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Requisition number: 2353879 Job category: Nursing Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team...

Staff Nurse– Corrections Healthcare Unit The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute's (OSUCCC-James) mission is to improve health in Ohio and across the world through...

A company is looking for a Utilization Review Clinician - Behavioral Health.Key ResponsibilitiesEvaluate member's treatment for mental health and substance abuse to ensure medical appropriatenessPerform prior authorization reviews and concurrent...

Sr Utilization Management Nurse Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our...

Clinical Leader PCLM 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...

A company is looking for a Registered Nurse.Key ResponsibilitiesCollaborate with healthcare providers to analyze and interpret medical data for clinical decision-makingCoordinate laboratory work and diagnostic testing, ensuring accurate...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

As an NP at OhioHealth, you will receive the support needed to balance your personal and professional goals and impact on our mission of improving the health of those we serve in Central OH. Ideal for new those with strong RN critical...

A company is looking for a Clinical Review Nurse - Concurrent Review.Key ResponsibilitiesPerform concurrent reviews to assess member health and appropriate care levelsReview quality and continuity of care, including discharge planning and resource...

Utilization Management Rn Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

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 uncover...

A company is looking for an RN Educator, Clinical Documentation Integrity who must reside in Colorado.Key ResponsibilitiesFacilitate improvement in the quality and accuracy of medical record documentation through education and trainingDevelop and...

Transitional Care Coordinator Explore opportunities with Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care...

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...

A company is looking for a Bilingual (English/Spanish) Transitions of Care RN Case Manager.Key ResponsibilitiesEngage with newly discharged patients to assess their needs and develop care plansCoordinate care with healthcare providers and...

Requisition number: 2357526 Job category: Nursing Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team...

A company is looking for a Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time.Key ResponsibilitiesValidates Acute Inpatient coded charts for accurate diagnostic information and complianceConducts coding audits and reviews...

A company is looking for a Complex Discharge Planner (RN).Key ResponsibilitiesDevelops and coordinates complex discharge plans for high-risk members based on needs assessmentsInteracts with providers and community agencies to ensure safe and...

A company is looking for a Clinical Audit Specialist - Utilization Management.Key ResponsibilitiesConduct retrospective and targeted audits of medical necessity determinationsAnalyze audit findings to identify trends and systemic issues in...

A company is looking for a RN Call Center Obstetrics - Remote from a Compact State.Key ResponsibilitiesConduct telephonic assessments with obstetric patients and provide care coordinationEducate patients and families about treatment and services,...

A company is looking for a Registered Nurse Senior Director Academic Practice Partnership.Key ResponsibilitiesLead the strategic design of academic partnerships to develop a sustainable nursing workforceCultivate relationships with universities...

A company is looking for a Nurse Auditor.Key ResponsibilitiesPerform charge audits and assessments to resolve incorrect or missing chargesMonitor revenue loss reports and identify documentation needs to support charge captureEducate stakeholders...

A company is looking for a Utilization Management RN to ensure efficient healthcare resource use while promoting quality patient care.Key ResponsibilitiesCoordinate with healthcare teams to assess and monitor the delivery of healthcare...

A company is looking for a Clinical Review Nurse - Correspondence.Key ResponsibilitiesDrafts correspondence letters based on clinical review outcomes in accordance with NCQA standardsInvestigates denials and provides supplemental information to...

A company is looking for a Nurse Case Manager (WC and PIP).Key ResponsibilitiesNegotiate fees and coordinate referrals with rehabilitation and medical case management vendorsGather, analyze, and report service data significant to clients and...