- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- CVS Health (Columbus, OH)
- …have active current and unrestricted RN licensure in state of residence** ** Utilization Management is a 24/7 operation and work schedules will include ... both verbal and written **Required Qualifications** **3+ years of clinical experience as a Registered Nurse in adult acute care/critical care setting** **Must… more
- Cognizant (Columbus, OH)
- …have to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Columbus, OH)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team **Position ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
- Bon Secours Mercy Health (Youngstown, OH)
- …mandated by CMS and Conditions of Participation for discharge planning and utilization management . Addresses opportunities or potential concerns with leadership. ... for clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is responsible for providing coordination of care for… more
- MTC (Marion, OH)
- …the use of appropriate sanitation methods. 13. Practice basic cost containment and utilization management for patient care and facility operations. 14. Maintain ... + Civic duty and military leave Impact lives with Management & Training Corporation (MTC)! At the **North Central...and treatment orders and other emergencies. 4. Provide crisis management for disturbed patients 5. Assist with mental health… more
- Bon Secours Mercy Health (Youngstown, OH)
- …**Summary of Primary Function/General Purpose of Position** The Emergency Department (ED) Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Emergency… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Cardiac Life Support acceptable in lieu of BLS) + Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) + CCRN ... associates want to work and help communities thrive **_Registered Nurse ( RN ) - Med-Surg - St. Elizabeth...Hospital:_** **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care… more
- Bon Secours Mercy Health (Springfield, OH)
- …recognized for clinical and operational excellence. **Mercy Health - Springfield Regional Medical Center - Registered Nurse ( RN ) - ICU ( Critical Care )** ... **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates the care of the patient in collaboration… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Cardiac Life Support acceptable in lieu of BLS) + Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) + CCRN ... and operational excellence. **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a… more