- Elevance Health (Seven Hills, OH)
- Nurse Utilization / Medical Management I - Medicaid (JR129062) **Location:** Candidates must reside within 50 miles or 1-hour commute each way of one of ... Friday, 8am - 5pm. EAST COAST WORK HOURS. The ** Nurse Medical Management l** is...2 years acute care clinical experience. **Preferred Qualifications:** + Utilization Management /Review experience within managed care or… more
- MetroHealth (Cleveland, OH)
- …data management , and PC skills. Current working knowledge of, utilization management , case- management , performance improvement, and managed care ... level of care at the point of entry. The utilization review nurse will work on defined... skills. Preferred: Two years of experience with case management , utilization review. Physical Demands: May need… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- Summary The VA Northeast Ohio Healthcare System is recruiting for a Registered Nurse - Risk Management Investigations Coordinator. The Registered Nurse - ... function in Quality Managements Service. Responsibilities The Investigation Coordinator, Registered Nurse takes guidance from the Chief of Consolidated Clinical Risk… more
- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, ... including home, nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in...required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs… more
- CommuniCare Health Services Corporate (Cleveland, OH)
- Registered Nurse (RN), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of RN Mobile MDS ... offer you a menu of benefit options from life and disability plans to medical , dental and vision coverage, from quality benefit carriers. We also offer 401(k) with… more
- Fresenius Medical Center (Warrensville Heights, OH)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Bon Secours Mercy Health (Lorain, OH)
- …step of the Mercy (CHP) Clinical Ladder. This is the competent Staff Nurse level. **Summary of Primary Function** Delivers patient care utilizing the nursing process ... partnership * Inter-professional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
- Cleveland Clinic (Cleveland, OH)
- …quality management regulations and standards of care. + Supports medical staff quality assurance activities such as peer review, ongoing professional practice ... errors and near misses, as well as corrective actions taken. Oversees the management and use of medical error information. + Applies the Cleveland Clinic… more