- Dayton Children's Hospital (Dayton, OH)
- Facility:Work From Home - OhioDepartment: Utilization Review TeamSchedule: Full timeHours:40Job Details:Under the supervision of the Manager of Utilization ... Management, the Utilization Review RN conducts medical record review for medical necessity and level of care using nationally recognized acute care… more
- Elevance Health (Mason, OH)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... RN - Utilization / Medical Management Nurse /...6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of the… more
- Elevance Health (Mason, OH)
- **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full -time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the… more
- Elevance Health (Mason, OH)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full -time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Elevance Health (Cincinnati, OH)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full -time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Elevance Health (Mason, OH)
- …or equivalent. Requires a minimum of 4 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN ... Management Clinician** **Location:** This role enables associates to work virtually full -time, with the exception of required in-person training sessions, providing… more
- Elevance Health (Mason, OH)
- …or equivalent. + Requires a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... Sundays **Location:** This role enables associates to work virtually full -time, with the exception of required in person training...not require the training or skill of a registered nurse . **How you will make an impact:** + Confirms… more