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 April 14, 2026
WPS Health SolutionsColumbus,OH
Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide...
Posted April 14, 2026
CareSourceColumbus,OH
Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...
Posted April 14, 2026
MosaicColumbus,OH
Hourly Rate: $38.34 Plus More For Related Experience We're looking for a Registered Nurse Consultant to join our team! The RN Consultant provides consultative services to assist people with intellectual and/or...
Posted April 13, 2026
Tribeca PediatricsColumbus,OH
About Us: Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York...
Posted April 7, 2026
Aveanna Healthcare, LLCColumbus,OH
Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the...
Posted April 11, 2026
Pyramid ConsultingColumbus,OH
Immediate need for a talented Registered Nurse Utilization Review - Onsite-Santa Clara, CA.This is a 03+ months contract opportunity with long-term potential and is located in U.S(Remote). Please...
Posted April 14, 2026
The CKHobbie GroupColumbus,OH
Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...
Posted April 7, 2026
Vitability HealthColumbus,OH
Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...
Posted April 14, 2026
Minnesota CareersColumbus,OH
Salary: $33.98 - $44.44 Hourly Location : Milaca, MN Job Type: Full-time Remote Employment: Flexible/Hybrid Job Number: 00871...
Posted April 14, 2026
Stella MarisColumbus,OH
Summary As a leader in eldercare for nearly 70 years, we are always looking for qualified people to join the Stella Maris team. Unique opportunity to join the dynamic, collaborative and well-established Admissions...
Posted April 14, 2026
OhioHealthPickerington,OH
We are more than a health system. We are a belief system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...
Posted April 16, 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 April 14, 2026
North Country HealthCareColumbus,OH
POSITION SUMMARY: The Triage RN is responsible for assessing patient needs over the phone, providing medical advice, and directing patients to appropriate care based on their symptoms. This role involves critical thinking,...
Posted April 17, 2026
National Coalition of Healthcare RecruitersColumbus,OH
20 miles from Boston - surrounding areas (Only QUALIFIED Healthcare Professionals accepted) Case Manager - Are you ready to make a real difference in people's lives while enjoying a schedule that suits your lifestyle? We're on the lookout...
Posted April 14, 2026
SkyBridge Healthcare Home Health & HospiceColumbus,OH
SkyBridge Healthcare Home Health & Hospice is seeking a travel nurse RN Hospice for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...
Posted April 15, 2026
BOSTON PUBLIC HEALTH COMMISSIONColumbus,OH
Carries out communicable disease surveillance, prevention, and control measures for the City of Boston. Investigates reports of communicable diseases including pathogens of public health importance, reported outbreaks, or other...
Posted April 14, 2026
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.
Posted April 14, 2026
Wallick CommunitiesColumbus,OH
Description Director of Nursing ...
Posted April 15, 2026
Harris HealthColumbus,OH
A leading health care provider in Houston is seeking a Nurse Clinician for their Hospital at Home program. This full-time role requires a Bachelor's degree in Nursing, Texas RN license, and a minimum of 2 years of experience. Responsibilities...
Posted April 16, 2026
Interim HealthCareBlacklick,OH
Description As a Hospice Registered Nurse Case Manager (RN) you will be called to care when you're needed most. As part of Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our...
Posted April 10, 2026
State of ConnecticutColumbus,OH
Introduction Are you an experienced Registered Nurse looking to make a difference in the lives of individuals with disabilities? If so, we invite you to take this opportunity to join our team!
Posted April 12, 2026
Metropolitan Jewish Health SystemColumbus,OH
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...
Posted April 14, 2026
Host HealthcareColumbus,OH
Host Healthcare is seeking a local contract nurse RN PACU - Post Anesthesia Care for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...
Posted April 15, 2026
EXCELSIOR ORTHOPAEDICS GROUPColumbus,OH
**Must reside in the WNY region Job Summary Triage nurse is responsible for working with orthopaedic physicians and surgeons to provide telephonic nursing support to surgical and non-surgical patients.
Posted April 14, 2026