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Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or...

Join our award winning culture as we serve members in your area! Position Summary: The RN Care Manager (RN CM), as part of an interdisciplinary team (IDT) with a Care Manager, serves Lakeland Care's...

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...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest,...

CVS Health Aetna Case Manager RN 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...

Nurse Appeals RN Location: Ohio-Cincinnati, Columbus, Mason, or Seven Fields (Must be within commutable distance to the listed locations.) Virtual: This role enables associates to work virtually full-time, with the exception of required...

A healthcare consulting firm is seeking a Medical Reviewer (DME) to join their team. This remote position requires an active RN license and at least two years of clinical nursing experience. Responsibilities include conducting medical reviews for...

JOB DESCRIPTION Job Summary 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,...

CVS Health Aetna Case Manager RN 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...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Details Client Name James Cancer Hospital and Research (OSU) Job Type Travel Offering Nursing Profession RN...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

A healthcare staffing organization is seeking a Registered Nurse Behavioral Health & Disease Management to work completely remote from home. This position involves performing assessments and care coordination for dependents of active-duty military...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Description ESSENTIAL FUNCTIONS include the following, other duties may be assigned: Provides health education to families through workshops, parent meetings, handouts, etc. Utilizes and...

Details Client Name Ohio State University Hospital Job Type Travel Offering Nursing Profession RN Specialty...

A healthcare services provider is seeking a Remote RN Case Manager to work from home in Chicago, Illinois. In this role, you will enhance member management, promote wellness, and assist in navigating the healthcare system. Responsibilities include...

Employment Type: Full time Shift: Day Shift Description: RN Case Manager, St. Ann's Campus Position Purpose: Our RN Case...

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire...

Details Client Name The James Cancer Hospital and Solove Research Institute Job Type Travel Offering Nursing Profession RN...

Want to make an impact? I Am Boundless is hiring for a Registered Nurse! Boundless is a non-profit organization specializing in assisting individuals with I/DD and has been serving Ohio for over 40 years. At I Am Boundless, we're...

Hospice Clinical Liaison Connect care. Guide families. Make every day count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and referral...

CVS Health Aetna Case Manager RN 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...

CVS Health Aetna Case Manager RN 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...