- Bon Secours Mercy Health (Cincinnati, OH)
- …of demonstrated leadership experience, including, but not limited to, charge nurse experience, preceptor experience, etc. **Minimum Years and Type of Experience:** ... STEP DOWN: BLS required; ACLS required with 6 months of hire or per RN Hold national certification in clinical specialty or leadership within 6 months of eligibility… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …in staff education on an individual or group basis as needed; updates nurse manager on changes that could impact care delivery; maintains regulartory ... are followed in order to optimize patient outcomes prior to surgical intervention; participates in development and implementation of pre-operative educational class,… more
- Molina Healthcare (Covington, KY)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Covington, KY)
- …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... EXPERIENCE:** Nursing experience in Critical Care, Emergency Medicine, Medical Surgical , or Pediatrics. Advanced Practice Nursing. Billing and coding experience.… more
- Elevance Health (Mason, OH)
- …during regular business hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case management and/or medical management (UM/UR) ... the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness… more
- Elevance Health (Cincinnati, OH)
- Nurse Utilization / Medical Management I - Medicaid (JR129062) **Location:** Candidates must reside within 50 miles or 1-hour commute each way of one of our relevant ... Hours** : Monday - Friday, 8am - 5pm. EAST COAST WORK HOURS. The ** Nurse Medical Management l** is responsible to collaborate with healthcare providers and members… more