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
HumanaColumbus,OH
Become a part of our caring community and help us put health first The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services...
Posted January 19, 2026
Gentiva HospiceColumbus,OH
Overview Ensuring Compliance. Streamlining Authorizations. Supporting Patient Care. The Clinical Authorization Nurse plays a key role in supporting our authorizations department by reviewing clinical...
Posted January 18, 2026
Engage ConsultingColumbus,OH
A healthcare consulting firm is seeking a Clinical Lead Consultant to join their team in Toledo, Ohio. This full-time, remote role involves consulting services for nursing facilities and includes responsibilities like MDS completion, auditing, and...
Posted January 21, 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
SedgwickColumbus,OH
A leading global healthcare service provider is seeking a Remote RN to provide pharmacy utilization management services, focusing on patient safety and quality standards. Candidates should have a Bachelor's degree in Nursing and an active RN...
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
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
Home Care Association of AmericaColumbus,OH
A healthcare organization in Atlanta, Georgia is seeking a Registered Nurse (RN) to create care plans and perform evaluations for clients. Responsibilities include reviewing charts, ensuring quality care, and communicating with various...
Posted January 21, 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 16, 2026
University of WisconsinColumbus,OH
Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff...
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 18, 2026
Presbyterian Healthcare ServicesColumbus,OH
Location Address: Remote Office , Santa Fe, New Mexico 87501, United States of America Compensation Pay Range: Minimum Offer $: 27.92 Maximum Offer for this position is up to $: 42.63...
Posted January 16, 2026
StrykerColumbus,OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...
Posted January 21, 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
OptumColumbus,OH
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Posted January 20, 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
AmpcusColumbus,OH
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse.
Posted January 16, 2026
SedgwickColumbus,OH
A leading risk and claims management firm is seeking a part-time nurse in Oklahoma City. This role involves triaging calls and assessing the needs of clients to provide appropriate care advice. Candidates must possess an active RN license, a BSN...
Posted January 21, 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
Healthcare SupportColumbus,OH
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the...
Posted January 21, 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 22, 2026
Amcord CareColumbus,OH
Nursing Facility Service Coordinator - Kutztown area - Remote Join to apply for the Nursing Facility Service Coordinator - Kutztown area - Remote role at Amcord Care Inc. Job Overview The...
Posted January 22, 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 13, 2026
PRESBYTERIAN MEDICAL SERVICESColumbus,OH
Job Description JOB CATEGORY: REGISTERED NURSE / COMMUNITY HEALTH CENTER / WELLNESS REMOTE ELIGIBLE AFTER 90 DAYS POSITION SUMMARY: This position works directly...
Posted January 16, 2026