- Medical Mutual of Ohio (OH)
- …a drug-free workplace and perform pre-employment substance abuse and nicotine testing._ \#LI- REMOTE **Title:** _Registered Nurse Clinical Appeal & Claim_ ... We are looking for applicants that have a strong clinical utilization management background. Medicare experience is a plus....Bachelor's degree preferred + 3 years' experience as a Registered Nurse in acute care, critical care,… more
- Elevance Health (Mason, OH)
- **Diagnosis Related Group Clinical Validation Auditor-** ** Registered Nurse ** **Location:** This position will work a hybrid model ( remote and office). ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …required by their supervisor, subject to reasonable accommodation. Licensing/Certification Active Registered Nurse (RN) - Required Active multistate/compact ... Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Primary Function/General Purpose of Position...registered nurse (RN) licensure - Required ( _if applicable based… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- Summary The VA Northeast Ohio Healthcare System is recruiting for an Registered Nurse - Patient Safety Manager. The Registered Nurse -Patient Safety ... assistant Patient Safety Managers. Responsible for active engagement with clinical and administrative services on Patient Safety related matters....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Columbus, OH)
- …5+ years of clinical experience required + 2+ years of experience as a Registered Nurse + Must have active, current and unrestricted RN licensure in state of ... to make health care more personal, convenient and affordable. **This is a full-time remote position with less than 5% required travel. Requirement to reside in the… more
- Trinity Health (Columbus, OH)
- …in lieu of a RN..** **Licensure / Certification: Current license to practice as registered nurse in the State of Ohio.** ** Registered Health Information ... to address legibility, clarity, completeness, consistency, and precision of clinical documentation.** **Demonstrates understanding of clinical documentation… more
- Bon Secours Mercy Health (Springfield, OH)
- …collaboration with the interdisciplinary team and under the supervision of the professional Registered Nurse , the Licensed Practical Nurse (LPN) provides ... * Under the direction of a Licensed Professional (eg, Physician, Physician Assistant, Nurse Practitioner, or Registered Nurse ), participates in the nursing… more
- Medical Mutual of Ohio (OH)
- **_This is a remote opportunity in Ohio. Note, q_** **_uarterly on-site...Board. . 3 years as a Registered Nurse with a combination of clinical and ... or oncology, preferably in the health insurance industry. **Professional Certification** . Registered Nurse with current State of Ohio unrestricted license.… more
- Life Line Screening (Cleveland, OH)
- …home office environment. Join our compassionate healthcare team! We are seeking a Registered Nurse to enhance patients' health and well-being within our national ... license (in a state that is part of the Nurse Licensure Compact). + Possesses excellent clinical ...nutrition is advantageous. + Capable of working from a remote or home-based location. + Maintains a pleasant phone… more
- CenterWell (Columbus, OH)
- …degree + 3 - 5 years of clinical acute care experience + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action and compact ... help us put health first** The Care Manager, Telephonic Nurse 2, in a remote , telephonic environment,...medication education. We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science… more
- Bon Secours Mercy Health (Oregon, OH)
- …nursing care and assists with care of the patient at the direction of a Registered Nurse , Licensed Physician, Physician Assistant, or Advanced Practice Nurse ... cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Mercy Health** **About Us** As a faith-based… more
- Lincoln Financial Group (Columbus, OH)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
- CVS Health (Columbus, OH)
- …and written **Required Qualifications** + Must reside in EST zone + 3+ years of clinical experience as a Registered Nurse in a hospital setting including ... a full-time remote Utilization Management opportunity. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document… more
- BrightSpring Health Services (Canton, OH)
- …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse (RN) in good standing and currently licensed by the ... all assigned service sites. Provides oversight and direction for clinical services, and health & wellness for all clients...performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and… more
- Trinity Health (Columbus, OH)
- …May be require to travel between locations within the Region. **Minimum Requirements:** + Registered Nurse and graduate of an accredited school of nursing plus ... **Employment Type:** Full time **Shift:** **Description:** ** Nurse Auditor, Revenue Integrity** **Position Purpose:** Responsible for coordinating denials with… more
- Cleveland Clinic (Cleveland, OH)
- …from an accredited school of professional nursing. + Current state licensure as a Registered Nurse (RN). + Basic Life Support (BLS) certification through the ... Research Nurse - Medical ICU Join Cleveland Clinic's Respiratory...of critical care research nationally and internationally through interventional clinical trials, cutting edge molecular and translational bench research,… more
- BrightSpring Health Services (St. Clairsville, OH)
- …Graduate of an accredited school/college with current registration of practice as a Registered Professional Nurse + Excellent communicator with ability to handle ... monitoring both skilled and non-skilled healthcare services + Directly supervises clinical personnel + Providing clinical teaching and conducting performance… more
- Molina Healthcare (Columbus, OH)
- …Friday 8 AM to 5 PM EST **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management ... For this position we are seeking a (RN) Registered Nurse who lives in OHIO...and must be licensed for the state they reside Clinical Auditor RN will support our Ohio Health Plan,… more
- AmeriHealth Caritas (Dublin, OH)
- …+ Associate's Degree or equivalent work experience + Bachelor's Degree preferred + Registered Nurse required + Minimum of 3-5 years in clinical ... This position is responsible for leading and coordinating the clinical quality review process of member concerns and medical...3-5 years in healthcare quality required + An unrestricted registered nurse license in the plan's state… more
- Sedgwick Government Solutions (Dublin, OH)
- Job Details Medical Case Manager CARE ( Remote ) 2025-1392 Dublin, OH, USA Medical Case Management Full Time Description **Medical Case Manager ( Remote ) - CARE ... be responsible for a professional assessment of long-term cases. Using your clinical knowledge and nursing experience, you will provide detailed case review… more