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AccessNurseColumbus,OH
Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...
Liberty HealthcareColumbus,OH
Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...
Providence ServiceColumbus,OH
Description RN Utilization Review at Irvine, CA. This position is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our...
Metropolitan Jewish Health SystemColumbus,OH
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...
Saint Luke's Health SystemsColumbus,OH
Job Description The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review and management. This position includes monitoring patient...
HireOps Staffing, LLCColumbus,OH
$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...
315 healthColumbus,OH
We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...
Regional One HealthColumbus,OH
The Registered Nurse provides professional nursing care to patients within assigned areas utilizing the nursing process to assess, plan, implement and evaluate patients. What you will do Provides nursing...
InnovAgeColumbus,OH
Responsibilities The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during nights, holiday and weekends in accordance with InnovAge...
Westside Family HealthcareColumbus,OH
Job Type Full-time Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS...
Martin's Point Health CareColumbus,OH
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...
US Tech SolutionsColumbus,OH
Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...
Remote StaffingColumbus,OH
Quality Assurance Registered Nurse This is a contract to hire position based out of Raleigh, NC. The pay range for this position is $29.00 - $31.25/hr. Eligibility requirements apply to some benefits and may depend on your job...
Option Care HealthColumbus,OH
Extraordinary Careers. Endless Possibilities.With the nation's largest home infusion provider, there is no limit to the growth of your career.Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in...
TEKsystemsColumbus,OH
*Quality Assurance Registered Nurse - 100% Remote* Contract duration: 520 hour contract to hire Training Schedule: M-F, 4-6 weeks *Contract Details* * *Contract Duration:* 520-hour contract-to-hire, long term opportunity *...
Inland Empire Health PlanColumbus,OH
Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic...
CareFirst BlueCross BlueShieldColumbus,OH
Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...
Catholic Health ServiceColumbus,OH
Overview Registered Nurse (RN), Clinical Decision Unit Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member...
Piedmont HealthcareColumbus,OH
Overview Experience the advantages of real career change Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and...
Molina HealthcareColumbus,OH
Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and...
Carle HealthColumbus,OH
Overview The Patient Clinical Services team is a centralized nursing service where the Patient Clinical Services RN implements best practices in patient care and coordination for participating Primary Care locations by...
Walker HealthforceColumbus,OH
RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.
VITAS HealthcareColumbus,OH
Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...
UnitedHealth GroupColumbus,OH
Provide high-quality clinical services within scope of practice and infection control standards. Coordinate care with other members of the patient/client's care team from admission to discharge. Complete clinical nursing assessments per...
New Mexico StaffingColumbus,OH
divh2RN Care Review Clinician/h2pThe RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...
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