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Brighton Health Plan SolutionsColumbus,OH
Clinical Appeal And Grievance Nurse BHPS provides Utilization Management (UM) services to its clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal and Grievance Nurse is responsible for conducting daily...
Trilogy Health ServicesColumbus,OH
Trilogy Health Services - - Responsibilities: Help residents with personal hygiene activities, turning, lifting, positioning, and transporting them when needed (activities of daily living); Observe and report changes in residents' condition...
UNC HealthColumbus,OH
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The purpose of this position is to provide direct coordination of...
ActalentColumbus,OH
Utilization Management Nurse Location: Remote Position Overview The Utilization Management Nurse is responsible for reviewing inpatient admissions and applying nationally recognized medical necessity criteria to determine...
Lumen Solutions GroupColumbus,OH
Utilization Review Nurse Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution...
CoxHealthColumbus,OH
Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1734 Contact Services Scheduled Weekly Hours: 40 Hours: 8:30- 5pm...
VariteColumbus,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...
Triage StaffingColumbus,OH
Triage Staffing is seeking a travel nurse RN Maternal - Newborn for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Maternal - Newborn Discipline: RN Start Date: 06/29/2026 Duration: 13 weeks 36 hours per week Shift:...
ComagineColumbus,OH
Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We...
Lehigh Valley HospitalColumbus,OH
Hospital Liaison Functions as Hospital Liaison with third party billing and auditing firms for all audits for LVHN locations. Reviews all audits in LVHN audit software and writes appeals for charge and line item audit denials as well as...
Rockford Gastroenterology AssociatesColumbus,OH
Pay Range Min: $62,836.80 Mid: $75,400.00 Max: $87,963.20 General duties and responsibilities: Reviews patient's history and documents to make an accurate assessment. Completes...
Curana HealthColumbus,OH
At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...
Prime StaffingColumbus,OH
Prime Staffing is seeking a travel nurse RN Maternal - Newborn for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Maternal - Newborn Discipline: RN Start Date: 06/29/2026 Duration: 13 weeks 36 hours per week Shift:...
Cohere HealthColumbus,OH
Lead RN Reviewer Cohere's Service Operations team is responsible for ensuring that our healthcare partners are supported throughout their lifecycle of using the platform. The Lead RN Reviewer in Service Operations position is a crucial...
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...
HumanaColumbus,OH
Field Care Manager Nurse 2 As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program...
Molina HealthcareColumbus,OH
Job Description JOB DESCRIPTION Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality...
Umpqua HealthColumbus,OH
UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than...
TeamHealthColumbus,OH
Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...
Cone HealthColumbus,OH
Registered Nurses w/ we & call Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you...
BrightStar CareColumbus,OH
Registered Nurse Infusion in Lowell As the Home Care Registered Nurse (RN), you will play a crucial role in managing the clinical operations of our home care services. The right candidate will be part of our company's Rockstar Clinical...
XsolisColumbus,OH
Description This position will have well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual is responsible for performing a variety of...
Center for Human ServicesColumbus,OH
Community Registered Nurse (RN) Part-Time Jefferson County At Chariton Valley Association (CVA), a proud partner of Center for Human Services, we EMPOWER people with...
St. Louis County, MOColumbus,OH
Salary: See Position Description Location : North Central Community Health Center - St Louis County, MO, MO Job Type: Full-Time Remote Employment: Flexible/Hybrid...
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...

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