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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...
Elevance HealthColumbus,OH
A major healthcare provider seeks a Transitions of Care RN to deliver patient education across programs for chronic disease management. This role involves conducting assessments, coordinating health-coaching plans, and monitoring the effectiveness...
Beth Israel Lahey HealthColumbus,OH
Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...
Mount Carmel Health SystemColumbus,OH
Employment Type:Full timeShift:12 Hour Day ShiftDescription:Position Purpose:The Medical Surgical (Med Surg) unit at Mount Carmel East is 28 beds. The Registered Nurse would expect to see a mixture of post-surgical patients and those with a...
Carle HealthColumbus,OH
Overview The Patient Clinical Services team is a centralized nursing service where the Patient Clinical Services RN implements best practices in patient care and coordination for participating Primary Care locations by...
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...
FRESENIUSColumbus,OH
PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of...
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...
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...
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...
AVEANNA HEALTHCARE LLCColumbus,OH
Overview Join a Company That Puts People First! Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we're proud...
State of OhioColumbus,OH
What You'll Do...* Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance* Performs treatments and performs or assists with nurse's sick call* Assists with doctor's sick call* Performs or...
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...
Avera HealthColumbus,OH
Location: Avera McKennan Hospital Worker Type: PRN Work Shift: Rotating days/evenings ights/weekends/holidays (United States of America) Pay Range: The pay range for this...
Trinity Health CorporationColumbus,OH
Employment Type:Full timeShift:12 Hour Day ShiftDescription:Position Purpose:The Medical Surgical (Med Surg) unit at Mount Carmel East is 28 beds. The Registered Nurse would expect to see a mixture of post-surgical patients and those with a...
nursing jobsColumbus,OH
About the Role As a Registered Nurse (RN), you'll play a vital role in providing compassionate and high-quality care to patients. You'll work in a variety of healthcare settings, such as hospitals, clinics, and nursing homes, assessing patient...
MAS Medical StaffingColumbus,OH
Job Description Registered Nurse(RN) / Travel / Triage Registered Nurse Triage Type: Registered Nurse (RN) Newton, MA MAS Medical Staffing is currently seeking a(n) Registered...
Entyre CareColumbus,OH
About Us At Entyre Care, we believe family caregivers are heroes - and they deserve a system that treats them like it. Our mission is simple and urgent: help families care for their loved ones at home with dignity,...
Martin's Point Health CareColumbus,OH
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...
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.
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...
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 uncover...
HealthMap Solutions LLCColumbus,OH
Registered Nurse, Quality Assurance Reviewer The Registered Nurse, Quality Assurance Reviewer will work in conjunction with the Quality Manager and will be responsible for completing quality reviews for the Clinical Services and Provider...
InnovAgeColumbus,OH
Responsibilities The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during nights, holiday and weekends in accordance with InnovAge...
Alpha Rae PersonnelColumbus,OH
Job Type: Full-Time, Direct Hire Openings: Multiple Bonus: Sign-on bonus available for select positions Overview: We are actively hiring Registered...

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