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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

Nurse Case Manager Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clientswhether they are a multi-national...

Details Client Name Ohio State University Wexner - James Cancer Hospital and Research Job Type Travel Offering Nursing Profession...

Registered Nurse (RN), Behavioral Health Registered Nurse Job Type: Full Time Shift: Nights 36 hour weeks (12 hour shift 7 - 7:30) Columbus...

About the Job Job Overview This position offers supplemental income as an Independent Contractor. Make your own schedule! Flexibility! QUEST Diagnostics is a leading...

Details Client Name Ohio State University Hospital Job Type Travel Offering Nursing Profession RN Specialty...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

A leader in medical examination services is seeking a Remote Clinical Quality Assurance Nurse Auditor. This role requires a Registered Nurse with critical care and ER experience. Responsibilities include evaluating clinical information, performing...

A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...

Do you want to make a difference every day? Are you passionate about providing excellent customer service and patient care? PrimaryOne Health is dedicated to improving quality of life though providing access to the highest possible quality...

Job Opportunity At OhioHealth 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...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or...

Discharge Planner The Discharge Planner ensures that high quality patient care is provided in a timely and cost effective manner, in the most appropriate setting. Responsible for coordinating the efforts of the inpatient...

Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Columbus, OH Agency: Atlas MedStaff Pay: $1,904 per week Shift...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect...

Posting Date 11/11/2025 226 Graceland Blvd.Ste. 3-09A, Columbus, Ohio, 43214, United States of America Make a real impact-every day. As a DaVita RN, you'll ensure compassionate and professional delivery of all...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care...

What You'll Do: The Ohio Department of Health / Complex Medical Help program is looking for an experienced nursing leader to oversee statewide public health nursing programs, guide policy development and ensure consistent,...

CVS Health Aetna Case Manager RN 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...

Job Description Ready to make your next career move? VieMed Healthcare Staffing is a premier staffing agency that specializes in connecting skilled professionals with healthcare facilities, ensuring seamless continuity of...

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...

CVS Health Aetna Case Manager RN Opportunity 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...

Clinic Nurse - Port Draw 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 innovation in...

This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...