Network HealthColumbus,OH
A healthcare organization is seeking a Registered Nurse Care Manager to provide member-centric case management services. This role includes conducting assessments and care coordination while ensuring that health needs are met through effective...
Posted January 24, 2026
VyncaColumbus,OH
A healthcare organization is seeking an ECM Clinical Manager to oversee clinical management of Lead Care Managers and address patients' medical needs. This role involves direct collaboration with primary care providers and requires strong...
Posted January 24, 2026
OptumColumbus,OH
A healthcare company is hiring a Utilization Review Nurse, RN, in California. This role involves managing inpatient utilization efficiently by reviewing admissions, applying medical necessity criteria, and collaborating with healthcare teams.
Posted January 24, 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
Providence ServiceColumbus,OH
Description RN Utilization Review at Irvine, CA. This position is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our...
Posted January 22, 2026
HJ StaffingColumbus,OH
HJ Staffing is partnering with Impresiv Health, a specialized healthcare consulting partner, to find a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN). This critical...
Posted January 16, 2026
CSI PharmacyColumbus,OH
A leading pharmacy company is seeking a Clinical Outcomes Quality Assurance Nurse to ensure the quality of documentation and implement clinical best practices. Responsibilities include managing outcomes forms and communicating with patients and...
Posted January 25, 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
Mass General BrighamColumbus,OH
A leading healthcare organization is seeking an experienced RN Case Manager to coordinate care for patients in a hybrid work environment. The successful candidate will work with a multidisciplinary team to manage patient transitions and ensure...
Posted January 21, 2026
Arkansas StaffingColumbus,OH
Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...
Posted January 24, 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 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
A leading healthcare organization is seeking a Prior Authorization RN to join its team. This role entails reviewing prior authorization requests to ensure medical necessity and compliance with Medicare and Medicaid guidelines. Applicants should...
Posted January 23, 2026
AccessNurseColumbus,OH
Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...
Posted January 10, 2026
Remote StaffingColumbus,OH
Position Summary 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...
Posted January 24, 2026
Hazelwood School DistrictColumbus,OH
In order to have an accurate count of participants, we need you to register for the Recruitment Fair on the District's website. Please select "apply for this position" under the heading to the right labeled "Apply Now". Interviews slots will fill up...
Posted January 16, 2026
Mississippi StaffingColumbus,OH
Telephonic Case Manager 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,...
Posted January 24, 2026
Liberty HealthcareColumbus,OH
Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...
Posted January 22, 2026
Sentara Health PlansColumbus,OH
A leading health organization is seeking an Integrated Case Manager, RN for a remote position in Suffolk, VA. The role involves managing member care plans, conducting assessments, and coordinating with healthcare teams. Candidates should have at...
Posted January 25, 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 25, 2026
SciometrixColumbus,OH
A leading healthcare technology company in Royal Oak, MI is seeking a Telehealth RN Case Manager. This role involves coordinating patient care remotely, utilizing telehealth platforms to ensure effective healthcare delivery. The ideal candidate...
Posted January 24, 2026
Cardinal McCloskey Community ServicesColumbus,OH
Join a Team Where Your Work Truly Makes a Difference! Safe Children, Stable Families, Successful Lives. At CMCS (Cardinal McCloskey Community Services), our mission is to...
Posted January 16, 2026
UnitedHealth GroupColumbus,OH
A leading health organization is seeking a Utilization Review Nurse to manage inpatient care efficiently. In this role, you will be responsible for reviewing admission criteria and ensuring high-quality patient care. The position offers...
Posted January 24, 2026
Wyoming StaffingColumbus,OH
Telephonic Case Manager 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,...
Posted January 25, 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 17, 2026