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CVS Health
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Columbus, Ohio
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Position Summary
Utilization Management is a 24/7 operation and work schedules may include weekends, holidays, and evening hours
As a Utilization Management Nurse Consultant, you will
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Guardian Life
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Columbus, Ohio
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The Vocational Rehabilitation Consultant (VRC) will develop cost effective strategies to assist ... to work strategies. The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life
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CVS Health
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Columbus, Ohio
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communication, resource utilization, and continuous monitoring of their progress to promote positive outcomes ... .
Implements and coordinates all case management activities relating to catastrophic cases and chronically ill
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CVS Health
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Columbus, Ohio
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Qualifications**
1+ year varied Utilization Management experience within an inpatient/Outpatient setting ... critical thinking, evidenced based clinical criteria and clinical practice guidelines for treatment and
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Evolent Health
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Columbus, Ohio
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, Client Services oversees daily utilization management and directs the medical care of our members on ... or TAT timely.
Responsible for monitoring utilization management resources, incoming provider
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Oracle
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Columbus, Ohio
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product updates to our Oracle Health Surgery/Anesthesia and Clinical Inventory Management venues across all multi-tenant and sales domain stakeholders. Serving as a crucial link between customers clinical
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CVS Health
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Columbus, Ohio
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Position Summary
At the 24-Hour Nurse Line the Health Coach Consultant utilizes a collaborative ... clinical experience.
Have proficient keyboarding skills.
Enjoy working with computers and
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CVS Health
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Columbus, Ohio
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(MANAGER, BUSINESS CONSULTANT) who offer clinical insights and solutions to help improve health plan ... professional with a passion for consulting and improving overall population health to leverage clinical
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CVS Health
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Columbus, Ohio
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(MANAGER, BUSINESS CONSULTANT) who offer clinical insights and solutions to help improve health plan ... professional with a passion for consulting and improving overall population health to leverage clinical
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CVS Health
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Columbus, Ohio
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business hours Monday-Friday. No nights, no weekends and no holidays.**
Uses clinical skills to ... services rendered. Serves as a liaison to peers to provide in-depth clinical knowledge and expertise to
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CVS Health
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Columbus, Ohio
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planning components with appropriate referral to clinical case management or crisis intervention as ... for involvement in, multiple child-serving systems.
The Case Management Coordinator utilizes
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CVS Health
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Columbus, Ohio
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support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions ... consultative clinical support to Account Management in support of Key Clients as assigned.
The Medical
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CVS Health
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Columbus, Ohio
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support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions ... consultative clinical support to Account Management in support of Key Clients as assigned.
The Medical
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McKesson Corporation
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Columbus, Ohio
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ride-a-long will be provided to Manager via utilization of the Office Visit Evaluation Form.
Serve as a ... ' experience in project management.
Strong written and oral communications skills.
Problem solving and decision
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Veterans Affairs, Veterans Health Administration
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Columbus, Ohio
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Support Assistant positions within various services. Medical and/or clinical setting experience required ... Support Assistant is responsible for the consult and scheduling management of clinics assigned across
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CVS Health
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Columbus, Ohio
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• Collaborates with the Learning and Performance Team to develop clinical training for care management staff ... best-in-class operating and clinical models in both our Dually Eligible Special Needs Plan (DSNP) and
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Veterans Affairs, Veterans Health Administration
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Columbus, Ohio
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Social Worker is directly responsible for the provision of clinical services to Veterans assigned to the ... systems. This requires active engagement in the community and comfort with outreach case management. The
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American Heart Association
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Columbus, Ohio
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, site consultation, and project management of activities for the Hypertrophic Cardiomyopathy Registry ... excellence and attention to detail throughout the site management process. Additionally, this person will be
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Veterans Affairs, Veterans Health Administration
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Columbus, Ohio
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Social Worker is directly responsible for the provision of clinical services to Veterans assigned to the ... systems. This requires active engagement in the community and comfort with outreach case management. The
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Deloitte
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Columbus, Ohio
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, optimizing population health, and clinical trials. This is a hands-on, highly collaborative Senior Data ... validation to influence and impact pre-clinical and clinical programs for our clients.
Guide
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Takeda Pharmaceuticals
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Columbus, Ohio
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territory business plans.
Seek clarification from management and/or Compliance & Legal when uncertain ... pharmaceutical or medical device sales and/or relevant clinical or industry experience
Ability to discuss
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Prime Therapeutics
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Columbus, Ohio
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utility player/SME of the department.**
The Clinical Program Manager is responsible for the management ... , Utilization Management programs, and other drug therapy related products and services offered by Prime. As the
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Veterans Affairs, Veterans Health Administration
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Columbus, Ohio
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nursing care possible for Veterans. This responsibility includes the utilization of general clinical ... , coordinate, and provide comprehensive, accessible, Veteran-centered mental health nursing care management to
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Vaco
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Columbus, Ohio
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and rank quality candidates for open EHR positions, with a focus on Epic’s clinical application suite ... with a focus on Epic’s clinical application suite
Updates, reviews, and actively utilizes a
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Prime Therapeutics
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Columbus, Ohio
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, specialty drugs, care management and utilization review.
Meets Magellan Credentialing criteria.
At ... of medical specialty drugs and the management of those drugs.
Understanding of the clinical
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Crowe LLP
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Columbus, Ohio
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-day work tasks for clinical revenue management and charge capture projects and utilize both technical ... opportunity to work closely with all levels of client management. Join a growing team and make a difference
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Starkey Laboratories, Inc.
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Columbus, Ohio
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position emphasizes strong account relationships, CRM maintenance, and project management to support sales ... management to support sales strategies. It also requires an understanding of audiology concepts and
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Northland Hearing Centers, Inc.
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Columbus, Ohio
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management to support sales strategies. It also requires an understanding of audiology concepts and ... management to support sales strategies. It also requires an understanding of audiology concepts and
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Wolters Kluwer
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Columbus, Ohio
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Comfortable working in uncertain and often complex domains (i.e. speaking with clinical informaticists, bio ... business-to-business environment.
Experience using customer relationship management software (e.g
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CVS Health
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Columbus, Ohio
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/or interpretation of applicable criteria and clinical guidelines, standardized case management plans ... utilization, self-report and clinical data available to consolidate information and begin to identify
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