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 9, 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 16, 2026
Syneos HealthColumbus,OH
Research Nurse (Per Diem) - Lexington, MA Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...
Posted January 16, 2026
Scout ExchangeColumbus,OH
Job: Registered Nurse - Clinical Research Nurse (CRN) Job Location: Easton, MD 21601 Profession: Registered Nurse Specialty: Clinical Research Nurse (CRN) Unit: Clinical Research Nurse 2810-10768 Shift: Day...
Posted January 16, 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 23, 2026
Stanford UniversityColumbus,OH
Pediatric Cancer Cellular Therapy (CCT) Research Nurse 2 (Hybrid) The Stanford Cancer Institute (SCI) is one of an elite number of National Cancer Institute-Designated Comprehensive Cancer Centers in the country, and is a...
Posted January 16, 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
Hazelwood School DistrictColumbus,OH
In order to have an accurate count of participants, we need you to register for the Recruitment Fair on the District's website. Please select "apply for this position" under the heading to the right labeled "Apply Now". Interviews slots will fill up...
Posted January 16, 2026
NexusColumbus,OH
Job Type Full-time Description Job Summary The Utilization Review (UR) Nurse is responsible for analyzing medical records for medical-legal reviews and producing high-quality, professional executive...
Posted January 16, 2026
HumanaColumbus,OH
A leading healthcare organization is seeking a Prior Authorization RN to join its team. This role entails reviewing prior authorization requests to ensure medical necessity and compliance with Medicare and Medicaid guidelines. Applicants should...
Posted January 23, 2026
AcuityMRIColumbus,OH
A leading healthcare provider is urgently seeking experienced Clinical Documentation Specialists for remote positions. Ideal candidates must be RN graduates from an approved nursing program and possess prior CDI experience, preferably in acute...
Posted January 22, 2026
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 procedures, and medically...
Posted January 24, 2026
Option Care EnterprisesDublin,OH
Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site...
Posted January 19, 2026
Float HealthColumbus,OH
Are you an infusion center or oncology nurse looking for a flexible side gig? Are you a critical care RN or ER nurse interested in taking care of patients outside of the hospital? We are here for YOU! Float...
Posted January 11, 2026
Liberty HealthcareColumbus,OH
Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...
Posted January 22, 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
MaximusColumbus,OH
Description & Requirements Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ...
Posted January 22, 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
Elevance HealthColumbus,OH
A prominent healthcare provider is seeking a Nurse Reviewer I for a virtual position responsible for conducting reviews of diagnostic imaging services. The ideal candidate should possess an AS in nursing and clinical nursing experience, alongside...
Posted January 23, 2026
CVS 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 January 23, 2026
Providence ServiceColumbus,OH
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...
Posted January 22, 2026
Ohio State University Wexner Medical CenterColumbus,OH
Scope of Position The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and supportive...
Posted January 23, 2026
LifePoint HealthColumbus,OH
Receives inquiry calls and assists the caller with scheduling a face-to-face assessment to triage to the appropriate community referral. Assesses or ensures assessment by a qualified mental health professional of patients who present for assessment.
Posted January 23, 2026
BOSTON PUBLIC HEALTH COMMISSIONColumbus,OH
Carries out communicable disease surveillance, prevention, and control measures for the City of Boston. Investigates reports of communicable diseases including pathogens of public health importance, reported outbreaks, or other...
Posted January 16, 2026
OSU James Cancer Hospital and ResearchColumbus,OH
Details Client Name OSU James Cancer Hospital and Research Job Type Travel Offering Nursing Profession RN...
Posted January 9, 2026