- Molina Healthcare (OH)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...years in one or more of the following areas: utilization management , case management , care… more
- Select Medical (Dublin, OH)
- …within the allotted time frame; assuring payments of services meeting patient-related utilization management criteria, and implementation of safe and appropriate ... + Current Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred) **Preferred Qualifications** +… more
- Elevance Health (OH)
- …nursing preferred. + Participation and/or certification in a managed care or utilization management organization preferred. + Ability to understand clinical ... **Seeking bilingual Spanish-speaking candidates who have an active, unrestricted RN Compact license or Multi-state RN licenses in either of the following states:… more
- Cleveland Clinic (Mayfield Heights, OH)
- …+ Graduate from an accredited school of professional nursing. + Current state licensure as a Registered Nurse ( RN ). + Bachelor of science in nursing (BSN) + ... endless support and appreciation, and build a rewarding career. RN Case Managers work collaboratively with inter-professional teams across...caregiver include + Two years of recent experience in utilization review, quality or care management +… more
- Cleveland Clinic (Euclid, OH)
- …from an accredited school of professional nursing. + Current state licensure as a Registered Nurse ( RN ). + Basic Life Support (BLS) certification through ... medical facility, but also a home away from home. RN Case Managers work collaboratively with inter-professional teams across...or AHA). + Two years of recent experience in utilization review, quality or care management . +… more
- Select Medical (Cincinnati, OH)
- …allotted timeframe; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safeand ... **Overview** **TriHealth Rehabilitation Hospital** Cincinnati, OH **Case Manager ( RN or MSW)** PRN **Why Join Us?** + **Start Strong** : Extensive and thorough… more
- MTC (Marion, OH)
- …clean; utilize appropriate sanitation methods. 7. Practice basic cost containment and utilization management for patient care and facility operations. 8. ... + Civic duty and military leave Impact lives with Management & Training Corporation (MTC)! At the **North Central...productive life. **Essential Duties:** 1. Under direction of the RN on duty and in accordance with approved standing… more
- ProMedica Health System (Toledo, OH)
- REPORTING RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES The critical care transport nurse is a registered professional nurse who is responsible for providing ... sequence induction) * Cricothyroidotomy (needle and/or surgical) * Alternative Airway Management (I-Gel), Bougie utilization * Ventilator Support/ Ventilator … more
- Elevance Health (Mason, OH)
- …solving with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. + Within the medical ... **Transplant Nurse II** **Location:** Virtual: This role enables associates...II** will be responsible for providing case and/or medical management for members receiving transplant services. Continue to learn… more
- Elevance Health (Columbus, OH)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: Virtual: This role...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more