• Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (Columbus, OH)
    …operations that drive change. + Functions as key lead for clinical chart review /abstraction and team management. This includes qualitative analysis, reporting ... is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment… more
    Molina Healthcare (08/21/25)
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  • Senior Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (OH)
    …or feedback from the HEDIS audit. Makes recommendations based off of the audit and chart review . + Assists with ad hoc projects. + Participates in scheduled ... like projects and supplemental data collection. The overreader team will meet chart overread productivity standards, minimum over read standards, and 2nd overread… more
    Molina Healthcare (08/21/25)
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  • Director of Quality Management - Inpatient Rehab

    Select Medical (Cleveland, OH)
    …action documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization, infection ... control and medical CQI indicators. Analyzes results of chart review activities with appropriate staff and confers with department staff on any case requiring… more
    Select Medical (07/23/25)
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  • RAC Case Manager

    OhioHealth (Columbus, OH)
    …to ensure quality outcomes and mitigate financial risk. **Minimum Qualifications:** Associate's Degree (Required) RN - Registered Nurse - Ohio Board of ... position requires a diverse set of organizational skills, medical chart review and analysis, knowledge of claims...Nursing **Additional Job Description:** RN from an accredited school of Nursing and currently… more
    OhioHealth (08/29/25)
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  • Community Care Nurse , HCT ( RN )

    ChenMed (Columbus, OH)
    …Once a patient has completed their episode of care management the register nurse ( RN ) will review patient chart for discharge and conduct final discharge ... team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works...patient needs and services available in the community or review of their benefits. + Completes individual plan of… more
    ChenMed (07/25/25)
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  • Post Acute Manager, Complex Care (LPN)

    ChenMed (Cincinnati, OH)
    …once patient has completed their episode of care management the register nurse ( RN ) will review patient chart for discharge and conduct final discharge ... The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care...patient needs and services available in the community or review of their benefits. + Completes individual plan of… more
    ChenMed (08/30/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Cincinnati, OH)
    …task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state laws. + ... information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient...obtain vital signs + Collect patient's treatment records and review for completion. Notify RN of incomplete… more
    Fresenius Medical Center (08/02/25)
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  • RN Coordinator - PPG Cardiology - Part Time

    ProMedica Health System (Toledo, OH)
    …Years of Experience: 1 year of relatable or equivalent experience. License: Active Registered Nurse License in state of assigned practices. Certification: ACLS ... The RN Program Coordinator is the primary point person...education and gaps in recommended preventive services. Monitor patient's chart for test results. Triage results and review… more
    ProMedica Health System (08/23/25)
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  • RN Coordinator - Digestive Healthcare…

    ProMedica Health System (Sylvania, OH)
    …Years of Experience: 1 year of relatable or equivalent experience License: Active Registered Nurse License in state of assigned practices. Certification: ACLS ... The RN Program Coordinator is the primary point person...care including testing and clinic visits. ACCOUNTABILITIES Gather and review eligible patient's self-reported health information. Update the eligible… more
    ProMedica Health System (08/29/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** **Virtual:** This role enables associates to work...the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How… more
    Elevance Health (08/13/25)
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