HumanaColumbus,OH
A health services organization is seeking a Prior Authorization RN to join their Wisconsin Medicaid Market team. This role involves reviewing clinical appropriateness of prior authorization requests in accordance with Medicare/Medicaid guidelines.
Posted January 22, 2026
Catholic Health InitiativesColumbus,OH
A leading healthcare provider is seeking a Clinic Registered Nurse (RN) for their urology team in Omaha, Nebraska. This hybrid role allows for remote work after training. The RN will collaborate with a multidisciplinary team to provide...
Posted January 25, 2026
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...
Posted January 25, 2026
ActalentColumbus,OH
Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.
Posted January 21, 2026
Mass General BrighamColumbus,OH
A healthcare organization is seeking a Clinical Review Specialist to conduct analyses and assessments for authorization requests. The ideal candidate should have an Associate's Degree in Nursing, possess a Massachusetts RN license, and ideally...
Posted January 25, 2026
HumanaColumbus,OH
A leading healthcare company is seeking a Utilization Management Nurse 2 to leverage clinical knowledge and communication skills in providing optimal care for members. The role involves coordinating with providers and interpreting clinical...
Posted January 25, 2026
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...
Posted January 17, 2026
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 procedures, and medically...
Posted January 25, 2026
ActalentColumbus,OH
Remote Clinical Review Nurse - Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full-Time About the Role We are seeking an experienced Registered Nurse to join our team within...
Posted January 13, 2026
LifePoint HealthColumbus,OH
Receives inquiry calls and assists the caller with scheduling a face-to-face assessment to triage to the appropriate community referral. Assesses or ensures assessment by a qualified mental health professional of patients who present for assessment.
Posted January 26, 2026
UCHealthColumbus,OH
Description 1 years of recent ED, ICU, or IR experience strongly preferred. Fast paced minimally invasive procedural department. RNs are responsible for care of the patient during interventional radiology procedure, including assessment, sedation,...
Posted January 20, 2026
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...
Posted January 25, 2026
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...
Posted January 16, 2026
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...
Posted January 16, 2026
IntelycareColumbus,OH
Registered Nurse Endocrinology - Albany, NY If you are looking for a Hybrid RN II position, full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position will be...
Posted January 21, 2026
US FertilityColumbus,OH
Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, seeks experienced, compassionate, and dynamic team players who are...
Posted January 24, 2026
Avera HealthColumbus,OH
Location: Avera McKennan Hospital Worker Type: PRN Work Shift: Rotating days/evenings ights/weekends/holidays (United States of America) Pay Range: The pay range for this...
Posted January 16, 2026
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...
Posted January 18, 2026
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...
Posted January 26, 2026
TotalMed StaffingColumbus,OH
Registered Nurse-Utilization Review Job ID #1999978 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...
Posted January 26, 2026
SedgwickColumbus,OH
A leading risk management company is seeking a Remote Triage Nurse to triage catastrophic injury referral calls. Candidates must have a BSN and an active RN license, along with six years of experience in Field Case Management or related clinical...
Posted January 26, 2026
OptumColumbus,OH
Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best,...
Posted January 23, 2026
Fuze HealthColumbus,OH
A healthcare innovator in California is seeking a Registered Nurse to provide remote care as part of a telehealth team. Responsibilities include conducting assessments, educating patients, and ensuring compliance with healthcare regulations.
Posted January 22, 2026
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...
Posted January 24, 2026
MindlanceColumbus,OH
A healthcare compliance consultancy is seeking a Registered Nurse (RN) for a 6-month assignment in Naperville, Illinois. The role involves ensuring compliance of Utilization Management and Quality Review functions for Medical Groups and IPAs.
Posted January 26, 2026