• Inpatient Review ( RN

    Molina Healthcare (Cincinnati, 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 ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (02/14/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Cincinnati, OH)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** **Location:** This position will work a hybrid...** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50… more
    Elevance Health (03/04/25)
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  • Manager, Healthcare Services ( Remote )

    Molina Healthcare (Cincinnati, OH)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... performing one or more of the following activities: care review /utilization management (prior authorizations, inpatient /outpatient medical necessity,... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (03/07/25)
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  • Heart Failure Cardiologist

    Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
    …follow up patients, as well as working in conjunction with the Heart Failure RN and nurse practitioner. The multidisciplinary team assists with requests for left ... will primarily manage heart failure patients in both the inpatient and outpatient setting. If you are interested in...point of care audits and participate in the peer review process. Document patient care data in the electronic… more
    Veterans Affairs, Veterans Health Administration (03/04/25)
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