- CVS Health (Columbus, OH)
- … skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable ... external constituents in the coordination and administration of the utilization /benefit management function **Required Qualifications** + Licensed independent… more
- CVS Health (Columbus, OH)
- …resolving clinical complaints and appeals by reviewing medical records and applying clinical guidelines for Utilization Management group. This RN must be ... high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our...3+ years Utilization Management or Utilization Review experience. + 3+ years clinical … more
- CVS Health (Columbus, OH)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- Lincoln Financial (Columbus, OH)
- …Glance** We are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization. As a Behavioral Health Consultant ... in a behavioral health setting including 1 year in claims, disability management (STD/LTD), worker's compensation, utilization review, and or behavioral health… more
- Lincoln Financial (Columbus, OH)
- …a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for ... industry experience preferred * Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or… more
- J&J Family of Companies (Akron, OH)
- …more at https://www.jnj.com **Job Function:** MedTech Sales **Job Sub** **Function:** Clinical Sales - Surgeons (Commission) **Job Category:** Professional **All Job ... We are searching for the best talent for Sales Consultant to be in Akron/Canton, OH. **About** **Orthopaedics** Fueled...than 6 million people moving each year while delivering clinical and economic value to surgeons and healthcare systems.… more
- Cardinal Health (Cincinnati, OH)
- …a highly regulated industry + Previous sales experience selling to physicians, clinical end-users, materials management , and C-suite desired + Strong preference ... Job Description **Senior Consultant , Product Sales Specialist - NPHS** **The territory covers Indiana, Michigan, Ohio, Kentucky, Missouri** The Product Sales… more
- Highmark Health (Columbus, OH)
- …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
- CVS Health (Columbus, OH)
- …in research efforts, contributing to scholarly publications, and/or facilitating research utilization to improve clinical care and outcomes. Required ... of policies, procedures, and guidelines that focus on improving clinical quality and ensuring patient safety. Collaborates with cross-functional teams,… more
- Veterans Affairs, Veterans Health Administration (Chillicothe, OH)
- …for patients Provides emergency eye care services Adheres to hospital clinical privileges, optometric accrediting agencies, medical staff by-laws, rules, policies ... when eye disease is concurrent with systemic disease Responsible for diagnosis, management and treatment of visual and ocular problems through externa and internal… more
- Cleveland Clinic (Cleveland, OH)
- …development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards ... using the Cleveland Clinic Improvement Model. You will collaborate with clinical and operational leaders to establish key objectives, ensure compliance with… more
- Cardinal Health (Columbus, OH)
- …payers, pharmacists and manufacturers for integrated care coordination and better patient management . Backed by nearly 100 years of experience, with more than 40,000 ... currently have a career opening for a Reimbursement Solutions Analyst. **What Clinical Operations contributes to Cardinal Health** Clinical Operations is… more
- Cleveland Clinic (Garfield Heights, OH)
- …has occurred. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. RN Quality Specialist Summary: Ensures the delivery ... medical staff and organizational leadership to proactively address quality and /or utilization issues. + Collaborates with hospital departments to ensure site survey… more