Providence Health and Services
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Columbus,OH
Providence Health and Services is looking for a Clinical Documentation Specialist to work full-time in a remote position. This role entails performing quality reviews of OASIS documents and collaborating closely with healthcare leadership to...
OhioHealth
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Columbus,OH
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...
Trinity Health
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Columbus,OH
Employment Type: Full timeShift: Day ShiftPosition PurposeClinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator...
Actalent
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Columbus,OH
Actalent is urgently hiring Remote Clinical Review Nurses to review medical necessity cases and advocate for members. The ideal candidate will have 3+ years in utilization management along with an active RN Compact License.This is a...
OhioHealth
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Columbus,OH
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...
The Ohio State University
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Columbus,OH
The Ohio State University is seeking a Capacity Management Specialist RN to support the Nurse Manager in departmental operations of the Patient Flow Management Center. This role coordinates patient transfers and ensures effective communication...
Trinity Health
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Columbus,OH
Employment TypeFull timeDescriptionThe Peer Review Specialist provides leadership and coordination for the provider peer review processes across the facilities and service areas within Mount Carmel Health System and affiliate joint venture...
St Vincent Hospital
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Columbus,OH
Utilization Management Position Provide health care services regarding admissions, case management, discharge planning and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent...
VITAS Healthcare
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Dublin,OH
Job DescriptionQUALIFICATIONS Qualified candidates must be credentialed and licensed (as required) health care professional preferred.Certified Professional in Healthcare Quality preferred. Knowledge of hospice operations and performance...
UNIVERSITY OF VIRGINIA
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Columbus,OH
The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...
BlueCross BlueShield of South Carolina
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Columbus,OH
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or...
UnitedHealth Group
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Columbus,OH
Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...
Ohio State University
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Columbus,OH
## Case Management RN SpecialistApplylocations: Outpatient Care/Ambulatorytime type: Full timeposted on: Posted Todayjob requisition id: R152567Screen reader users may encounter difficulty with this site. For assistance with applying, please...
Mount Carmel Health System
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Westerville,OH
*Employment Type:* Full time *Shift:* *Description:* *Position Purpose: * * Registered Nurse will provide care in an atmosphere sensitive to each person's physical, emotional, social and spiritual needs within the scope of the Ohio Nurse...
Virtual Vocations
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Columbus,OH
Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...
Humana
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Columbus,OH
Job SummaryThe Care Integration Clinical Competency & Quality Nurse is a Center of Excellence (CoE) position responsible for ensuring the clinical quality and provider & patient engagement effectiveness for the Clinical Care RN role through...
Americare
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Columbus,OH
Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...
TeamHealth
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Columbus,OH
Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...
UCHealth
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Columbus,OH
Description Location: UCHealth UCHlth Anschutz Inpatient Pavilion, US:CO:Aurora Department: Cellular Therapies Unit Work Schedule: Part Time, 48.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is...
Virtual Vocations
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Columbus,OH
Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Specialist will review medical records for medical necessity, level of care, and authorization compliance while ensuring timely appeal submissions and...
University of Utah
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Columbus,OH
Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...
Premier Health
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Columbus,OH
Position: Virtual Nurse-RN Department: Virtual Nursing Facility: Premier System Support Shift: Full-time 7:00am-7:30pm/ 72 Hours Per Pay *This is...
