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AmergisColumbus,OH
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and...
Fuze HealthColumbus,OH
A healthcare innovator in California is seeking a Registered Nurse to provide remote care as part of a telehealth team. Responsibilities include conducting assessments, educating patients, and ensuring compliance with healthcare regulations.
HumanaColumbus,OH
A health insurance company is seeking a Prior Authorization RN to review requests for health services and ensure compliance with Medicare and Medicaid guidelines. This remote role involves clinical decision-making and documentation for...
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,...
BlueCross BlueShield of South CarolinaColumbus,OH
A leading health insurance provider is seeking a Managed Care Coordinator I to join their team. This fully remote position requires you to review and evaluate medical eligibility regarding benefits and clinical criteria. Candidates must have an...
St. Charles Health SystemColumbus,OH
Salary range: $95,139 - $130,811 annually, based on qualifications. This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous...
Valley HealthColumbus,OH
Department VALLEY PARTNERS LLC - 838376Worker Sub Type RegularWork Shift First Shift (United States of America) Pay Grade 135Job Description...
UCHealthColumbus,OH
Description 1 years of recent ED, ICU, or IR experience strongly preferred. Fast paced minimally invasive procedural department. RNs are responsible for care of the patient during interventional radiology procedure, including assessment, sedation,...
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 *...
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...
Crawford Thomas RecruitingColumbus,OH
Our client is building the world's first proactive healthcare system, starting with neurodegenerative diseases like Alzheimer's. Partnering with leading neurologists and clinics, our client delivers continuous, personalized care through PCM and...
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...
CVS HealthColumbus,OH
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 company, we reach...
Hawaii StaffingColumbus,OH
Sharecare Care Manager Sharecare is the leading digital health company that helps people unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers,...
Nationwide Children's HospitalColumbus,OH
Overview: Employee Health RN at the Livingston Orthopedic Surgery Center (LOSC) location 32-36 hours per week Monday - Friday, Day Shift, No Weekends or Major Holidays Benefits...
Essentia HealthColumbus,OH
Building Location: Building B - St Marys Medical Center Department: 1005100 NURSING ADMINISTRATION - EH SS Job Description: The System Nurse...
Astrana HealthColumbus,OH
UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To:...
SedgwickColumbus,OH
A leading healthcare management firm seeks an experienced RN for pharmacy utilization management services in Denver, Colorado. This role involves assessing patient medication usage, ensuring safety, and collaborating with medical professionals in...
UCLA HealthColumbus,OH
A leading healthcare provider in Los Angeles is seeking an AO2 to support Student Placement Coordination and the Nurse Residency Program. This role involves managing administrative services at the Center for Nursing Excellence, requiring a...
Ohio State University Wexner Medical CenterColumbus,OH
Scope of Position The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and supportive...
integrated resourcesColumbus,OH
Job Title: Registered Nurse - Clinical Documentation Specialist Location: Fully Remote Duration: 3+ Months (Possible Extension) Schedule Notes: Day shift, 8x5...
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...
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...
Ohio State UniversityColumbus,OH
The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute?s (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The...
Parx Home Health CareColumbus,OH
OASIS & Utilization Review Nurse – Home Health (Florida) We are seeking an experienced and certified OASIS & Utilization Review Nurse to join our dynamic review team. This role is critical to ensuring the accuracy, compliance, and...

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