Molina HealthcareColumbus,OH
JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically...
Posted January 24, 2026
Franciscan Missionaries of Our Lady Health SystemColumbus,OH
Job Description Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric,...
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
Beth Israel Lahey HealthColumbus,OH
Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...
Posted January 24, 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
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
Georgia Department of Community HealthColumbus,OH
Salary: $70,779.53 Annually Location : Homebased, GA Job Type: Full-Time Salaried Job Number: 2020-02252 Division: Healthcare Facility Regulation...
Posted January 16, 2026
Sanford HealthColumbus,OH
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to...
Posted January 16, 2026
US Tech SolutionsColumbus,OH
Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...
Posted January 16, 2026
BlueCross BlueShield of South CarolinaColumbus,OH
Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...
Posted January 24, 2026
TEKsystemsColumbus,OH
*Quality Assurance Registered Nurse - 100% Remote* Contract duration: 520 hour contract to hire Training Schedule: M-F, 4-6 weeks *Contract Details* * *Contract Duration:* 520-hour contract-to-hire, long term opportunity *...
Posted January 24, 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
TriWest HealthcareColumbus,OH
We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our Department of Defense contract requires US citizenship and a...
Posted January 16, 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
CoxHealthColumbus,OH
Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1651 Virtual Care Command Center Scheduled Weekly Hours: 24 Hours:...
Posted January 16, 2026
Shady Grove FertilityColumbus,OH
Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players...
Posted January 16, 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
Sentara HealthcareColumbus,OH
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is currently hiring for a Utilization Review Nurse- Remote in VA! Status: Full-time, permanent...
Posted January 24, 2026
SharecareColumbus,OH
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 designed to help...
Posted January 23, 2026
North Carolina A&T State UniversityColumbus,OH
A prominent educational institution in North Carolina seeks an Assistant/Associate Professor for Nursing to deliver student-centered teaching in undergraduate and graduate courses. Responsibilities include mentoring students, developing curricula,...
Posted January 19, 2026
Life Care Centers of AmericaColumbus,OH
The Nursing Home Administrator provides leadership and direction for overall facility operations to provide quality patient care in accordance with all laws, regulations, and Life Care standards. Your duties will including overseeing key areas...
Posted January 23, 2026
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...
Posted January 16, 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
CenterWell Primary CareColumbus,OH
Become a part of our caring community and help us put health first Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At...
Posted January 18, 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