• UM Behavioral Health Nurse

    Humana (Columbus, OH)
    …of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support ... services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license,… more
    Humana (11/15/25)
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  • Supervisor, Healthcare Services…

    Molina Healthcare (Cincinnati, OH)
    …healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... * Assists in implementing health management , care management , utilization management , behavioral...r equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational… more
    Molina Healthcare (11/14/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Youngstown, OH)
    …Hospital** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... where associates want to work and help communities thrive. ** Registered Nurse ( RN ) -** Psychiatric...of Science Nursing (preferred) **Work Experience** 1 year of RN experience (required) Recent Behavioral Health experience… more
    Bon Secours Mercy Health (11/12/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Youngstown, OH)
    …PRN position_** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... procedures, guidelines of the organization, and within the State's Nurse Practice Act. The RN provides a...of Science Nursing (preferred) **Work Experience** 1 year of RN experience (required) Recent Behavioral Health experience… more
    Bon Secours Mercy Health (10/11/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Springfield, OH)
    …* Nursing judgment and skill based on principles of the biological, physical, behavioral , and social sciences * Application of the nursing process in patient care ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
    Bon Secours Mercy Health (11/18/25)
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  • Registered Nurse ( RN ) - Med…

    Bon Secours Mercy Health (Lorain, OH)
    …+ Nursing judgment and skill based on principles of the biological, physical, behavioral , and social sciences + Application of the nursing process in patient care ... partnership + Interprofessional collaboration and leadership + Understanding and utilization of office and clinical technologies + Compassionate, relationship-based… more
    Bon Secours Mercy Health (11/10/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Cincinnati, OH)
    …* Nursing judgment and skill based on principles of the biological, physical, behavioral , and social sciences * Application of the nursing process in patient care ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
    Bon Secours Mercy Health (09/12/25)
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  • Case Manager, Registered Nurse

    CVS Health (Columbus, OH)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
    CVS Health (11/19/25)
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  • Utilization Management Clinical…

    CVS Health (Columbus, OH)
    …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal… more
    CVS Health (11/19/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Akron, OH)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
    Molina Healthcare (10/26/25)
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