• Nurse Reviewer I

    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
    Elevance Health (07/26/25)
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  • Clinical Reviewer , Nurse - 9am -6pm…

    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
    Evolent (08/01/25)
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  • Utilization Management Nurse Consultant…

    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
    CVS Health (08/01/25)
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  • Care Review Clinician, Prior Auth (RN) Pega…

    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
    Molina Healthcare (07/12/25)
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  • Clinical Nurse Specialist or Intern CNS-…

    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
    Cleveland Clinic (07/29/25)
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  • Nurse

    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 (08/02/25)
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  • Registered Nurse - Community Care…

    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 (08/02/25)
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  • Advanced Practice Nurse ( Nurse

    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
    Veterans Affairs, Veterans Health Administration (07/29/25)
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  • Intermittent/PRN Senior Research Nurse

    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
    Ohio University (06/03/25)
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  • Nurse Practitioner, Physician Assistant,…

    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
    Cleveland Clinic (08/02/25)
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