Maximus
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Columbus,OH
RN Clinical Assessor - (Hybrid Remote - Washington County, Maine) Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts...
Lee Health
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Columbus,OH
Location: HealthPark Medical Center - 9981 So HealthPark Circle Fort Myers FL 33908 Department: Resource Nurse Team Work Type: Part Time Shift: Shift 1/7:00:00 AM to 7:30:00 PM Minimum to...
American Recruiting and Consulting Group
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Columbus,OH
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...
CareFirst BlueCross BlueShield
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Columbus,OH
Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...
Mercy Health
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Columbus,OH
Find your calling at Mercy! Must live within the Mercy footprint Missouri, Arkansas, Oklahoma and/or Kansas. Delivers and coordinates the standardized new hire Nursing orientation program for licensed and...
National Church Residences Senior Living Communities
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Columbus,OH
According to prescribed policies and procedures of the organization including all applicable federal, state and accreditation regulations and reporting to the Clinical Leader, the Licensed Practical Nurse is responsible for providing nursing care...
Randstad
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Columbus,OH
Randstad Healthcare is hiring for a Utilization Management Clinical Consultant - Registered Nurse to work remotely. ***Must be licensed as a RN in Arizona or hold a compact license to be considered*** The Utilization...
Public Consulting Group
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Columbus,OH
Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately...
Nationwide Children's Hospital
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Columbus,OH
Overview: This position will work in our School Based Health Centers in Franklin County. Hours are between 7-4 depending on the site. Days are M-F depending on the site. More details will be discussed during the interview.
UnitedHealth Group
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Columbus,OH
Review the work of others. Develop innovative approaches. Work collaboratively in a matrix environment. Sought out as expert. Anticipate customer needs and proactively develops solutions to meet them. Serve as a key resource on complex and/or...
VITAS Healthcare
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Dublin,OH
Job Description Salary Range: $40 - $42/Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?
Select Medical Holdings Corporation
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Columbus,OH
Receive admissions and/or transfers. Initial and ongoing systematic patient assessment. Timely and accurate documentation using EPIC - Interpret assessment/diagnostic data including labs and telemetry. Ensure medical orders are transcribed and...
Elevance Health
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Columbus,OH
Candidates with a compact license strongly preferred Shift: Rotating schedule, 4 10-hour shifts per week, 7:30am - 6:00pm CST Location: Candidates in Texas, Tennessee, and New...
Hireops Staffing Llc
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Columbus,OH
$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...
Providence Service
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Columbus,OH
Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...
Parkview Health
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Columbus,OH
Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses Association Standards of...
Conduent
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Columbus,OH
Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...
Quest Diagnostic
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Columbus,OH
About the Job THIS IS PER DIEM - NOT FULL/PART TIME. Flexible Schedule! Chose your own hours! Quest Diagnostics is a leading provider of worksite wellness screenings and health improvement programs.
WPS Health Solutions
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Columbus,OH
Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide...
Humana
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Columbus,OH
Become a part of our caring community and help us put health first The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and coding for services rendered is complete,...
Baptist Health South Florida
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Columbus,OH
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward...
CVS Health
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Columbus,OH
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
Gentiva Hospice
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Columbus,OH
Overview Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and referral processes...
