• Utilization Management

    Humana (Columbus, OH)
    …us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures… more
    Humana (10/10/25)
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  • Social Worker (Program Coordinator )

    Veterans Affairs, Veterans Health Administration (Columbus, OH)
    Summary Incumbent serves as program coordinator and is administratively responsible for the Medical Foster Home Program and a portion of the Community Residential ... Care Program. Coordinator manages the daily operation of the programs and...and evaluates clinical guidelines and protocols to establish appropriate utilization of services The incumbent provides assessment, treatment, and… more
    Veterans Affairs, Veterans Health Administration (10/16/25)
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  • SNF Utilization Management RN…

    Humana (Columbus, OH)
    …the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
    Humana (09/12/25)
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  • Case Coordinator

    Sedgwick (Columbus, OH)
    …staff with larger or more complex claims as necessary. + Makes referral for case management and/or utilization management when work status changes due to ... Fortune Best Workplaces in Financial Services & Insurance Case Coordinator **PRIMARY PURPOSE** : To gather claim data and...system(s). + Manages claims in close collaboration with Claims Management Team. + Supports other claims management more
    Sedgwick (10/14/25)
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  • Accounting Coordinator III - Remote

    Ryder System (Columbus, OH)
    …on proper card usage, expense reporting, and policy compliance + Prepares management reports on program utilization , spending trends, and compliance metrics ... **Job Description** : The Card Administrator is responsible for the comprehensive management and oversight of the company's purchasing card (P-Card) and travel card… more
    Ryder System (10/01/25)
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  • Care Management Support Assistant

    Humana (Columbus, OH)
    …Care Management Support Assistant 2 contributes to administration of care management , utilization management and daily operations. The ACD RC duties ... authorizations. + Coordinates authorizations with Autism Services Navigators and Utilization Management according to established HUMANA GOVERNMENT BUSINESS… more
    Humana (10/18/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Columbus, OH)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... role anywhere in the US with virtual** **training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
    CVS Health (10/18/25)
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