Average salary: $79,436 /yearly

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  • $87.7k - $157.8k

     ...flexibility. Job Description Remote Opportunity | Psychologist Reviewer Make an Impact from Anywhere. Join a mission-driven...  ...practitioners to provide education on best practice models and utilization management processes * Interact with the Medical Director, or... 
    Suggested
    Full time
    Part time
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Centene Corporation

    Ohio
    4 days ago
  • Role Snapshot The Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This role ensures that providers are billing and being paid appropriately for services provided... 
    Suggested
    Full time
    Contract work
    For contractors
    Local area
    Immediate start
    Remote work

    WPS—A health solutions company

    Ohio
    4 days ago
  • $36.54 per hour

     ...Connecting People to Possibility As a publicly traded company (NYSE: CTRI [ with $3 billion in revenue, Centuri [ the way in utility and energy infrastructure across North America. What sets us apart is our local agility, resources to scale, and comprehensive solutions... 
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    Full time
    For contractors
    Local area

    Centuri Group, Inc.

    Ohio
    1 day ago
  • $65k - $88.6k

     ...community Humana Healthy Horizons in Kentucky is looking for a Utilization Management Behavioral Health Professional 2 who uses...  ...platforms Preferred Qualifications Experience with utilization review process. Experience with behavioral change, health promotion,... 
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    Weekly pay
    Full time
    Temporary work
    Apprenticeship
    Private practice
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana

    Ohio
    4 days ago
  • $29 - $45 per hour

     ...company , we don't just build commercial projects—we build careers and lasting relationships. We're looking for an experienced Site & Utilities Foreman who enjoys leading crews, solving problems, and taking pride in delivering quality work every day. If you're the type... 
    Suggested
    Full time
    For subcontractor

    Bruns Construction Enterprises

    Ohio
    6 hours ago
  • $44.92 per hour

     ...servicemembers and their families, across the United States. Job Summary: The Registered Nurse - Utilization Manager must have the ability to sit or stand for extended periods while reviewing medical records and working on a computer, with frequent use of standard office... 
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    Hourly pay
    Full time
    For contractors
    Work at office
    Local area
    Monday to Friday
    Shift work
    Day shift

    Decypher

    Ohio
    a month ago
  •  ...Job Description Job Description Job Title: General Laborer (Utility Team Member) Department : Operations Reports To: Facilities Supervisor Position Overview: At Lakeside, our work changes with the seasons—and we need team members who can adapt. The... 
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    Full time
    Summer work
    Seasonal work
    Immediate start
    Flexible hours
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    Afternoon shift
    Early shift

    Lakeside

    Ohio
    29 days ago
  • $36.63 - $48.85 per hour

     ...every stage of your career. Try new things, learn new skills and discover what you excel at—all from Day One. Job Description Reviews appraisals and reports including desktop valuations from a wide variety of bank channels. Reviewer Appraiser positions review all... 
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    Temporary work
    Work at office
    Local area

    U.S. Bank

    Ohio
    4 days ago
  • $20 - $30 per hour

     ...Salary Range $20.00 - $30.00 Hourly Position Type Full Time Description EXPERIENCED UTILITY LOCATORS WANTED Northern Lights Locating & Inspection, Inc. If you’re an experienced Utility Locator who knows 811 law, takes pride in clean marks, and wants the... 
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    Hourly pay
    Full time
    Flexible hours

    NORTHERN LIGHTS SERVICES, INC.

    Ohio
    2 days ago
  • $148.5k - $174.7k

     ...you excel at—all from Day One. Job Description The Power & Utilities Division at U.S. Bank is seeking a Portfolio Manager to lead...  ...Advanced financial modeling acumen with the ability to independently review, challenge, and stress-test models Proven ability to... 
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    Contract work
    Temporary work
    Local area

    U.S. Bank

    Ohio
    4 days ago
  •  ...including mental, physical, and financial wellness Professional development and growth opportunities How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to... 
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    Full time
    Temporary work
    Local area
    Flexible hours

    Lifepoint Health

    Columbus, OH
    1 day ago
  •  ...Drug Utilization Review Pharmacist Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for... 
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    Remote work

    Pharmacy Careers

    Cleveland, OH
    4 days ago
  •  ...vertical line business that are here to support those who are seeking recovery. The Role Itself Position Summary: The Utilization Review Specialist is responsible for the authorizations and certifications process for Inpatient and Outpatient Services. This includes... 
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    Work at office
    Flexible hours
    Shift work

    NewVista Behavioral Health

    Cincinnati, OH
    1 day ago
  •  ...Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscapeanalyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple... 
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    Pharmacy Careers

    Cincinnati, OH
    1 day ago
  •  ...role will provide detailed design engineering services to our utility customers. As we see strategic growth in our markets and expanding...  ..., and installation standards and specifications. Review and verify engineering submittals and installation procedures to... 
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    Utility Supply and Construction Company

    Ohio
    17 days ago
  • The Christ Hospital Health Network is seeking a Utilization Review Nurse in Cincinnati, Ohio. The role involves ensuring high-quality care through clinical reviews and compliance with Medicare regulations. Candidates should have a Bachelor's Degree in Nursing and experience... 

    The Christ Hospital Health Network

    Cincinnati, OH
    10 hours ago
  •  ...has valid current DOT Health Card \n \n• Able to hand-lift and utilize two-wheeler, lift gate and/or other equipment to move and/or...  ...federal laws and regulations. Please click on the following links to review: (1) our EEO Policy; (2) the "EEO is the Law" poster and... 
    Traineeship
    Local area
    Immediate start
    Shift work

    Core-Mark

    Ohio
    10 days ago
  • $17 per hour

     ...reporting adverse reaction events per public health requirements Reviewing and collecting patient information; tracking and documenting...  ...written communication to interact with patients and colleagues Utilize active listening by giving full attention to what others are... 
    Hourly pay
    Full time
    Local area
    Work from home
    Flexible hours
    Shift work
    Night shift

    CVS Health

    Ohio
    2 days ago
  • $18 - $25 per hour

     ...individuals with disabilities. California residents click here [ review your privacy rights. It is unlawful in Massachusetts to...  ...possibly including Workday, Loop, and HireVue. These systems utilize text messages to communicate with you throughout the... 
    Hourly pay
    Full time
    Part time
    Local area
    Immediate start
    Monday to Friday
    Weekend work

    Rentokil Pest Control

    Ohio
    4 days ago
  • $36 - $38 per hour

     ...serving areas and network segmentation. Lead constructability reviews, value engineering, and route optimization; resolve clearance,...  ...loading, and make-ready); coordinate with IOU/co-op/municipal utilities. Interface with agencies and utilities to resolve conflicts,... 
    Daily paid
    Full time
    Live in
    Local area
    Flexible hours

    Pearce Services

    Ohio
    12 days ago
  • $69.4k - $99.2k

     ...enhancing cloud data pipelines. * Leverage Cloud Infrastructure: Utilize AWS services (e.g., S3, Glue, Lambda) to manage and scale data...  ...best practices, including CI/CD, version control, and code reviews. * Experience with Power BI or other BI tools (e.g., Tableau,... 
    Full time
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Ohio
    3 days ago
  • $135k - $165k

     ...clinically driven recommendations and initiatives, evaluating utilization management criteria and operational impact, supporting and maintaining...  ...other pharmacy strategies aligned with organizational goals. Review prescribing patterns, prescription claims, and prior... 
    Full time
    Work at office
    Remote work
    Flexible hours
    Night shift

    Gainwell Technologies LLC

    Ohio
    4 days ago
  • $70k - $120k

     ...quantity takeoffs and preparation of construction cost estimates Utilize GIS software to analyze and manage data and to prepare project...  ...infrastructure condition assessments and surveys as needed Review engineering information used by external partners on projects... 
    Full time

    Bruns Construction Enterprises

    Ohio
    1 day ago
  •  ...and paper, rubber, petroleum, pharmaceutical, glass, metals, and utilities industries. We also deliver equipment for use worldwide. Our...  ...lines, schematics, wiring diagrams, BOMs). Conduct a technical review of project Release bill of material for purchasing and... 
    Worldwide

    Panelmatic

    Ohio
    24 days ago
  •  ...and paper, rubber, petroleum, pharmaceutical, glass, metals, and utilities industries. We also deliver equipment for use worldwide. Our...  ...project is completed on schedule, meets quality standards including review meetings and checking procedures, performance is within the... 
    Worldwide

    Panelmatic

    Ohio
    21 days ago
  •  ...right time, in the right place. Responsibilities Clinical review of 100% acute bedded patients admitted to Inpatient or...  ...for monthly reporting and statistics for presentation to the Utilization Review Committee. Interfaces with patient registration and... 
    Full time

    The Christ Hospital Health Network

    Cincinnati, OH
    4 days ago
  •  ...routine and ad hoc reports, special study methods, institutional review board (IRB) proposals and surveillance protocols. Assist in...  ...Knowledgeable with using R and/or STATA. Experience utilizing USAFSAM/PHR data repositories. Experience creating research... 
    Permanent employment

    Ajanta Consulting

    Ohio
    2 days ago
  •  ...Full Time Days 7am-4:30pm 40 Hours/Week Utilization management and pediatric nursing experience preferred Summary: The Utilization...  ...Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources and serving as... 
    Full time
    Remote work

    Akron Children's Hospital

    Akron, OH
    3 days ago
  • $20.97 - $24.56 per hour

     ...insurance, and OhioRISE or waiver-related changes that impact authorizations or service access for clients Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions Utilize data... 
    Hourly pay
    Temporary work
    Work at office
    Local area

    Integrated Services for Behavioral Health

    Ohio
    13 days ago
  •  ...maintain customer relationships and become a trusted advisor by utilizing provided training to support sales offerings. The Team Lead...  ...and processes for opening or closing the store. * May assist in review of cash handling, cashier, and merchandise error logs, register... 
    Part time
    Work at office
    Local area
    Shift work

    Office Depot

    Ohio
    2 days ago