Virtual VocationsColumbus,OH
Evaluating and managing catastrophic episodes of illness, the full-time remote South Carolina Licensed Stop Loss RN will facilitate cost estimates for underwriting, consult on claims, and provide case management oversight.Key...
Posted May 23, 2026
Molina HealthcareColumbus,OH
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member...
Posted May 26, 2026
Geisinger Health SystemColumbus,OH
Associate Director Of Nursing Informatics The Associate Director of Nursing Informatics provides strategic and operational leadership for nursing informatics across Geisinger. Reporting directly to the Chief Nursing Informatics Officer...
Posted May 26, 2026
Yes Him ConsultingColumbus,OH
Clinical Documentation Integrity Specialist/Consultant The Clinical Documentation Integrity (CDI) Specialist/Consultant serves as a trusted advisor to client organizations, providing expert guidance in clinical documentation practices...
Posted May 23, 2026
Oak Street HealthColumbus,OH
We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
Posted May 24, 2026
UnitedHealth GroupColumbus,OH
Field Based Registered Nurse 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...
Posted May 22, 2026
Oak Street HealthColumbus,OH
We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
Posted May 24, 2026
Adventist HealthColumbus,OH
Job Description $15,000 Sign-On Incentive for eligible rehires and external hires that meet required qualifications and conditions for payment. Our home health and hospice agencies are located...
Posted May 26, 2026
Virtual VocationsColumbus,OH
A company is looking for a Utilization Review Nurse.Key ResponsibilitiesPerform inpatient utilization reviews for acute and post-acute casesComplete a minimum of 9 authorization determinations per dayEvaluate clinical information to determine...
Posted May 23, 2026
Vitality Senior LivingColumbus,OH
Director of Wellness Transitions & Compliance (RN) Vitality Living is seeking a dynamic, compassionate leader of people to oversee Health and Wellness efforts for one of the area's best senior living communities. This critical leadership...
Posted May 23, 2026
ActalentColumbus,OH
Job Title: RN Case Manager - Medicare Advantage (Telephonic, Hybrid) Job Description This role offers an experienced RN the opportunity to provide telephonic case management for Medicare Advantage members in Florida. You will...
Posted May 18, 2026
BoldAge PACEColumbus,OH
Join BoldAge PACE and Make a...
Posted May 25, 2026
ParadigmColumbus,OH
Triage Nurse Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an...
Posted May 20, 2026
CGS ADMINISTRATORSColumbus,OH
RN Appeals Analyst We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role, you will research the substance of complex appeal or retrospective review requests including pre-pay and...
Posted May 26, 2026
Southeast Georgia Health SystemColumbus,OH
Infection Control Preventionist Job Category: QA - Quality Control Requisition Number: 01INF004409 Full-Time Remote Brunswick, GA 31520, USA Description Essential Responsibilities: This description of job...
Posted May 15, 2026
Pine Park HealthColumbus,OH
California Licensed Registered Nurse (RN) - Remote Welcome to Pine Park Health! Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get...
Posted May 26, 2026
Marshall Health NetworkColumbus,OH
Cabell Huntington Hospital is seeking a casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and...
Posted May 15, 2026
CircleLink HealthColumbus,OH
Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance...
Posted May 23, 2026
Saint Luke's Health SystemsColumbus,OH
Clinical Risk Adjustment Specialist (RN) At St. Luke's Health System, we're committed to improving patient outcomes through accurate documentation, ethical coding practices, and strong provider partnerships. We are seeking an experienced...
Posted May 16, 2026
Curana HealthColumbus,OH
At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...
Posted May 24, 2026
HealthMap Solutions LLCColumbus,OH
Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...
Posted May 17, 2026
CVS HealthColumbus,OH
Case Manager, Registered Nurse (Field-Based) – Middlesex County, NJ We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be...
Posted May 22, 2026
Virtual VocationsColumbus,OH
Bilingual Nurse Patient Access Specialist (RN), a full-time remote position responsible for facilitating patient access to therapy by conducting benefit investigations, verifying insurance eligibility, and providing ongoing patient support and...
Posted May 23, 2026
MedWatch, LLCColumbus,OH
Case Manager The Case Manager manages an individual caseload using the Case Management process to meet the needs of MedWatch, LLC customers and consumers. This includes authorization of services, review of treatment plans for medical...
Posted May 26, 2026
Corewell HealthColumbus,OH
Candidate must be located within 1 hour of one of the following Corewell Hospitals: Big Rapids, Greenville, or Fremont Candidates must maintain an active bedside nursing role in addition to this virtual position Job...
Posted May 20, 2026