Providence ServiceColumbus,OH
Description Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the...
Posted April 10, 2026
CareSourceColumbus,OH
Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...
Posted April 14, 2026
Washington University in St. LouisColumbus,OH
Scheduled Hours 40 Position Summary Coordinates the care of patients for a designated service throughout the continuum of care; serves as a clinical resource in area of specialty or...
Posted April 14, 2026
BrightStar Care of Acton, Andover and LowellColumbus,OH
A leading home health services provider is seeking a Nurse Manager/Clinical Supervisor (RN) in Tewksbury, MA, to lead and support field staff in delivering exceptional patient care. You will be responsible for patient assessments, developing care...
Posted April 16, 2026
The MetroHealth SystemColumbus,OH
Location: BROOKLYN HEIGHTS Biweekly Hours: 80.00 Shift: Day/Evenings 7:00 AM-730 PM, 9:00 AM-9:30 PM, 11:00 AM-11:30 PM-Rotating weekends/holidays The MetroHealth System is redefining health care by going...
Posted April 7, 2026
Stella MarisColumbus,OH
Summary As a leader in eldercare for nearly 70 years, we are always looking for qualified people to join the Stella Maris team. Unique opportunity to join the dynamic, collaborative and well-established Admissions...
Posted April 14, 2026
Umpqua HealthColumbus,OH
UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than...
Posted April 14, 2026
The Laurels of WorthingtonColumbus,OH
NEW INCREASED WAGES! We now offer Daily Pay! Are you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of Worthington, you have the...
Posted April 16, 2026
Geisinger Health SystemColumbus,OH
Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job...
Posted April 14, 2026
NYULMCColumbus,OH
Job Description Position Summary: We have an exciting opportunity to join our team as a Telehealth Nurse - Access Center - Boynton Beach, Florida. In this role, the successful candidate carries...
Posted April 11, 2026
BJC HealthCareColumbus,OH
BJC HealthCare is seeking a Registered Nurse (RN) Assistant Manager for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: Assistant Manager Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health,...
Posted April 16, 2026
WPS Health SolutionsColumbus,OH
Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide...
Posted April 14, 2026
3:15Columbus,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 April 9, 2026
Vitability HealthColumbus,OH
Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...
Posted April 14, 2026
Hendrick HealthColumbus,OH
JOB SUMMARY The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity criteria for the purpose of evaluating medical necessity or hospitalization...
Posted April 16, 2026
Marshall Health NetworkColumbus,OH
Cabell Huntington Hospital is seeking a full-time Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and driving...
Posted April 14, 2026
Hireops Staffing LlcColumbus,OH
Fully Remote JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date...
Posted April 14, 2026
UCHealthColumbus,OH
Description Location: UCHealth Anschutz Inpt Pavilion, CO,Aurora Department: UCHA Care Management Work Schedule: PRN, 0.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience...
Posted April 16, 2026
SGMC HealthColumbus,OH
Description WHAT IT'S LIKE AT SGMC HEALTH Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.
Posted April 7, 2026
North Country HealthCareColumbus,OH
POSITION SUMMARY: The Triage RN is responsible for assessing patient needs over the phone, providing medical advice, and directing patients to appropriate care based on their symptoms. This role involves critical thinking,...
Posted April 14, 2026
The University of ChicagoColumbus,OH
Department BSD OBG - Gyn Onc About the Department The Section of Gynecologic Oncology is a part of the Department of Obstetrics and Gynecology. The Section is comprised of 12 faculty physicians, 7 advanced practice...
Posted April 14, 2026
CAPITAL HEALTH SERVICESColumbus,OH
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource...
Posted April 4, 2026
Palm Medical CentersColumbus,OH
Position Summary: The Concurrent Review Nurse is responsible for performing utilization management activities to ensure medical services are delivered effectively, efficiently, and appropriately. This includes reviewing...
Posted April 11, 2026
UnitedHealth GroupColumbus,OH
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...
Posted April 5, 2026
Mary Washington HealthcareColumbus,OH
Start the day excited to make a difference...end the day knowing you did. Come join our team. Job Summary: The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with collaboration from the...
Posted April 7, 2026