- Elevance Health (Mason, OH)
- ** Nurse Reviewer I** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training sessions, ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out… more
- Actalent (Cincinnati, OH)
- …and discharge planning. + Proficiency with InterQual. + Active Compact RN /LVN/LPN License. + Utilization Management/Concurrent Review experience. + ICU/ER ... Job Title: Clinical Review Nurse 100% Remote Eastern and Central time zones...successful completion of cases. Essential Skills + Experience in utilization management, concurrent review, prior authorization, utilization … more
- Humana (Columbus, OH)
- …supporting provider performance, and coordinating with cross-functional teams to drive quality, utilization , and cost-of-care outcomes. At the core, this is a role ... MRA, chronic condition management, and other efforts to reduce avoidable utilization * Supporting Joint Operating Committees (JOCs) and facilitating implementation… more
- Molina Healthcare (Cincinnati, OH)
- …LICENSE, CERTIFICATION, ASSOCIATION:** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Utilization Management Certification ... key medical management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages… more
- Premier Health (Dayton, OH)
- **Position: Nurse Manager - Float Pool** **Department: Premier Nursing Staffing Pool** **Facility: Miami Valley Hospital** **Shift: Full time 8:00am-5:00pm/ 80 Hours ... Per Pay** The Nurse Manager - System Float Pool has the responsibility for the enterprise-wide float staff ( RN & PCT), Tier I, Tier II and Tier III. The manager… more
- Elevance Health (OH)
- **Seeking bilingual Spanish-speaking candidates who have an active, unrestricted RN Compact license or Multi-state RN licenses in either of the following states: ... and quality of life through home-care and community based services The **Triage Nurse I - Carebridge - Bilingual** is responsible for determining the appropriate… more
- CenterWell (Columbus, OH)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN ) with no disciplinary ... our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical… more
- Prime Healthcare (East Liverpool, OH)
- …position. NO WEEKENDS or HOLIDAYS! Candidates must have a valid multi state RN license. Join an award-winning team of dedicated professionals committed to our core ... served by the Agency, quality of nursing services, effective resource utilization and appropriateness of care. The Patient Care Coordinator provides direction… more
- ProMedica Health System (Defiance, OH)
- …in the operating room under the direction and supervision of an RN , in accordance with accepted standards, policies, and procedures. ACCOUNTABILITIES *All duties ... procedure. Opens supplies and sets up operating room, along with the RN circulator. Scrubs, gowns, and sets up sterile field. Anticipates physicians' instrumentation… more
- Elevance Health (Columbus, OH)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more