- Deloitte (Cincinnati, OH)
- …degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) ... registered nurse , physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN , Quality,… more
- Molina Healthcare (Akron, OH)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...the specific programs supported by the plan such as utilization review , medical claims review ,… more
- Datavant (Columbus, OH)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity ... expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well...letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers +… more
- Cleveland Clinic (Cleveland, OH)
- …qualifications for the ideal future caregiver include: + Master's Degree + Registered Nurse + Healthcare Accreditation Certification Program (HACP) or Certified ... organizations in the world. As a Safety, Quality and Patient Experience (SQPE) Specialist II at Lutheran Hospital, you will help drive excellence across a diverse… more
- Cleveland Clinic (Garfield Heights, OH)
- …the ideal future caregiver include: + Master's Degree + Current licensure as a Registered Nurse ( RN ) + Certified Professional in Healthcare Quality (CPHQ) ... safety, quality and experience. As a Safety, Quality and Patient Experience (SQPE) Specialist - Sepsis Coordinator, you will play a critical role in advancing our… more
- Elevance Health (Cincinnati, OH)
- **Wellness Nurse Consultant** **Sign on Bonus: $5000** **Field:** This field-based role enables associates to primarily operate in the field, traveling to client ... we will drive the future of health care. The **Wellness Nurse Consultant** position is responsible for developing and recommending customized, group-specific… more