- Battelle Memorial Institute (Columbus, OH)
- …operations and high-quality patient care. **Responsibilities** + Assist with the management and treatment of outpatient behavioral health activities + Under the ... supervision of a licensed psychiatrist, social worker, psychiatric nurse or psychologist, responsible for providing a wide range of behavioral health interventions… more
- CVS Health (Columbus, OH)
- …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... on the telephone, and type on the computer. **Preferred Qualifications** Utilization Management experience preferred **Education** Diploma RN acceptable;… more
- CenterWell (Columbus, OH)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Cleveland Clinic (Cleveland, OH)
- …with one of the most respected healthcare organizations in the world. As a Utilization Management Specialist, you will perform UM activities, such as admission, ... a minimum of 85% on IRR quarterly. + Complete Utilization Management for assigned patients with a...of Nursing + Current state licensure as a Registered Nurse (RN) + Basic Life Support (BLS) Certification through… more
- Veterans Affairs, Veterans Health Administration (Independence, OH)
- Summary The VA Northeast Ohio Healthcare System is recruiting for Registered Nurse (Case Management ) - Telehealth .The Registered Nurse (Case Management ) ... for their assigned panel of patients for effective disease and chronic care management to improve resource utilization (timely, appropriate, high quality, and… more
- Elevance Health (Independence, OH)
- **Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The **Medical Management Nurse ** is responsible for review of the most complex… more
- Molina Healthcare (OH)
- …ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) ... modification of payment decisions. + Serves as a clinical resource for utilization management , CMOs, physicians and member/provider inquiries/appeals. + Provides… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- Summary This is an open continuous announcement to fill Registered Nurse positions at the Community Living Center (CLC) at the Cincinnati VHA Medical Center. The ... https://www.frommers.com/destinations/cincinnati VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- Veterans Affairs, Veterans Health Administration (Chillicothe, OH)
- …education, orientation, competencies and providing quality improvement outcomes utilization consultation. Administers medications and procedures per established ... patient care areas. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
- ChenMed (Maple Heights, OH)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Function/General Purpose of Position** In the capacity of a Care Transition Nurse /Registered Nurse (RN), provide and facilitate coordination of services during ... patients. Work directly with the patient, family/support members, inpatient case management team, and interdisciplinary care team members during admission for… more
- Molina Healthcare (Cincinnati, OH)
- …reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
- Bon Secours Mercy Health (Youngstown, OH)
- …excellence. **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a multidisciplinary ... provision of patient care, demonstrates strong skills related to effective time management and prioritizing patient care, contributes to the provision of quality… more
- Bon Secours Mercy Health (Boardman, OH)
- …an environment where associates want to work and help communities thrive **_Registered Nurse (RN) - Med Surg - St. Elizabeth Boardman Hospital:_** **Summary of ... Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a multidisciplinary care team responsible for… more
- Bon Secours Mercy Health (Springfield, OH)
- …clinical and operational excellence. **Mercy Health - Springfield Regional Medical Center - Registered Nurse ( RN ) - ICU ( Critical Care )** **Summary of Primary ... Functions** The Critical Care Registered Nurse (RN) provides, coordinates, plans, and evaluates the care of the patient in collaboration with the interdisciplinary… more
- Select Medical (Sylvania, OH)
- …such as medication errors, falls, and hospital-acquired pressure ulcers. Champions nurse -driven protocols to decrease urinary catheter utilization rates and ... **Overview** **Position:** Advanced PracticeRegistered Nurse (APRN) **Location:** Toledo, Ohio **Schedule:** Full-time **Compensation: $90K to 140K** **Regency… more
- Bon Secours Mercy Health (Youngstown, OH)
- …and New Grad RNs** **Summary of Primary Functions** The Critical Care Registered Nurse (RN) provides, coordinates, plans, and evaluates the care of the patient in ... life supporting technology/modalities may include but not limited to: ventilator management , CRRT, IABP, Impella, ECMO * Performs hemodynamic monitoring * Clinically… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Primary Function/General Purpose of Position** The Emergency Department (ED) Registered Nurse (RN) provides, coordinates, plans, and evaluates nursing care, and ... * Protects the safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to communicate with patients in… more
- Bon Secours Mercy Health (Youngstown, OH)
- …excellence. **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a multidisciplinary ... provision of patient care, demonstrates strong skills related to effective time management and prioritizing patient care, contributes to the provision of quality… more
