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Position
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Description
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Requirements
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Utilization Review Nurse* (full-time)
Cincinnati Tri-County Mall Area (posted 1/1/07)
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- Provides precertification, concurrent review, discharge planning, outpatient review and any additional programs requested by clients according to client guidelines.
- Functions as an acute case manager.
- Acts as a conduit for acute care among the TPA's, employers and reinsurers.
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- Active state registered nurse licensure, in good standing.
- Knowledge of managed care concepts.
- 3 - 5 years hospital nursing experience.
- Previous managed care experience preferred.
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Utilization Review Nurse* (part-time)
Columbus, OH
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- Provides precertification, concurrent review, discharge planning, outpatient review and any additional programs requested by clients according to client guidelines.
- Functions as an acute case manager.
- Acts as a conduit for acute care among the TPA's, employers and reinsurers.
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- Active state registered nurse licensure, in good standing.
- Knowledge of managed care concepts.
- 3 - 5 years hospital nursing experience.
- Previous managed care experience preferred.
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Disease Management Nurse* (part-time)
Columbus, OH
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- Provide education and support to Disease Management enrollees.
- Assist enrollees with goal developement.
- Assess and update program objectives.
- Participate in Health Fair activities as needed.
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- Active state registered nurse licensure, in good standing.
- Knowledge of managed care concepts.
- 3 - 5 years hospital nursing experience.
- Previous managed care experience preferred.
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