- Elevance Health (Cleveland, OH)
- ** Nurse Appeals -Licensed Nurse ** **Location** : Ohio, candidates must be residents of Ohio to be considered. **Hybrid 1** : This role requires associates to be ... in- office 1-2 days per week, fostering collaboration and connectivity,...necessary and is dependent on court hearing schedules. The Nurse Appeals is responsible for investigating and processing and… more
- Sunrise Senior Living (Findlay, OH)
- …+ Receive medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and treatments for each ... while administering the medication to the RCD or Wellness Nurse . + Restock medication cart after all medication passes....knowledge, skills, and abilities required. + Ohio LPN or RN + CPR and First Aid Certification + Must… more
- Evolent (Columbus, OH)
- …utilization management and quality improvement functions under the auspices of the office of the Chief Medical Officer. **ESSENTIAL DUTIES AND RESPONSIBILITIES** ... as a clinical liaison to providers, clients, and patients as directed by the office of the Chief Medical Officer. Responsible for clinical conversations with… more
- CVS Health (Columbus, OH)
- …work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant** Fully Remote- WFH Schedule: W/Th/F/Sa (4-10hr shifts) **Position Summary** ... utilization/benefit management function. **Required Qualifications** 3+ years of experience as an RN Active and unrestricted RN licensure in state of residence… 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 ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- CenterWell (Columbus, OH)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA...to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing… more
- Highmark Health (Columbus, OH)
- …of cultural competency in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or NY is required. Other ... RN license(s), if applicable, must be obtained within the...Working knowledge of pertinent regulatory and compliance guidelines and medical policies + Ability to multi task and perform… more
- MetroHealth (Cleveland, OH)
- …a provider.** **Delivers direct patient care consistent with the advanced practice registered nurse 's or PA's education, experience and certification, in ... care actions and through patient advocacy. The advanced practice registered nurse or PA may also manage...specialty/department with The MetroHealth System and must report to Medical Staff Office at time of hire… more
- Fresenius Medical Center (Lima, OH)
- …PCT II HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN ), in compliance with, and as permissible per state ... Maintains logs and tracking. + May order and track clinic/ office supplies, as directed. + Participates in medical...changes in patient status during treatment to the HT RN , and documents in the medical record.… more
- HCA Healthcare (Cincinnati, OH)
- …hazards may include needle sticks, blood and bodily fluid exposure, or any other hazard a Registered Nurse ( RN ) might be exposed to in the normal performance ... + Active, Current, Unencumbered Licensure: Applicable state as a Registered Nurse and per the State Board...and decision making. Physical demands in the classroom and office are minimal and are considered sedentary work with… more