Top 57 Utilization review/case Jobs in Columbus, Oh

Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
- Part-time
- Master of Social Work
- RN License
- Inpatient
- Employee assistance program
- Opportunities for advancement
Quick Apply
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Customer service
- Writing skills
- Mid-level
- Work from home
Integrated Disability Leave Specialist Associate
AEP Service Corporation —Columbus, OH
- $22.14 - $27.67 an hour
- Overtime
- No experience needed
- Mid-level
- Office
- Disability insurance
- Tuition reimbursement
2h
UR Coordinator, Full Time
RiverVista Behavioral Hospital —Columbus, OH
- $24 - $32 an hour
- Full-time
- Nursing
- Adults
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Appeals and Grievances Specialist
Sidecar Health —Columbus, OH
- $65,000 - $75,000 a year
- Remote
- Mid-level
- 3 years
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
4d
Case Manager - Housing
Springway Medical —Columbus, OH
- $15 - $18 an hour
- Full-time
- Background check
- Addiction Medicine
- HIPAA
Quick Apply
13d
OhioRISE CME Care Coordinator Supervisor I
THE VILLAGE NETWORK —Columbus, OH
- Full-time
- Experience working with individuals with developmental disabilities
- Computer literacy
- HIPAA
- Paid holidays
- Paid time off
Discharge Planner
SUN Behavioral Columbus —Columbus, OH
- Full-time
- CPR Certification
- LVN
- Writing skills
Quick Apply
7d
Counselor
Pinnacle Treatment Centers —Columbus, OH
- Full-time
- LMFT
- Mid-level
- High school diploma or GED
- Continuing education credits
- Paid holidays
Quick Apply
1d
Production Control Specialist / Production Operations Associate III
FIS Global —Columbus, OH
- Full-time
- Pass drug screening
- Data analysis skills
- Mid-level
9d
Senior Financial Analyst
Ohio Gastro —Columbus, OH
- CPA
- Finance
- Analysis skills
Quick Apply
Network Operational Resident Engineer
Hewlett Packard Enterprise —Columbus, OH
- $92,600 - $213,500 a year
- Full-time
- 5 years
- Mid-level
- Office
IOM Technologist-Cincinnati, OH
MPOWERHealth —Ohio
- On call
- CPR Certification
- Anatomy knowledge
- Surgery
- Paid training
- Health savings account
Quick Apply
Case Manager
Phoenix Group Home, LLC —Lancaster, OH
- Full-time
- Writing skills
- HIPAA
- Mid-level
Quick Apply
Housing Director
BASECAMP RECOVERY LLC —Columbus, OH
- $60,000 - $70,000 a year
- Weekends as needed
- Clean driving record
- Addiction Medicine
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Clinical Supervisor
RESOLVE WELLNESS LLC —Columbus, OH
- $30 - $35 an hour
- Full-time
- Outpatient experience
- 3 years
- Master's degree
- Paid holidays
- Paid time off
Quick Apply
Clinician - Franklinton
BASECAMP RECOVERY LLC —Columbus, OH
- $24 an hour
- Weekends as needed
- LMFT
- Spanish
- CPR Certification
- Paid holidays
- Health insurance
Quick Apply
14d
Advisor, IT Admin & Strategy Execution
OhioHealth —Columbus, OH
- Full-time
- 7 years
- Finance
- Analysis skills
Care Manager - Inpatient - Oncology
The Ohio State University Wexner Medical Center —Columbus, OH
- Part-time
- Background check
- Nursing
- RN License
5d
Olympic and Paralympic Partnership Rights Management Manager
Deloitte —Columbus, OH
- Microsoft Excel
- Marketing
- 8 years

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utilization review/case jobs near columbus, oh

Case Manager / PRN ( RN / RT / SW / LPN )

Select Specialty Hospital - Columbus Vic Village(Grant) -
Columbus, OH

Quick Apply

Job Details

Part-time | PRN

Benefits

Employee assistance program
Opportunities for advancement

Qualifications

Inpatient experience
Experience working with individuals with chronic illnesses
Critical & intensive care
Acute care facility experience
Managing patients as a clinical case manager

Full Job Description

Overview:

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Case Manager (PRN)

Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines).

And

Previous discharge planning experience highly preferred.

SHIFT:

*Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, from appoximately 8a.m.-5p.m.*

Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and our team plays a central role in providing compassionate, excellent care every step of the way.

Responsibilities:

We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines.

Develops and implements a patient specific, safe and timely discharge plan.
Performs verification of utilization criteria reviews.
Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
Demonstrates compliance with facility-wide Utilization Management policies and procedures.
Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Qualifications:

How you will be successful in this environment:

We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.

Minimum requirements:

Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per state guidelines
Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients. (example: ICU, step-down, med surg, vents)
Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations

Preferred qualifications that will make you successful:

Specific experience in Care Management and Discharge Planning is preferred.
Working knowledge of the insurance industry and government reimbursement.
Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, from appoximately 8a.m.-5p.m.

Additional Data:

Why Join Us:

Start Strong: Extensive orientation program to ensure a smooth transition into our setting.
Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities
Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part time employees.
Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

Equal opportunity employer, including disabled veterans

Quick Apply

Refine Your Search

utilization review/case jobs in columbus, oh

Case Manager / PRN ( RN / RT / SW / LPN )

Utilization Review Specialist - Autism

Integrated Disability Leave Specialist Associate

UR Coordinator, Full Time

Appeals and Grievances Specialist

Case Manager - Housing

OhioRISE CME Care Coordinator Supervisor I

Discharge Planner

Counselor

Production Control Specialist / Production Operations Associate III

Senior Financial Analyst

Network Operational Resident Engineer

IOM Technologist-Cincinnati, OH

Case Manager

Housing Director

Clinical Supervisor

Clinician - Franklinton

Advisor, IT Admin & Strategy Execution

Care Manager - Inpatient - Oncology

Olympic and Paralympic Partnership Rights Management Manager

I want to receive the latest job alert for utilization review/case in columbus, oh

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