Top 39 Utilization management Jobs in Sidney, Oh

THERAPIST LSW/PC
Samaritan Behavioral Health In —Troy, OH
- Full-time
- LMFT
- Customer service
- LPC
PRN - Pharmacist
Wilson Health —Sidney, OH
- PRN
- Hospital
- Bachelor of Science
- BLS Certification
- Paid holidays
- Retirement plan
Quick Apply
13d
Rehab Associate (Part-Time)
Upper Valley Medical Center —Sidney, OH
- Part-time
- Hospital
- Windows
- High school diploma or GED
Occupational Health & Employer Services Practice Manager
Wilson Health —Sidney, OH
- Nursing
- Customer service
- 5 years
Quick Apply
10d
Medical Receptionist
Schulte Wellness —Tipp City, OH
- $15 - $18 an hour
- Full-time
- Private practice
- Customer service
- Word processing
- Flexible schedule
Quick Apply
5d
Residential Technician
TCN BEHAVIORAL HEALTH SERVICES INC —Bellefontaine, OH
- $16.22 - $16.75 an hour
- Full-time
- CPR Certification
- Addiction Medicine
- Computer literacy
Quick Apply
Grad Pharmacist
CVS Health —New Carlisle, OH
- $23.75 - $42.00 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Patient monitoring
- Dental insurance
- Vision insurance
13d
Emergency Medicine Medical Director - Wilson Health
Ohio State University Physicians —Sidney, OH
- Full-time
- Medicine
- Administrative experience
- ER
3d
Registered Nurse (RN) — Med Surg — Urbana Hospital — PRN
Mercy Health —Urbana, OH
- PRN
- Acute care
- Nursing
- RN License
- Health savings account
- Disability insurance
Occupational Therapist
Reliant Rehabilitation —Urbana, OH
- $43 - $48 an hour
- Full-time
- English
- Mid-level
- Discharge planning
- Health insurance
- Dental insurance
Remote Utilization Management Nurse (Inpatient Review – RN or LVN) MUST HAVE ACTIVE CALIFORNIA LIC.
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- Spanish
- Nursing
- Microsoft Excel
- Travel reimbursement
- Health savings account
Quick Apply
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Regional Director of Utilization Management
ADDICTION AND MENTAL HEALTH SERVICES, LLC —United States
- $115,000 - $130,000 a year
- Full-time
- Nursing
- 3 years
- Master's degree
- Loan repayment program
- Health insurance
7d
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance
Remote Pharmacist – Prior Authorization / PBM Experience
A-Line Staffing Solutions —United States
- $53 an hour
- 8 hour shift
- Background check
- Microsoft Access
- Mid-level
- Paid training
- Health insurance
Quick Apply
14h
Remote Pharmacist – Prior Authorization / PBM Experience
A-Line Staffing Solutions —United States
- $53 an hour
- 8 hour shift
- Microsoft Access
- Mid-level
- Paid training
- Health insurance
Quick Apply
20h

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PRN - Pharmacist
Wilson Health —Sidney, OH
Evaluate physician medication orders for appropriateness based on patient condition, allergies, organ function, disease state, laboratory values, medication…
Quick Apply
13d
PRN Pharmacist
Family Health Services of Darke County —Greenville, OH
Active Ohio pharmacist license (in good standing). PharmD or R. Ph from an ACPE-accredited school of pharmacy. Flexible scheduling with no evenings or holidays.

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Conducts utilization reviews of behavioral health cases to determine medical necessity…
5d
Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
Quick Apply
14h

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utilization management jobs near sidney, oh

THERAPIST LSW/PC

Samaritan Behavioral Health In -
Troy, OH

Apply Now

Job Details

Full-time

Qualifications

Customer communication
Mental health diagnostics
DSM-5
Master's degree in social science
Working with pediatric populations
Adolescents

Full Job Description

THERAPIST LSW/PC

SAMARITAN BEHAVORIAL HEALTH-MIAMI COUNTY

Full Time, M-F 9:00 AM- 6:00 PM, 80 hours per pay

The Therapist functions as a member of a team to assist in the planning, development, and delivery of outcome-effective treatment services in various types of settings. This position also functions to plan and deliver both on-site and off-site clinical case coordination, intervention, consultation and/or educational services to children, adolescents and families.

Job duties:

Demonstrate adherence to the PHP/SBHI Patient Experience philosophy, guidelines and tools.

Demonstrate strong ethics, honesty, and adherence to PHP/SBHI Code of Conduct and PHP/SBHI Compliance Program.

Schedule, provide and document all clinical services accurately and according to departmental standards utilizing and documenting evidenced based practices.

Collaborate with referral source, internal team members and external educational and service providers to ensure appropriate patient care and continuity of care.

Demonstrate clinical knowledge and skills relevant to the appropriate clinical services and intervention methods provided to patients and their families.

Seek medical provider consultations regarding clinical needs of patients. Maintain on-going communication with medical providers for the purpose of coordinating and evaluating patient care.

Demonstrate strong customer satisfaction skills in the provision of clinical care services and in coordinating care with referral sources and other stakeholders.

Demonstrate knowledge of SBHI clinical records and assigned Program and other paperwork standards. Apply competencies to both the provision and documentation of clinical records including resolving failed activities and alerts within required timeframes.

Demonstrate compliance with agency standards for administration and reporting of outcome measures and documentation of utilization management of clinical care.

Demonstrate knowledge of other regulatory standards. Ensure that clinical records are maintained in compliance with these standards at all times.

Demonstrate knowledge of Information Technology policies and procedures. Apply them to the documentation of clinical care according to clinical records and other agency standards.

Ensure all credentialing paperwork for managed care and other reimbursement parties is maintained in compliance with standards.

Attend required staff meetings and trainings including annual Healthstream trainings. Participate in case conferences as needed.

Meet consistently with Program Supervisor and as needed to review clinical care of patients according to licensing and agency standards and agency supervision plan.

Participate and complete and correct monthly Peer Reviews.

Ensure productivity standards are met consistently as applicable to departmental standards.

Attend all offered internal trainings regarding BH Redesign.

Will consistently attend staff meetings that include case staffings.

JOB QUALIFICATIONS & EXPERIENCE REQUIRED:

Master’s degree in a relevant social science field.

Licensed in the state of Ohio as a Licensed Professional Clinical Counselor (LPC) or Licensed Social Worker (LISW) Licensed Marriage and Family Therapist (LMFT)

Training and experience in the types of services provided by the team, with age appropriate competency, using the

Diagnostic and Statistical manual of Mental Disorders (DSM- 5 or subsequent revisions).

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Refine Your Search

utilization management jobs in sidney, oh

THERAPIST LSW/PC

PRN - Pharmacist

Rehab Associate (Part-Time)

Occupational Health & Employer Services Practice Manager

Medical Receptionist

Residential Technician

Grad Pharmacist

Emergency Medicine Medical Director - Wilson Health

Registered Nurse (RN) — Med Surg — Urbana Hospital — PRN

Occupational Therapist

Remote Utilization Management Nurse (Inpatient Review – RN or LVN) MUST HAVE ACTIVE CALIFORNIA LIC.

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Regional Director of Utilization Management

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

Family Medicine Medical Director Utilization Management

Remote Pharmacist – Prior Authorization / PBM Experience

Remote Pharmacist – Prior Authorization / PBM Experience

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