• Complex Case Manager RN - GI Nurse

    Highmark Health (Columbus, OH)
    …their personal health goals. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional) for the specified panel of ... achieved. + Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation… more
    Highmark Health (08/27/25)
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  • Supervisor, Care Review ( RN ) Utilization…

    Molina Healthcare (Cleveland, OH)
    …leadership skills. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) in good standing. + Must have ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (08/20/25)
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  • Post Acute Manager, Complex Care (LPN)

    ChenMed (Cincinnati, OH)
    …to join our team. The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care nurses, Licensed Practical Nurse ... and maximizing their healthy time at home. The Register Nurse ( RN ) Community Care Nurse ...adheres to strict departmental goals/objectives, standards of performance, regulatory compliance , quality patient care compliance more
    ChenMed (08/30/25)
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  • Sr Clinical Consultant, MI I

    Fujifilm (Columbus, OH)
    …Nuclear Medicine Technologist experience in: + MPI + MUGA + PET + (CV) Registered Nurse Cardiac experience in: + Cath, Peripheral Angiography, Electrophysiology ... compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working relationships with… more
    Fujifilm (08/11/25)
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  • Supervisor, Utilization Management

    Centene Corporation (Columbus, OH)
    …of related experience. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... + Monitors and tracks UM resources to ensure adherence to performance, compliance , quality , and efficiency standards + Collaborates with utilization management… more
    Centene Corporation (08/23/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Cleveland, OH)
    …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (08/31/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Dayton, OH)
    …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (08/20/25)
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  • Clinical Reviewer, Nurse -Surgery

    Evolent (Columbus, OH)
    …are applied appropriately. **Qualifications:** + Current, unrestricted state licensure as a Registered Nurse + Associate or Bachelors in Nursing (Must be ... procedures. + Participates in on-going training programs to ensure quality performance in compliance with applicable standards...a Registered Nurse ) + Strong interpersonal and communication… more
    Evolent (08/19/25)
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  • Clinical Reviewer, Nurse

    Evolent (Columbus, OH)
    Registered Nurse + Associate or Bachelors in Nursing (Must be a Registered Nurse ) + Experience as an RN in a Pain MNGT setting is preferred. + Strong ... it. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the...procedures. + Participates in on-going training programs to ensure quality performance in compliance with applicable standards… more
    Evolent (08/19/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Cortland, OH)
    …in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state laws. + May assist ... Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine… more
    Fresenius Medical Center (09/06/25)
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