- Molina Healthcare (Cleveland, OH)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Dayton, OH)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Akron, OH)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and… more
- Molina Healthcare (Cincinnati, OH)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Datavant (Columbus, OH)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Cleveland Clinic (Cleveland, OH)
- …developing educational programs. The Cleveland Clinic Neurological Institute seeks a **full-time inpatient APRN (Adult, Family, or Acute Care certified) or PA** to ... work as an independent clinician in collaboration with physicians, fellows, residents, and other APPs. The role supports **General Neurology** and **Stroke… more