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Results 1 - 10 of 60 Utilization Review jobs in Cleveland OH

D.O.C. Specialist/ Utilization Review
EMH Regional Healthcare System, OH - Elyria
autonomously. Position Summary: The Documentation of Care (D.O.C.) Specialist reviews the medical record for complete and accurate documentation to reflect the...
2 Days 1 Hour 27 Minutes ago

D.O.C. Specialist/ Utilization Review
EMH Regional Medical Center, OH - Elyria
Position Summary: The Documentation of Care (D.O.C.) Specialist reviews the medical record for complete and accurate documentation to reflect the severity...
16 Hours 26 Minutes ago

RAC Coordinator Utilization Review
Cleveland Clinic, OH - Independence
of utilization and discharge planning criteria to review medical information of prior hospitalized patients that are being revi... Utilization Review AHCJSPONS
7 Days 18 Hours 51 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...
10 Days 10 Hours 48 Minutes ago

Nurse 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...
7 Days 15 Hours 30 Minutes ago

Utilization Management Nurse
CSI Infusion & Network Services, OH - Cleveland
coordination and utilization management for patients throughout Ohio receiving home health and infusion services. Responsibilities include: Reviews referral...
24 Days 9 Hours 35 Minutes ago

Auditors
OH - Cleveland
review and quality of care; SNF Resource Utilization Group (RUG) Codes; utilization review criteria;... QUALITY OF CARE, UTILIZATION AND CODING OF THE CLAIMS...
1 Day 12 Hours 43 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...
3 Days 6 Hours 30 Minutes ago

Sr. Auditor - CSA & CAATT 09-185
Medical Mutual of Ohio, OH - Cleveland
Brief Description of Duties: Reviews and appraises the... on an ongoing basis. Significant utilization of CSA and CAATTs to review and make recommendations for...
7 Days 13 Hours 35 Minutes ago

NICU On-Site Nurse Reviewer
UnitedHealth Group, OH - Cleveland
assigned territory to conduct onsite clinical reviews Evaluating delays in care, facilitating discharge... management and/or utilization management experience...
4 Days 7 Hours 59 Minutes ago

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