• Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    … chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
    Elevance Health (05/22/25)
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  • Registered Nurse ( RN )- Day…

    Bellefaire JCB (Shaker Heights, OH)
    Registered Nurse (MBA & PRTF)-Seeing day...to all clients' health care needs as required. Perform medical treatments, such as wound care, on clients when ... Full Time and Part Time Alternating weekends and Holidays SUMMARY: The Registered Nurse is responsible for administering and supervising medication… more
    Bellefaire JCB (05/09/25)
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  • Registered Nurse ( RN

    CommuniCare Health Services Corporate (Cincinnati, OH)
    Registered Nurse ( RN ), Mobile...of benefit options from life and disability plans to medical , dental and vision coverage, from quality benefit carriers. ... Services is currently looking for a Registered Nurse to fill the key position of RN...for utilization + Weekly visits to facilities for intervention, audit and training + Review resident clinical records for… more
    CommuniCare Health Services Corporate (05/30/25)
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  • Registered Nurse ( RN )

    Health Advocates Network (Youngstown, OH)
    **Must live 70+ miles from the facility for this opening** The Registered Nurse ( RN ) plans and provides comprehensive nursing care including, but not limited ... Licensed Independent Provider for treatment orders. *Assist in coordinating professional medical services provided by contract personnel and seeing that their needs… more
    Health Advocates Network (05/30/25)
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  • Dialysis Program Manager Registered

    Fresenius Medical Center (Hinckley, OH)
    …any other treatment related data into systems. + Ensures regulatory, compliance, and audit activities are accomplished on time. + Orients and supports all new home ... **EDUCATION** **:** + Graduate of an accredited School of Nursing ( RN ) Advanced education preferred. Current appropriate state licensure. **EXPERIENCE AND REQUIRED… more
    Fresenius Medical Center (04/10/25)
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  • Lead Clinical Registered Nurse

    Trinity Health (Columbus, OH)
    …experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com The Registered Nurse Clinical Lead will supervise all clinical staff and ... we offer:** + Competitive compensation and benefits packages including medical , dental, and vision coverage + Retirement savings account...and spiritual needs within the scope of the Ohio Nurse Practice Act. The Registered Nurse more
    Trinity Health (04/24/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (OH)
    …appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/ medical reviews of ... of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
    Molina Healthcare (05/16/25)
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  • RN , Utilization Review Case Manager

    Trinity Health (Columbus, OH)
    …accredited school of nursing. + Licensure / Certification: Current license to practice as a Registered Nurse ( RN ) in the State of Ohio. + Experience: Three ... review for Inpatient and Outpatient cases. + Analyze, summarize, and concisely report medical utilization and medical chart audit results. + Compare… more
    Trinity Health (05/28/25)
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  • RN Clinical Nurse Specialist

    CommuniCare Health Services Corporate (Cincinnati, OH)
    …OH CommuniCare Health Services is currently recruiting an experienced and dynamic Registered Nurse , BSN preferred, for the position of RN Clinical Nurse ... RN - Clinical Nurse Specialist -...procedure, and care. + Visit facilities weekly for intervention, audit and training. + Train new nursing management. +… more
    CommuniCare Health Services Corporate (05/20/25)
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  • Critical Care Transport RN / CareFlight Air…

    Premier Health (Dayton, OH)
    …ill or injured patients by a mobile intensive care to a higher-level medical treatment facility. The Critical Care Transport Nurse provides advanced ... **Position: Critical Care Transport RN ** **Department: CareFlight Air & Mobile Services** **Facility:...Premier Health. This position also includes public relations and medical education functions. Critical Care Transport Nurse more
    Premier Health (05/21/25)
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