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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...

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...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...

Join Our Caring Community The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The...

Prime Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Westerville, Ohio. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start...

Join Our Team as a MS/Tele Registered Nurse – Night Shift (12x12-Hour Shifts) Are you a dedicated Registered Nurse looking to make a meaningful impact in a dynamic healthcare environment? We are seeking a passionate and skilled MS/Tele...

Opportunity for a Nurse Practitioner in Columbus, Ohio. The NP will manage the care and treatment of patients as indicated in the professional scope of practice. Receive 3-4 months of training.

Complex Transitional Care Nurse Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use...

Responsive recruiter Replies within 24 hours Home Care Nurse Supervisor Weekly hours vary - Per Diem - Build your own schedule Home Helpers of Scranton Wilkes-Barre is looking for a per diem RN...

HCS 247 Travel is seeking a travel nurse RN Med Surg for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 06/15/2026...

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...

Care Career 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:...

Overview Open Doors to Care. Guide First Steps. Transform the Hospice Experience. Are you a compassionate, experienced RN who loves making personal connections and helping patients understand their...

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to...

The function of the Registered Nurse- Residential MHMR is to ensure the provision of a comprehensive program of preventative, intervention and emergency medical care for the individuals. Essential Duties and...

Eastway Behavioral Healthcare is hiring for a Psychiatric Mental Health Nurse Practitioner (PMHNP). This position will support our kids who are in residential care with us in both Columbus and Washington Court House, Ohio. Job Description: Candidates...

Become a part of our caring community The Utilization Management Nurse uses clinical nursing skills to support the coordination, documentation and communication of medical services and benefit administration...

Travel RN Hospice Columbus, Ohio Get all the details (no obligation). Overview Get Started Facility TNAA Offers Your Way Is Paid Start a Conversation Location Information More...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

Clinical Appeals Reviewer Position is fully remote. Candidates can sit anywhere in the US and schedule will be M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST. Daily responsibilities will include the following:...

Location: MetroHealth Main Campus- Glick Bi-weekly Hours: 72.00 Shift: 7a-7p/7p-7a; Rotating weekends, Rotating holidays Up to $10,000 sign on bonus for RNs with qualifying experience For nearly two centuries, the MetroHealth System's mission has...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an...

Job Description Description: Work Schedule: Day/evening, you will work five10-hour shifts per pay period including every other weekend. Holiday rotation required. Hours are based...

Title: Public Health Nursing Consultant 1 Duration: 06/15/2026 - 06/30/2027 Work Hours: Mon Fri 8am 4:30pm CST Location: 7th Floor Andrew...

Scheduled Hours 40 Position Summary Coordinates the care of patients for a designated service throughout the continuum of care; serves as a clinical resource in area of specialty or...