- Molina Healthcare (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
- Vighter Medical Group (Youngstown, OH)
- Flight Registered Nurse ( RN ), Youngstown, OH Job Details Job Location Youngstown, OH - Youngstown, OH Position Type Full Time Education Level Registered ... Job Shift Any Job Category Health Care Description Flight Registered Nurse ( RN ) Summary: Vighter...Deputy Program Manager while performing healthcare services under the medical direction of the National Medical Director… more
- CVS Health (Columbus, OH)
- …lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review , you'll play a vital ... skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and… more
- Health Advocates Network (Cleveland, OH)
- …live 70+ miles from facility to qualify for this opening** Job Summary: The Registered Nurse ( RN ) plans and provides comprehensive nursing care including, ... medical records. -Assist Health Service Administrator with the review of medical files to determine all provided services are documented. -Closely monitor… more
- Fresenius Medical Center (Youngstown, OH)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Fresenius Medical Center (Toledo, OH)
- …to give back by participating in philanthropy and community outreach programs. **Staff Registered Nurse ** This is an exceptional opportunity to succeed with a ... **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Here is your opportunity to...of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality… more
- CVS Health (Columbus, OH)
- …Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...setting. + A Registered Nurse that holds an active, unrestricted… 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
- Surgery Care Affiliates (Chagrin Falls, OH)
- …change. If you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse ( RN ) PreOp PACU. + Promote the mission, vision, and ... your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company...to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing… more
- Prime Healthcare (East Liverpool, OH)
- …work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license. + Grandfathered prior to April 1, 2015. Minimum ... cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
Recent Jobs
-
Lineworker Wage Agency Instructor
- Texas A&M University System (Bryan, TX)
-
Professional Staff Nurse, BSN, Casual - Emergency Department
- UPMC (Jamestown, NY)
-
Production Supervisor- Machining (2nd Shift)
- BAE Systems (Louisville, KY)
-
Cardiovsc Inv Tech Reg
- Covenant Health Inc. (Knoxville, TN)