Mount Carmel Health SystemHilliard,OH
*Employment Type:* Full time *Shift:* *Description:* *Position Purpose: * RN Care Navigator, within the scope of the Ohio Nurse Practice Act, will provide care in an atmosphere sensitive to each person's physical, emotional, social and spiritual...
Posted January 6, 2026
OhioHealthColumbus,OH
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people...
Posted January 14, 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 14, 2026
OptumColumbus,OH
As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for...
Posted January 9, 2026
ActalentColumbus,OH
Urgent Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...
Posted January 12, 2026
EngageconsultingpartnersColumbus,OH
Job Type Contract Description Clinical Nurse Consultant-RN Engage Consulting is seeking an experienced Clinical Nurse Consultant-RN for a 1099 contract to support an interim project in the post-acute care...
Posted January 13, 2026
Concept RehabColumbus,OH
A healthcare consulting firm is seeking a Clinical Reimbursement Consultant for a unique remote opportunity. The ideal candidate will be a Registered Nurse with at least five years of experience in MDS completion within a Skilled Nursing Facility.
Posted January 13, 2026
Molina HealthcareColumbus,OH
Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and...
Posted January 13, 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 federal/state...
Posted January 13, 2026
PapaColumbus,OH
Care Advocate (RN) - Florida Papa is a new kind of care built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained...
Posted January 14, 2026
STGColumbus,OH
Registered Nurse - Case Review Specialist STGi is currently seeking a Registered Nurse-Case Review Specialist. The position is remote and open to candidates nationwide. Job Summary: Provides direct support...
Posted January 13, 2026
Sutter HealthColumbus,OH
We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and...
Posted January 11, 2026
UC HealthColumbus,OH
Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: IP Behavioral Unit Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Flex Pay: $42.90 - $66.50 / hour. Pay is dependent on applicant's...
Posted January 9, 2026
Elliot Health SystemColumbus,OH
A healthcare organization in Manchester, NH, seeks a Nursing professional to provide centralized medication access support. Responsibilities include reviewing medication requests, communicating with patients, and adhering to clinical guidelines.
Posted January 13, 2026
OptumColumbus,OH
Explore opportunities with Caretenders, 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 13, 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...
Posted January 13, 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...
Posted January 13, 2026
CVS HealthColumbus,OH
A leading health solutions company is seeking a fully remote Case Manager - Registered Nurse (RN) to join their National Medical Excellence team. The position involves assessing and coordinating care for members to enhance overall wellness.
Posted January 11, 2026
WorkCareColumbus,OH
Workers' Compensation Case Manager - RN - Fully Remote in the US WorkCare, Inc. is seeking a full?time RN to serve as Workers' Compensation Case Manager, supporting our occupational health initiatives across the United States.
Posted January 10, 2026
Mass General Brigham Health PlanColumbus,OH
A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...
Posted January 11, 2026
STG InternationalColumbus,OH
Registered Nurse Case Review Specialist Position is Remote/Nationwide Job Summary STGi is currently seeking a Registered Nurse Case Review Specialist. The position is remote and open to candidates nationwide. Provides direct...
Posted January 13, 2026
Amcord CareColumbus,OH
Nursing Facility Service Coordinator - Kutztown area - Remote Join to apply for the Nursing Facility Service Coordinator - Kutztown area - Remote role at Amcord Care Inc. Job Overview The...
Posted January 9, 2026
BlueCross BlueShield of South CarolinaColumbus,OH
A leading health insurance provider is seeking a Managed Care Coordinator I to evaluate medical or behavioral eligibility for benefits. This entry-level position involves clinical assessments, coordination of services, and patient support. The...
Posted January 13, 2026
Boston StaffingColumbus,OH
Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...
Posted January 13, 2026
Ohio State UniversityColumbus,OH
The Staffing Coordinator provides integral supportive services to University Hospital/ Ross Float Pool and Clinical Resources Staff. This position serves as a liaison between other departmental service lines by providing staffing support, guidance,...
Posted January 13, 2026