
Utilization Management Nurse Consultant

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
  • Promoted
  • New!
Program Review + Certification Manager

Program Review + Certification Manager

Community Shelter BoardColumbus, OH, US
$55,000.00–$70,000.00 yearly
Full-time
Program Review + Certification Manager.Grants Management + Compliance.Grants Management + Compliance Director.The Program Review + Certification Manager plays a pivotal role in ensuring a fair, tra...Show moreLast updated: 16 hours ago
  • Promoted
Senior Loan Review Officer - Loan Review

Senior Loan Review Officer - Loan Review

WesBanco Bank Inc.Columbus, OH, United States
Under the direction of the Loan Review Manager, will provide assistance for the independent and objective evaluation of the quality of the loan portfolio, the adequacy of loan documentation, and th...Show moreLast updated: 20 days ago
Loan Review Senior Consultant

Loan Review Senior Consultant

CroweColumbus OH US
Full-time
Crowe is seeking a Loan Review Senior Consultant to perform credit risk consulting projects for a variety of clients in the financial services industry. Provide loan review services and other consul...Show moreLast updated: 30+ days ago
QA Data / Document Review Associate

QA Data / Document Review Associate

American Regent, Inc.Columbus, OH, United States
21 days ago
Job type
  • Full-time
Job description

Nature and Scope

To provide a comprehensive Quality compliance review of cGMP analytical data and results for raw materials, in-process and finished product release, stability program results and summaries, and raw data related to the Validation of pharmaceutical processes. To facilitate corrections and clarifications to the reviewed data and provide a final approval of the records.

Essential Duties and Responsibilities

Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

  • Provides quality assurance review of laboratory raw data and reports including analytical worksheets, test summaries and stability summaries.
  • Participates in identifying quality process improvements to increase efficiencies and performance of systems, operations and personnel relating to the QA Data Review process.
  • Writes and revises SOP's and other GMP documentation as needed.
  • Ensures all work is performed and documented in accordance with existing Company policies and procedures, as well as cGMP, compendia, and all applicable FDA Guidance document requirements and other company requirements.
  • Participates in other Quality System activities with other team members as needed.
  • Perform any other tasks / duties as assigned by management.

Education Requirements and Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and / or ability required.

  • Bachelor's degree in the Physical Sciences, Mathematics or related field or associate degree with experience in data review required.
  • Minimum 2 years' experience in a chemical testing, laboratory setting with a working knowledge of wet chemistry and instrumental analysis techniques or at least 1 year of data review experience.
  • Demonstrates extreme attention to detail to achieve quality results.
  • Ability to perform multiple activities at the same time and produce outstanding results to meet required deadlines.
  • Exercises a willingness to learn and take on added responsibilities as needed.
  • Excellent organizational, interpersonal and communication skills (oral and written) to work in a team environment.
  • Ability to work overtime as needed.
  • American Regent celebrates diversity and we are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, or protected veteran status.

    Applicants have rights under Federal Employment Laws.

  • FMLA poster : https : / / www.dol.gov / whd / regs / compliance / posters / fmlaen.pdf
  • Know Your Rights : Know Your Rights : Workplace discrimination is illegal (eeoc.gov)
  • Employee Polygraph Protection Act : https : / / www.dol.gov / whd / regs / compliance / posters / eppac.pdf
  • American Regent Inc. endeavors to make https : / / americanregent.com / Careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please email [email protected].