Ochsner HealthColumbus,OH
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record...
Posted January 24, 2026
HumanaColumbus,OH
A national health insurance company is seeking a Prior Authorization RN to review clinical appropriateness of prior authorization requests. This role is pivotal in ensuring compliance with Medicare and Medicaid criteria, while improving the...
Posted January 26, 2026
UCLA HealthColumbus,OH
Description As an RN Care Manager, you will function as a clinician, advocate, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. The RN Care Manager...
Posted January 22, 2026
Valley Children's HealthcareColumbus,OH
Job Summary: The Registered Nurse (RN) is accountable for providing competent nursing care. Responsible for coordination of the patient's plan of care through assessment, planning, implementation, and evaluation of nursing...
Posted January 24, 2026
Elevance HealthColumbus,OH
Work Location: Virtual This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This...
Posted January 26, 2026
Sanford HealthColumbus,OH
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to...
Posted January 16, 2026
St. Charles Health SystemColumbus,OH
Salary range: $95,139 - $130,811 annually, based on qualifications. This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous...
Posted January 24, 2026
HireOps Staffing, LLCColumbus,OH
This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...
Posted January 16, 2026
PeaceHealthColumbus,OH
Description Join PeaceHealth in advancing compassionate, mission-driven care from wherever you are. PeaceHealth is looking for a skilled and motivated Registered Nurse Utilization...
Posted January 18, 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 16, 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
Interim HealthCareColumbus,OH
Home Health RN SME 3 - Day Workshop Ready to share your expertise and make an impactwithout leaving home? If youre a skilled Home Health RN looking for a unique opportunity to apply your knowledge in a new and rewarding way, this...
Posted January 19, 2026
AmergisColumbus,OH
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and...
Posted January 23, 2026
Baptist Health Boca Raton Regional HospitalColumbus,OH
Baptist Health is the regions largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward...
Posted January 26, 2026
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...
Posted January 24, 2026
Franciscan Missionaries of Our Lady Health SystemColumbus,OH
Job Description Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric,...
Posted January 24, 2026
HirebridgeColumbus,OH
A healthcare provider is looking for a Home Infusion Registered Nurse in Atlanta, GA. This fully remote position allows RNs to provide infusion therapies in patients' homes, fostering strong relationships through personalized care. Ideal...
Posted January 26, 2026
Crawford Thomas RecruitingColumbus,OH
Our client is building the world's first proactive healthcare system, starting with neurodegenerative diseases like Alzheimer's. Partnering with leading neurologists and clinics, our client delivers continuous, personalized care through PCM and...
Posted January 18, 2026
CircleLink HealthColumbus,OH
Remote Rn Care Coach 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...
Posted January 26, 2026
TEKsystemsColumbus,OH
*Quality Assurance Registered Nurse - 100% Remote* Contract duration: 520 hour contract to hire Training Schedule: M-F, 4-6 weeks *Contract Details* * *Contract Duration:* 520-hour contract-to-hire, long term opportunity *...
Posted January 24, 2026
CSI PharmacyColumbus,OH
A leading pharmacy company is seeking a Clinical Outcomes Quality Assurance Nurse to ensure the quality of documentation and implement clinical best practices. Responsibilities include managing outcomes forms and communicating with patients and...
Posted January 25, 2026
Remote StaffingColumbus,OH
Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...
Posted January 25, 2026
CoxHealthColumbus,OH
Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1651 Virtual Care Command Center Scheduled Weekly Hours: 24 Hours:...
Posted January 16, 2026
Elevance HealthColumbus,OH
Candidates with a compact license strongly preferred Shift: Rotating schedule, 4 10-hour shifts per week, 7:30am - 6:00pm CST Location: Candidates in Texas, Tennessee, and New...
Posted January 24, 2026
Blue Cross Blue Shield of ArizonaColumbus,OH
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...
Posted January 16, 2026