322 utilization jobs at 122 companies in Lebanon, OH
2mo
Save
Mark Applied
Hide
2mo
Utilization Review Coordinator
Huber Heights, Ohio, United States
OnsiteFull Time
NeuroPsychiatric Hospitals: Operates specialized psychiatric and medical hospitals.
2+ YOEBachelor's in behavioral health/social work/counseling/nursing/psychology required; 2+ years utilization review and 2+ years case management/discharge planning in hospitals; CCM/ACM preferred; BLS and HWC during orientation; strong documentation and communication skills.
Cincinnati Children's: Provides specialized pediatric healthcare and conducts clinical research.
5+ YOEBSN required, current unrestricted Ohio RN licensure, BLS/CPR required; 5+ years related experience; strong communication, clinical judgment, and leadership for utilization management.
Kettering Health: Operates a network of hospitals and outpatient healthcare facilities.
5+ YOEActive Ohio RN license and BSN required, 5 years clinical experience (2 years case management), case management certification preferred, familiarity with MCG guidelines, EPIC and Microsoft application experience.
Kettering Health: Integrated healthcare system providing hospital and outpatient medical services.
Active Ohio RN license and BSN required, experience with clinical review, payer communication, and medical necessity determination; familiarity with MCG guidelines and Epic preferred.
Cincinnati or Fort Thomas or Bellevue or Florence or Lawrenceburg or Hamilton or Clermont County or Georgetown
$78k-$101k/yrOnsiteFull Time
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
1+ YOEOne year of specialized GS-9-equivalent experience in healthcare procurement and contract administration, or qualifying graduate education; U.S. citizenship and federal time-in-grade may apply.
Federal Acquisition Regulations (FAR), VA Acquisitions Regulations (VAAR), Quality Assurance Surveillance Plan (QASP), USAJOBS, USA Hire
CommuniCare Health Services: Operates skilled nursing and behavioral health care facilities.
Oversee authorizations and length-of-stay metrics, review documentation for clinical/reimbursement quality, manage transitions of care, develop denial-minimization processes, and facilitate UM team activities. Education in nursing, social work, or behavioral sciences preferred.
Indianapolis or Iselin or Tampa or Miami or Wilmington or Cincinnati or St. Louis or Walnut Creek or Las Vegas or Woburn or Grand Prairie or Chicago or California or Illinois or Massachusetts or Nevada or New Jersey
$39-$56/hrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOERequires an associate degree in nursing or equivalent background, 3+ years of healthcare experience, active unrestricted RN license, and wound-care certification such as WOCN or CWS.
Utilization Management Operations Strategy and Implementation Lead
Dayton, Ohio, United States
$83k-$133k/yrRemoteFull Time
CareSource: Provides public health insurance plans and care management services.
5+ YOEBachelor's degree in healthcare, population health, or related field or equivalent experience; 5+ years in utilization management; process analysis, compliance, change management, and continuous improvement expertise required.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft Visio
Dayton Public Schools: Public school district providing K-12 education in Dayton, Ohio.
1+ YOEHigh school diploma or GED plus one year maintaining mechanical equipment or OTCO Basic Wastewater Operator course. Driver's license required; Ohio EPA Operator I license required within 24 months.
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
MasTecNew York Stock Exchange: MTZ: Builds and maintains energy, communications, and utility infrastructure.
Locate and mark underground utilities, read plans/maps, work outdoors, lift up to 50 lbs, valid driver\u0019s license required, HS/GED preferred, CDL A preferred, construction or utility experience preferred.
Cincinnati Art Museum: Art museum collecting and exhibiting significant works of art.
High school diploma or equivalent; flexible schedule with evenings and weekends; ability to lift up to 25 lbs, bend, climb stairs, and perform kitchen utility tasks.
Terracon: Provides geotechnical, environmental, construction, and facilities engineering services.
1+ YOEBachelor's in Geology/Geophysics or 8 years utility locating experience; 1+ years relevant experience; valid driver’s license; GPR and utility locating experience preferred.
Fuyao Glass AmericaShanghai Stock Exchange: 600660: Manufactures and supplies glass for the global automotive industry
High school diploma or equivalent, valid driver's license with clean record, utility systems knowledge, technical manual and blueprint literacy, and ability to perform physical labor in varied weather.
Resilience: Provides contract development and manufacturing services for complex medicines.
5+ YOEEngineering oversight of HVAC and utility systems in a cGMP environment; preventive/predictive maintenance, troubleshooting, documentation, change control, and cross-functional coordination.
Premier Health: Nonprofit academic health system providing comprehensive medical services in Ohio.
3+ YOEActive Ohio RN, Bachelor's in Nursing, 3+ years clinical/utilization experience, knowledge of utilization management, InterQual/MCG, EMR use; strong analytical and communication skills.
Microsoft Word, Microsoft Excel, EPIC, InterQual, MCG
Storti Quality: Provides infrastructure inspection and maintenance services for utility companies.
7+ YOERequires 7+ years in utility construction, utility services, or infrastructure; business development or operations leadership; project, financial, negotiation, and client relationship expertise. Extensive Northeast travel required.
ENTRUST Solutions Group: Provides engineering and consulting services for utility and energy infrastructure.
ABET Bachelor's in Engineering (electrical preferred), strong computer skills, ability to conduct site walkdowns, apply utility codes/standards, and support design packages.