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CareSourceColumbus,OH
Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while...
HireOps Staffing, LLCColumbus,OH
JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...
BoldAge PACEColumbus,OH
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Providence ServiceColumbus,OH
Description Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the...
Presbyterian Healthcare ServicesColumbus,OH
Location Address: 1100 Central Avenue SEAlbuquerque, NM 87106-4930 Compensation Pay Range: Minimum Offer $62,400.00Maximum Offer $95,305.60Now Hiring: RN - Clinical Documentation Specialist Summary:...
ActalentColumbus,OH
Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.
W. R. BerkleyColumbus,OH
Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is...
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...
Trinity HealthColumbus,OH
Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Position (Pay Range: $31.8795-$47.8193) The Nursing...
Virtual VocationsColumbus,OH
A company is looking for a Utilization Management Nurse.Key ResponsibilitiesCoordinate and facilitate correct identification of patient statusConduct concurrent and retrospective reviews and support the medical necessity denial and appeal...
VivaColumbus,OH
Job Description Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an...
NYULMCColumbus,OH
Job Description Position Summary: We have an exciting opportunity to join our team as a Telehealth Nurse - Access Center - Boynton Beach, Florida. In this role, the successful candidate carries...
CityblockColumbus,OH
Job Description: PG County Licensure & Location Requirement: Must reside in Maryland and hold an active RN license in Maryland, or a multistate (compact) RN license in good standing with the ability to...
BayCareColumbus,OH
At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With...
Choice Health At HomeColumbus,OH
OASIS Reviewer is responsible for reviewing OASIS documentation and patient records to ensure accuracy, completeness, and compliance with agency standards and regulatory requirements. This role verifies that assessments are...
Carle HealthColumbus,OH
Overview $5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External...
The University of Kansas Health SystemColumbus,OH
Position Title Registered Nurse - Care Collaborative Lead Remote Position Summary / Career Interest: MUST BE LOCAL TO KANSAS Travel to: Colby, Great Bend, Emporia, Hays. ...
HumanaColumbus,OH
Become a part of our caring community The Utilization Management Nurse uses clinical nursing skills to support the coordination, documentation and communication of medical services and benefit administration determinations.
University of Nebraska Medical CenterColumbus,OH
Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...
Arrow Senior LivingColumbus,OH
Description After spending 14 years in healthcare, I finally found my home with Arrow Senior Living. Its home-like environment is not just for the...
Rogers Behavioral HealthColumbus,OH
Schedule: PRN - as needed coverage No set hours or consistent days This position is fully remote, however the selected candidate must reside in a state that Rogers currently operates in - (WI, MN, IL, PA, TN, FL, GA, CO, CA, WA,...
Parkview HealthColumbus,OH
Summary Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses...
St. Elizabeth HealthcareColumbus,OH
Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 40 💙 Why You'll Love Working with St. Elizabeth Healthcare At St. Elizabeth...
Macpower Digital Assets EdgeColumbus,OH
Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...
Clarkston of CascadiaColumbus,OH
Job Type Full-time Description Position Summary The primary role of the RN/LPN is to supervise staff, monitor patients, implement treatments, develop patient care plans for long-term needs,...

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