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Results 11 - 20 of 80 Utilization Review jobs in Cleveland OH

Clinical Documentation Specialist
Cleveland Clinic, OH - East Cleveland
severity profiles are accurate by performing Clinical Documentation program activities. Works ... Case Manager Utilization Review Data Analyst Chart AHCJSPONS
3 Days 13 Minutes ago

Staff Pharmacist
Kaiser Permanente, OH - Cleveland Heights
point of service including counseling, clinical monitoring, drug utilization review and dispensing. Practices pharmacy within all applicable legal requirements...
1 Day 21 Hours 2 Minutes ago

Nurse Auditor
CGI Technologies and Solutions Inc., OH - Cleveland
review and quality of care; SNF Resource Utilization Group (RUG) Codes, utilization review criteria and... utilization or medical necessity reviews is highly...
9 Days 11 Hours 37 Minutes ago

RAC Coordinator Utilization Review Job
Cleveland Clinic Main Campus & Family Health Centers, OH - Cleveland
as well as knowledge of utilization and discharge planning criteria to review medical information of prior... knowledge of utilization review criteria to determine...
7 Days 17 Hours 11 Minutes ago

CLINICAL APPEALS SPECIALIST (HOSPITAL UTILIZATION REVIEW SPECIALIST)
HUMAN ARC, OH - Cleveland
along with Utilization Review experience, computer... REVIEW SPECIALIST): PROGRESSIVE HEALTH CARE SERVICES FIRM SEEKS AN EXPERIENCED INDIVIDUAL TO REVIEW...
23 Days 17 Hours 12 Minutes ago

Registered Nurse / Case Manager / Utilization Management
Health Design Plus, OH - Hudson
Key Responsibilities Conduct prospective, concurrent, & retrospective reviews to determine the medical necessity of inpatient admissions & outpatient services...
20 Days 21 Hours 55 Minutes ago

International Tax - Manager
Grant Thornton, OH - Cleveland
primary and secondary review of complex international... for engagement and year-end reviews. -Conduct primary and secondary review of complicated or complex...
12 Hours 19 Minutes ago

CLINICAL SPECIALIST
HUMAN ARC, OH - Cleveland
and reimbursement - Strong Medical terminology - Strong Utilization Review - Strong Utilization Management - Strong Care Coordination - Strong Case...
2 Days 16 Hours 11 Minutes ago

Operations Manager
A. M. Castle & Co., OH - Bedford Heights
the most efficient and cost effective methods. - Reviews and approves the scheduling of all plant and... proper training and utilization of established...
5 Hours 35 Minutes ago

Nurse Practitioner, Evercare, West/East Cleveland, Ohio
UnitedHealth Group - Clinical Practitioners, Evercare Cleveland, OH - Cleveland
providers and patient family members * Working with the facilities utilization review process * Identifying patients behavioral health issues * Educating...
1 Day 4 Hours 46 Minutes ago

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