• Clinical Leader ( RN )…

    OhioHealth (Columbus, OH)
    …more - in our careers and in our communities. **Job Description Summary:** The RN Clinical Leader provides leadership and coordinates the design, ... and evaluation of the program services within area of responsibility. The RN Clinical Leader assures quality, service, and satisfaction goals are met.… more
    OhioHealth (11/13/25)
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  • Prior Authorization RN

    Humana (Columbus, OH)
    …**Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin, including compact license. + Two ... community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the … more
    Humana (12/18/25)
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  • Nurse Appeals RN -Ohio

    Elevance Health (Columbus, OH)
    ** Nurse Appeals RN ** **Location** : Ohio-Cincinnati, Columbus, Mason, or Seven Fields _(Must be within commutable distance to the listed locations.)_ ... onboarding and skill development. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
    Elevance Health (12/17/25)
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  • Grievance & Appeals Nurse ( RN )

    Elevance Health (Columbus, OH)
    ** Nurse Appeals -Licensed Nurse ** **Location** :...candidates must be residents of Ohio to be considered. ** Hybrid 1** : This role requires associates to be ... a dynamic and adaptable workplace. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
    Elevance Health (12/12/25)
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  • Lead Product & Strategy Manager - Provider…

    Humana (Columbus, OH)
    …caring community and help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, ... improvement, operational redesign, and translating insights into actionable workflows for clinical practices. The Lead Product & Strategy Manager will… more
    Humana (12/04/25)
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  • LTSS Service Coordinator - Clinician (LSW, LCSW,…

    Elevance Health (Columbus, OH)
    …Assists responsible RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN . + Assists the responsible ... and direct, hands-on engagement. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
    Elevance Health (12/05/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Columbus, OH)
    **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an office. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance...hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management… more
    Elevance Health (12/17/25)
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  • Telephonic Nurse Case Manager I

    Elevance Health (Columbus, OH)
    **Telephonic Nurse Case Manager I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... onboarding and skill development. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
    Elevance Health (12/19/25)
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