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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...
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...
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...
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...
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...
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...
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.
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...
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...
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...
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...
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...
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...
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.
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,...
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...
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...
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.
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.
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...
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...
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...
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...
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...
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,...
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