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
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...
Posted January 16, 2026
ActalentColumbus,OH
Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...
Posted January 29, 2026
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...
Posted January 18, 2026
CVS HealthDelaware,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 30, 2026
Sentara HealthcareColumbus,OH
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is currently hiring for a Utilization Review Nurse- Remote in VA! Status: Full-time, permanent...
Posted January 24, 2026
Elevance HealthColumbus,OH
A prominent health company is seeking a Transitions of Care RN for virtual delivery of patient education and health coaching across various disease management programs. This role requires at least an Associate's degree in nursing and a current RN...
Posted January 29, 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
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 16, 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
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 16, 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
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...
Posted January 28, 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 January 18, 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
Inland Empire Health PlanColumbus,OH
Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic...
Posted January 18, 2026
OptumColumbus,OH
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 the care, pharmacy benefits, data...
Posted January 29, 2026
OHANA PACIFIC MANAGEMENT COMPANYColumbus,OH
Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year...
Posted January 16, 2026
spectraforceColumbus,OH
A healthcare staffing company is seeking a Registered Nurse in Columbia, SC for a 3-month assignment with potential for conversion. The role includes evaluating medical eligibility for benefits, providing health management interventions, and...
Posted January 29, 2026
Seattle Children'sColumbus,OH
Medical Child Abuse Nurse Consultant (0.6FTE, Limited Term) Provides operational, quality improvement, and management consulting services. Plans implements, and evaluates projects related to system development, operational and strategic...
Posted January 27, 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 29, 2026
ActalentColumbus,OH
Remote Clinical Review Nurse Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full?Time About the Role We are seeking an experienced Registered Nurse to join our team...
Posted January 29, 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
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
New Mexico StaffingColumbus,OH
divh2RN Care Review Clinician/h2pThe RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...
Posted January 30, 2026