UCHealthColumbus,OH
Description Location: UCHealth UCHlth Anschutz Outpt Pavilion, US:CO:Aurora Department: Preprocedure Services Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $32.01 - $49.62 / hour. Pay is dependent on applicant's...
Posted January 31, 2026
MedixColumbus,OH
A healthcare solutions company is seeking a Clinical Review RN (Independent Dispute Resolution) to provide remote case determinations for Independent Dispute Resolution. This role requires a licensed RN in New York State with a minimum of two...
Posted January 30, 2026
Nebraska StaffingColumbus,OH
divh2Job Summary/h2pThe RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance...
Posted January 27, 2026
CareFirst BlueCross BlueShieldColumbus,OH
Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...
Posted January 24, 2026
Avera HealthColumbus,OH
Location: Avera Medical Group Pulmonary & Sleep Medicine-Sioux Falls Worker Type: Regular Work Shift: Pay Range: The pay range for this position is listed below. Actual pay rate...
Posted January 31, 2026
VITAS HealthcareColumbus,OH
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...
Posted January 30, 2026
Molina HealthcareColumbus,OH
JOB DESCRIPTION For this position we are seeking a RN with a current active license for state of KY and or compact licensure The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient...
Posted January 19, 2026
US Tech SolutionsColumbus,OH
Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...
Posted January 31, 2026
AdventHealthColumbus,OH
Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...
Posted January 25, 2026
GHR HealthcareColumbus,OH
GHR Healthcare is seeking a travel nurse RN Pediatrics CVICU for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Pediatrics...
Posted January 30, 2026
HireOps Staffing, LLCColumbus,OH
$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...
Posted January 31, 2026
Supplemental Health CareColumbus,OH
Supplemental Health Care is seeking a travel nurse RN PICU - Pediatric Intensive Care for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: PICU - Pediatric Intensive...
Posted January 31, 2026
Piedmont HealthcareColumbus,OH
Overview Experience the advantages of real career change Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and...
Posted January 31, 2026
The Ohio State University Wexner Medical CenterColumbus,OH
Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. ...
Posted January 31, 2026
Froedtert HealthColumbus,OH
Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our CP-NORTH HILLS HEALTH CENTER facility. This job is ON - SITE. FTE: 0.400000 Standard...
Posted January 31, 2026
Ohio State University Wexner Medical CenterColumbus,OH
Scope of Position The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research, education, and...
Posted January 31, 2026
Providence Health & ServiceColumbus,OH
Job Description RN Utilization Review at Irvine, CA. This position is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern...
Posted January 31, 2026
Walker HealthforceColumbus,OH
RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.
Posted January 31, 2026
American Recruiting and Consulting GroupColumbus,OH
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...
Posted January 28, 2026
Remote StaffingColumbus,OH
Pre-Access Utilization Management Registered Nurse Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for...
Posted January 28, 2026
Specialty Care ManagementColumbus,OH
Type: Full-time, salaried, FLSA exempt Pay: $80,000 - $85,000 annually, plus bonus potential Location: US, remote; some evening hours, weekend hours, and travel are required...
Posted January 18, 2026
Presbyterian Healthcare ServicesColumbus,OH
A healthcare organization is hiring a skilled Nurse Advice Line Clinical Triage Nurse for a part-time position. The role involves performing clinical triage and coordinating care based on inbound calls. The ideal candidate must hold an RN License...
Posted January 28, 2026
Johns Hopkins HospitalColumbus,OH
A leading healthcare institution in Baltimore seeks a full-time RN/Ambulatory to work in the Central Nursing Department. The RN will play a crucial role in triaging patients, providing care management, and ensuring quality patient education.
Posted January 29, 2026
Avera HealthColumbus,OH
Location: Avera Medical Group Pediatrics-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is...
Posted January 31, 2026
Idaho StaffingColumbus,OH
RN Care Review Clinician The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...
Posted January 30, 2026