- The Laurels of Norworth Careers (Worthington, OH)
- Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse ? Are you organized, efficient, and able to ... time frames. Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including physician, nursing,… more
- The Laurels of West Columbus Careers (Columbus, OH)
- $10,000 Sign On Bonus for Full-Time! Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and ... team. Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including physician,… more
- Molina Healthcare (Columbus, OH)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level ... quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review ,...Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of Care, Inpatient Readmission, and any… more
- Molina Healthcare (Columbus, OH)
- …contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM ... as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the… more
- Battelle Memorial Institute (Columbus, OH)
- …experiences and welcome all qualified individuals to apply. **Job Summary** The nurse provides clinical and administrative support for the operation of a ... nursing and administrative support of occupational health programs. The nurse is part of the emergency response team for...supplies, and maintaining multiuser databases. + Contributes to the review of existing guidelines and the formulation of new… more
- ChenMed (Columbus, OH)
- … nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization, provide family education and identify ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...in-depth documentation through written progress notes and summaries. The Nurse Practitioner must demonstrate the ability to function both… more
- Cardinal Health (Columbus, OH)
- …life-changing therapies to patients who need them-faster.** **_Job Summary_** The Nurse , Individualized Care promotes high-quality patient care and treatment through ... treatments of a small number of pharmaceutical clients, the Nurse receives inbound calls from patients and schedules outbound...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- National Youth Advocate Program (Columbus, OH)
- **Registered Nurse - Columbus** Are you a Registered Nurse passionate about patient advocacy, patient education and working with high-risk infants and children? ... you to utilize your non-clinical expertise as a Registered Nurse . In this role, you will conduct assessment-based care...of care with managed care organizations + Medical Consent Review and Approval + Medical Screenings for youth ages… more
- BrightSpring Health Services (Columbus, OH)
- …meetings* Chairs committees as applicable (eg safety, infection control, incident/accident review , human rights, etc.).* Participates in the development of the ... performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and...State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate… more
- BrightSpring Health Services (Columbus, OH)
- …ResCare Community Living Overview Works under the supervision of a Registered Nurse . Duties include providing routine care, general observation of client's health ... care and services and reports any changes* Complete a quarterly nursing evaluation/ review of body systems on assigned individuals per program requirements. Refer to… more
- Surgery Care Affiliates (Dublin, OH)
- …career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision, and values of SCA ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
- Fresenius Medical Center (Dublin, OH)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:** + As… more
- Elevance Health (Columbus, OH)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** **Position Purpose:** + The Registered Nurse will be involved with the clinical oversight of clinical work ... Welcome and room patients: heigh, weight and vitals + Review medical history chief complaints and gather other information...with a current license to practice as a Registered Nurse in the State of Ohio . Experience: One… more
- Molina Healthcare (Columbus, OH)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or other specific program… more
- Fresenius Medical Center (Columbus, OH)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work… more
- MTC (Marion, OH)
- …and confidentiality of all medical records; observe applicable HIPAA rules. 8. Review medical files to determine all provided services are documented accurately and ... completely. **Qualifications:** + Graduation from an accredited **high school or equivalent (GED).** + **Degree in nursing and current valid nursing license in the state of Ohio required.** + Must work within **Ohio State Board of Nursing Scope of Practice.**… more
- Evolent (Columbus, OH)
- …better health outcomes. **Collaboration Opportunities:** + Works with the physician reviewer to monitor the adverse determination process and ensure notification ... decisions against criteria and policy, escalating questions to the physician reviewer , and creating letters that meet regulatory and Plain Language requirements.… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those… more
- Molina Healthcare (Columbus, OH)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_2 openings for 12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC HOURS NON EXEMPT, 3 ... days a week will rotate._** **_TRAINING SCHEDULE WILL BE Monday thru Friday 8:30AM to 5:30PM PACIFIC throughout a 2 - 3 month training and then will move to a 3 day/12 hour shift after training is completed. Training hours are mandatory._** **_This position… more
