- CVS Health (Columbus, OH)
- …heart, each and every day. **Position Summary** CVS Aetna is seeking a dedicated **Appeals Nurse Consultant ** to join our remote team. In this role, you will be ... clinical experience. **Preferred Qualifications** + Appeals, Managed Care, or Utilization Review experience. + Pre Certification or Pre Authorization experience… more
- OhioHealth (Mansfield, OH)
- …daily operations. He/She acts as an educational resource for staff nurses, managers, nurse administrators and other specialty roles. He/She acts as a mentor and/or ... facilitator of teams or groups. He/She acts as a consultant and resource to contribute to a culture of nursing excellence throughout OhioHealth. The Manager of… more
- Deloitte (Cincinnati, OH)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... for this role ends on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice, you will have the opportunity to… more
- Cleveland Clinic (Cleveland, OH)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... when a deviation in standard practice has occurred. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality … more
- Cleveland Clinic (Garfield Heights, OH)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... when a deviation in standard practice has occurred. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality … more
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