Top 51 Utilization review Jobs in Columbus

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
10d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Customer service
- Writing skills
- Mid-level
- Work from home
2d
UR Coordinator, Full Time
RiverVista Behavioral Hospital —Columbus, OH
- $24 - $32 an hour
- Full-time
- Nursing
- Adults
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Specialist, Utilization Review
Columbus Springs East —Columbus, OH
- Full-time
- CPR Certification
- Management
- BLS Certification
- Disability insurance
- Health insurance
Quick Apply
Medical Office Administrator
OHG —Columbus, OH
- $35 - $50 an hour
- Full-time
- Nursing
- Administrative experience
- Clinic
- Health insurance
- Dental insurance
Quick Apply
Client Insurance Specialist
Integrated Services for Behavioral Health —Columbus, OH
- $20.97 - $24.56 an hour
- Hybrid work
- Mid-level
- Organizational skills
- 2 years
- Disability insurance
- Health insurance
Quick Apply
Nurse - Skilled/Purchased Care Coordinator
US Veterans Health Administration —Columbus, OH
- $70,726 - $148,921 a year
- Online Application
- Hybrid work
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
7d
Homecare Prior Authorization Supervisor
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
Patient Support Nurse
Valeris, Inc. —Columbus, OH
- Full-time
- Background check
- RN License
- Pass drug screening
- Health savings account
- AD&D insurance
Quick Apply
7h
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
2d
OhioRISE Navigator- Inpatient & Community Transitions
I Am Boundless, Inc. —Delaware, OH
- $49,895 - $60,114 a year
- Full-time
- Background check
- Nursing
- Pass drug screening
- Paid holidays
- Disability insurance
Quick Apply
Denials RN Coordinator
Ensemble RCM LLC —Columbus, OH
- $62,500 - $79,800 a year
- Full-time
- Nursing
- RN License
- 5 years
- Tuition reimbursement
Outpatient Navigator
Mount Carmel Behavioral Health —Columbus, OH
- Full-time
- LMFT
- Psychiatry
- Hospital
9d
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
Community Behavioral Health Worker
Integrated Services for Behavioral Health —Columbus, OH
- $19.00 - $22.26 an hour
- Full-time
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Quick Apply
RN - Case Manager
Vibra Travels LLC —Dublin, OH
- $2,157 a week
- Online Application
- Nursing
- RN License
- BLS Certification
- Referral program
Quick Apply
1d
Dental Office Manager
Norton Family Dental —Columbus, OH
- From $26 an hour
- Full-time
- Nursing
- Dental office
- BLS Certification
- Health savings account
- Health insurance
Quick Apply
Nurse Practitioner
Buckeye Clinic —Columbus, OH
- $110,550.81 - $133,136.47 a year
- Part-time
- Medication administration
- HIPAA
- Mid-level
- Paid time off
- Flexible schedule
Quick Apply
Family Preservation Clinical Supervisor
Mentor Behavioral Health —Columbus, OH
- $75,000 a year
- Full-time
- Outpatient experience
- Master's degree
- Children
10d
Registered Nurse, Care Coordinator - Cerebral Palsy (PFK)
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Nursing
- RN License
- Computer literacy

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

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

Quick Apply

Job Details

Part-time | PRN
10 days ago

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 jobs in columbus

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

Utilization Review Specialist - Autism

UR Coordinator, Full Time

Specialist, Utilization Review

Medical Office Administrator

Client Insurance Specialist

Nurse - Skilled/Purchased Care Coordinator

Homecare Prior Authorization Supervisor

Patient Support Nurse

Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)

OhioRISE Navigator- Inpatient & Community Transitions

Denials RN Coordinator

Outpatient Navigator

OhioRISE CME Care Coordinator Supervisor I

Community Behavioral Health Worker

RN - Case Manager

Dental Office Manager

Nurse Practitioner

Family Preservation Clinical Supervisor

Registered Nurse, Care Coordinator - Cerebral Palsy (PFK)

I want to receive the latest job alert for utilization review in columbus

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