- 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
- Elevance Health (Mason, OH)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... commuting distance from an office. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
- Elevance Health (Mason, OH)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Title:** Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS-DRG, AP-DRG...are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical … more
- Maxim Healthcare (Painesville, OH)
- Join Our Team as a Clinical Supervisor - RN at Maxim Healthcare! Are you an experienced RN looking to move beyond bedside care? Do you crave a role that ... offers the perfect blend of clinical and administrative responsibilities? Look no...After your orientation period, take advantage of our unique hybrid schedule, offering you the flexibility to schedule your… more
- Baylor Scott & White Health (Columbus, OH)
- **Nursing Engagement & Innovation Lead ** **This is a Hybrid role in Dallas Texas** **Position Summary** Baylor Scott & White Health is seeking a dynamic, ... clinical needs and patient expectations. + **Peer Champion Network:** Establish and lead a network of nurse champions across sites to promote best practices… more
- Elevance Health (Mason, OH)
- **Telephonic RN 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 (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 (Mason, 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
- 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
- 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 (Independence, OH)
- The Elevance Health Companies, Inc. ** Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required ... Colombus- Georgia. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance...hours may be necessary based on company needs. The ** Nurse Case Manager II** responsible for care management within… more
- Elevance Health (Mason, OH)
- …onboarding and skill development. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting ... for members with behavioral health needs. Subject matter expert in targeted clinical areas of expertise such Autism Spectrum Disorders (ASD). Candidates with BCBA… more
- Elevance Health (Columbus, OH)
- …such as LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT RN or Clinical Psychologist to practice as a health professional within the scope ... 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 (OH)
- …onboarding and skill development. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting ... limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access...an equivalent background. Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by… more
- Cleveland Clinic (Avon, OH)
- …Care but would like time to develop your critical thinking, assessment and team leader skills before diving fully into the ICU? The Cleveland Clinic is currently ... seeking innovative, adaptable and critical thinking Acute Care Nurse Practitioners to join us as we grow and...as a Step Down, Emergency Room or Critical Care RN will be considered. Successful candidates will have a… more
- Actalent (Cleveland, OH)
- …measures or NCQA, or equivalent experience in related healthcare fields. + Valid state clinical license preferred (eg, LPN, RN ). + Experience in HEDIS, NCQA, or ... maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. This role exists to support health plans...This role exists to support health plans in the clinical aspect of medical record review. Responsibilities + Train… more
- Elevance Health (Cincinnati, OH)
- **Telephonic Nurse Case Manager II** **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 (Mason, OH)
- **Telephonic Nurse Case Manager I** **Sign on Bonus: $3000.** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of ... distance from an office.** **_Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more