- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... nursing experience, including at least 1 year of utilization review , medical claims review , long-term...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- … Nurse - Community Living Center (CLC): The Community Living Center (CLC) Registered Nurse ( RN ) is responsible for delivering fundamental knowledge-based ... Summary This is an open continuous announcement to fill Registered Nurse positions at the Community Living...the Community Living Center (CLC) at the Cincinnati VHA Medical Center. The first round of applicants will be… more
- Insight Global (Cincinnati, OH)
- …Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Registered Nurse * 2 years experience of neuro, ... Global Health is looking for an experienced Trauma OR Nurse for one of our large Level 1 Trauma...Trauma Center clients in the Cincinnati, OH area! The Medical Center is opening brand new facility and adding… more
- Elevance Health (Mason, OH)
- …states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most complex or challenging ... ** Medical Management Nurse ** **Location: Virtual: This...Skills and Experiences:** + ACMP experience is preferred. + Medical Management experience is preferred, + Utilization Review… more
- Elevance Health (Cincinnati, OH)
- …legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. .Acts as a resource for both clinical and ... ** Nurse Appeals -Licensed Nurse ** **Location** :...accurate entry, investigation, and analysis of state appeals; summarizing medical information for review by medical… more
- Molina Healthcare (Cincinnati, OH)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Cincinnati, OH)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Cincinnati, OH)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Fresenius Medical Center (Cincinnati, OH)
- **PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff ... Registered Nurse , to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's… more
- CenterWell (Fort Mitchell, KY)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more