ConduentColumbus,OH
Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...
Posted February 2, 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
InnovAgeColumbus,OH
Responsibilities Part time: 24 Hours Per week (Sat & Sun) 8am-8pm MST. The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during...
Posted January 31, 2026
Columbus StaffingColumbus,OH
Job Opportunity Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...
Posted February 1, 2026
COllaberaColumbus,OH
Description Home Search Jobs Job Description RN Utilization Management (REMOTE butNV License) Remote: Las Vegas, Nevada, US Salary Range: 42.00 - 43.00 | Per Hour...
Posted January 31, 2026
VITAS HealthcareColumbus,OH
Job Description 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...
Posted January 31, 2026
Hireops Staffing LlcColumbus,OH
The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...
Posted January 31, 2026
Boston Medical CenterColumbus,OH
Registered Nurse (RN) Boston Medical Center - Boston Allied Partners (BAP) This is a hybrid role, requiring on-site presence in our office but flexible. As an LTSS Registered Nurse (RN), you'll...
Posted January 31, 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 31, 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
Owensboro HealthColumbus,OH
Entity: Owensboro Health Regional Hospital | Department: Virtual Care | Work Hours: 7P - 7:30A | Weekend Requirements: One | 0.9 FTE Job Summary: Provides direct nursing care in accordance with established policies,...
Posted January 31, 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 31, 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 February 2, 2026
Renown HealthColumbus,OH
Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless patient flow. This role is challenged...
Posted January 31, 2026
GATEWAY REHABColumbus,OH
Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...
Posted January 31, 2026
Catholic Health ServiceColumbus,OH
Overview Registered Nurse (RN), Clinical Decision Unit Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member...
Posted January 31, 2026
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 February 1, 2026
Rock HouseColumbus,OH
Category Healthcare Description Rock House... Be a part of a team who "cares for the least of these," and building fulfilling futures for you and others. Rock House is a...
Posted February 2, 2026
Boston StaffingColumbus,OH
Join Our Team At Optum Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...
Posted January 31, 2026
HumanaColumbus,OH
Join Our Caring Community: Help Us Prioritize Health The Pre-Authorization Nurse Specialist is responsible for reviewing prior authorization requests to ensure appropriate care and settings, adhering to established guidelines and...
Posted January 29, 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 31, 2026
CERIS HealthColumbus,OH
The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. ESSENTIAL...
Posted January 31, 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...
Posted January 27, 2026
Shady Grove FertilityColumbus,OH
Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players...
Posted January 31, 2026
CenterWell Primary CareColumbus,OH
Become a part of our caring community and help us put health first Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At...
Posted February 2, 2026