• Nurse Reviewer I

    Elevance Health (Cincinnati, OH)
    …Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of- care savings across an expanding set of clinical domains, including ... the hours from 9:00 am-6:00 pm, rotating weekend shifts. The **Nurse Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness… more
    Elevance Health (01/13/25)
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  • Nurse Practitioner (Adult or Acute Care

    Cleveland Clinic (Independence, OH)
    …patient's current health status and to develop a working diagnosis and treatment plan to provide continuing medical care , including daily examinations, writing ... notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical...status and to develop a working diagnosis and treatment plan . + Must be able to work with collaborating… more
    Cleveland Clinic (11/05/24)
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  • Nurse Practitioner (Acute Care ), Physician…

    Cleveland Clinic (Cleveland, OH)
    …record patient's current health status. Develops a working diagnosis and treatment plan to provide continuing medical care , including daily examinations, writing ... notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical...status and to develop a working diagnosis and treatment plan . + Must be able to work with collaborating… more
    Cleveland Clinic (01/05/25)
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  • Nurse Practitioner (Acute Care ), Physician…

    Cleveland Clinic (Cleveland, OH)
    …record patient's current health status. Develops a working diagnosis and treatment plan to provide continuing medical care , including daily examinations, writing ... notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical...status and to develop a working diagnosis and treatment plan . + Must be able to work with collaborating… more
    Cleveland Clinic (11/07/24)
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  • Nurse Practitioner, Physician Assistant…

    Cleveland Clinic (Independence, OH)
    …of the patient's current health status and to develop a working diagnosis and treatment plan . Works in collaboration with the health care team. + Performs and ... certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in...of the program. Prefer providers with 1-2 years of clinical APP experience but will consider new graduates with… more
    Cleveland Clinic (11/28/24)
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  • Nurse Practitioner (Acute Care )…

    Cleveland Clinic (Cleveland, OH)
    …of the patient's current health status and to develop a working diagnosis and treatment plan . Works in collaboration with the health care team. + Performs and ... **Currently seeking a qualified Nurse Practitioner (Acute Care certified) or Physician Assistant with neurocritical care or critical care experience for… more
    Cleveland Clinic (11/19/24)
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  • Nurse Medical Management I

    Elevance Health (OH)
    …+ Facilitates member care transition through the healthcare continuum and refers treatment plans/ plan of care to clinical reviewers as required and does ... are not limited to: + Conducts pre-certification, continued stay review , care coordination, or discharge planning for...the United States and minimum of 2 years acute care clinical experience. **Preferred skills, qualifications and… more
    Elevance Health (01/04/25)
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  • Nurse Practitioner, Physician Assistant…

    Cleveland Clinic (Mayfield Heights, OH)
    …records and treatment plans for patient outcomes on a periodic basis to assure quality care . + May serve as clinical preceptor for PA/APRN students and other ... Cleveland Clinic Chronic Care is currently seeking an experienced part-time Nurse...status and to develop a working diagnosis and treatment plan . + Must be able to work with collaborating… more
    Cleveland Clinic (12/20/24)
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  • Clinical Quality Specialist…

    ProMedica Health System (Toledo, OH)
    The Quality Specialist is responsible for implementing and maintaining a vision and plan for providing quality clinical outcomes in collaboration with the ... project manager for clinical quality system improvements programs. 2. Performs chart review , data abstraction and trending of clinical outcomes to aid in… more
    ProMedica Health System (12/17/24)
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  • Physician Assistant/ Nurse Practitioner (Acute…

    Cleveland Clinic (Canton, OH)
    …of the patient's current health status and to develop a working diagnosis and treatment plan . Works in collaboration with the health care team. + Performs and ... seeking several Full-time Physician Assistants or Nurse Practitioners (Acute Care ) to join their team at Mercy Hospital! These...as necessary. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes… more
    Cleveland Clinic (01/03/25)
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  • Nurse Practitioner (Acute Care ), Physician…

    Cleveland Clinic (Mayfield Heights, OH)
    …of the patient's current health status and to develop a working diagnosis and treatment plan . Works in collaboration with the health care team. + Performs and ... **_Cleveland Clinic's Integrated Hospital Care Institute is currently seeking a Physician Assistant...as necessary. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes… more
    Cleveland Clinic (10/30/24)
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  • Clinical Quality Data Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …gathering for quality improvement and in-depth analyses and recommendations that improve care and health plan quality ratings.** **Collaborates with internal ... data through quality improvement and in-depth analyses and recommendations that improve care and health plan quality ratings.** **Collaborates with provider… more
    Medical Mutual of Ohio (12/08/24)
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  • Registered Nurse Clinical Appeal & Claim

    Medical Mutual of Ohio (OH)
    …as a resource to the provider community, explaining processes for accessing health plan to perform clinical review , identifying appropriate community ... + Extrapolates and summarizes medical information for physician review or other external review + Generates...Ohio unrestricted license Technical Skills and Knowledge: + Strong clinical knowledge and understanding of health care more
    Medical Mutual of Ohio (01/03/25)
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  • Clinical Nurse Manager (RN) - Mercy Life…

    Bon Secours Mercy Health (Toledo, OH)
    …attainable at all levels, while ensuring a cost-effective training program, delivery of clinical care , and attaining clinical and quality initiatives across ... improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational… more
    Bon Secours Mercy Health (12/21/24)
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  • Chief Clinical Officer

    Evolent (Columbus, OH)
    …Participates in the development and implementation of new strategies to make the clinical review process more efficient through people, processes, and technology ... primary care , we seek to ensure that care plans align with clinical evidence, respect... operation initiatives within a progressive and forward-thinking health care organization. + Experience in health plan more
    Evolent (12/21/24)
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  • Care Review Clinician, Inpatient…

    Molina Healthcare (OH)
    …(HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the ... Bachelor's Degree in Nursing **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization… more
    Molina Healthcare (01/13/25)
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  • RN Clinical Consultant, Claims Shared…

    Guardian Life (Columbus, OH)
    …issues, work capacity and RTW opportunities. Conduct analysis of claimant's current treatment plan and collaborate with health care providers and claimants to ... **Position Summary** The RN Clinical Consultant serves as a clinical ...with treating providers to assist individuals to obtain appropriate care and ensure optimal treatment outcomes and acts with… more
    Guardian Life (12/20/24)
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  • Sr. Scientist, Clinical Operations (Remote)

    Merck (Columbus, OH)
    …ability to analyze clinical data and synthesize medical evidence into a plan is a strength. The incumbent needs to have demonstrated administrative and project ... (25%) _Develops and recommends program and study-level recruitment and retention plan :_ Develops study-level patient outreach and recruitment vendor strategies, and,… more
    Merck (01/09/25)
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  • Clinical Liaison - Specialty Hospital

    Select Medical (Beachwood, OH)
    …With clinical expertise and problem-solving skills, you'll also coordinate care plans with physicians and families. Additionally, you will facilitate patient ... work with physicians, discharge planners and patient's families to plan the best continuum of care after...SLP License. + Will consider other designations upon further review . + Ability to complete clinical assessments… more
    Select Medical (11/28/24)
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  • Chaplain Resident - Clinical Pastoral…

    Bon Secours Mercy Health (Toledo, OH)
    …improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational ... Health - St. Vincent Medical Center, the Chaplain Resident provides spiritual care ministry to patients, families, and staff around religious and spiritual needs.… more
    Bon Secours Mercy Health (01/01/25)
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