• Nurse Reviewer I

    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
    Elevance Health (08/09/25)
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  • Clinical Review Nurse

    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
    Actalent (08/08/25)
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  • Director, Health Services--Midwest Region

    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
    Humana (08/08/25)
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  • VP, Clinical Operations

    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
    Molina Healthcare (07/17/25)
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  • Nurse Mgr-System Float Pool

    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
    Premier Health (07/18/25)
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  • Triage Nurse I - Carebridge - Bilingual

    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
    Elevance Health (08/08/25)
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  • Clinical UM Nurse 2

    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
    CenterWell (08/01/25)
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  • Patient Care Coordinator

    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
    Prime Healthcare (08/01/25)
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  • CST - Defiance Regional Hospital - Surgery - Full…

    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
    ProMedica Health System (05/13/25)
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  • Telephonic Nurse Case Manager II

    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
    Elevance Health (08/09/25)
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