- Elevance Health (Mason, OH)
- ** Nurse Reviewer I** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training ... an accommodation is granted as required by law. The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Evolent (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks ... cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- CVS Health (Columbus, OH)
- …a collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline and plan language or ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more
- Molina Healthcare (OH)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. Experience… more
- Cleveland Clinic (Akron, OH)
- …2. Facilitate new nurse critical care and progressive care orientation, 3. Review inpatient orders to ensure all elements are correct and review ... patient outcomes. **Cleveland Clinic Akron General is looking for knowledgeable Clinical Nurse Specialist with a background in critical care nursing to support… more
- Veterans Affairs, Veterans Health Administration (Chillicothe, OH)
- Summary The Referral Coordination Team (RCT) Registered Nurse (RN) ) is responsible for executing a streamlined approach to receiving, triaging, and directing ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …to receiving, triaging, and directing timely, coordinated care. The nurse demonstrates proficient practice and decision-making, deliberate planning, and critical ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community… more
- Veterans Affairs, Veterans Health Administration (Youngstown, OH)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities The Advanced Practice Nurse (APN) Psychiatric Mental Health Nurse Practitioner (PMHNP) practices in Psychiatry Service to provide a full range… more
- Ohio University (Athens, OH)
- …Research Unit ( CTRU ): https://www.ohio.edu/medicine/research/ctru Position Summary: The Senior Research Nurse serves as a leader of the research team in all ... There are two key duties of the Senior Research Nurse . The first duty is to independently perform medical...Ensuring compliance with each study's protocol by providing thorough review and documentation at each subject study visit +… more
- Cleveland Clinic (Cleveland, OH)
- …Clinic Taussig Cancer Center is seeking a highly motivated and compassionate ** Nurse Practitioner (NP) or Physician Assistant** to join our multidisciplinary team in ... to quality improvement projects. **Preferred Qualifications:** + Current licensure as a Nurse Practitioner in the State of Ohio. + Certification as an Adult,… more
Recent Jobs
-
Veterinary Technician II
- Texas A&M University System (College Station, TX)
-
Sales Clerk INT
- Coast Guard Community Services Command (Chesapeake, VA)
-
Director of Nursing
- HCAOA (Minneapolis, MN)
-
Cath Lab Tech III
- Catholic Health Initiatives (Pasadena, TX)