- Cleveland Clinic (Akron, OH)
- …possible patient outcomes. **Cleveland Clinic Akron General is looking for knowledgeable Clinical Nurse Specialist with a background in hematology oncology to ... and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an… more
- Cleveland Clinic (Cleveland, OH)
- …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... in data analysis. Participates in quality monitoring thru the review of records and treatment plans for patient outcomes...RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization… more
- Cleveland Clinic (Cleveland, OH)
- …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... as necessary. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes...RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization… more
- Cleveland Clinic (Cleveland, OH)
- …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization...for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. +… more
- Cleveland Clinic (Cleveland, OH)
- …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... in data analysis -Participate in quality monitoring thru the review of records and treatment plans for patient outcomes...RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization… more
- Cleveland Clinic (Cleveland, OH)
- …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... as necessary. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes...RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization… more
- Cleveland Clinic (Cleveland, OH)
- …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... in data analysis. Participates in quality monitoring thru the review of records and treatment plans for patient outcomes...RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization… more
- Cleveland Clinic (Cleveland, OH)
- …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... data analysis. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes...RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization… more
- Cleveland Clinic (Middleburg Heights, OH)
- …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... data analysis. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes...RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization… more
- Cleveland Clinic (Cleveland, OH)
- …Care experience is required for this position.** **This position is only open to Clinical Nurse Specialists.** **NPs and PAs will not be considered at this ... time** **. A clinical nurse specialist (CNS) is one type...as necessary. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes… more
- Evolent (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Sharecare (Columbus, OH)
- …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals ... and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… more
- Molina Healthcare (OH)
- …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service… more
- MetroHealth (Cleveland, OH)
- …a program seeking accreditation). Current RN licensure in the State of Ohio. One year of clinical experience as a staff nurse or 2 years of relevant, clinical ... (BSN) from an accredited school of nursing. Experience in research. Institutional Review Board (IRB) experience. Knowledgeable of Good Clinical Practice (GCP)… more
- Medical Mutual of Ohio (OH)
- …provider community, explaining processes for accessing health plan to perform clinical review , identifying appropriate community resources, or otherwise ... pre-employment substance abuse and nicotine testing._ **Title:** _Clinical Appeal & Claim Review Nurse II_ **Location:** _Ohio_ **Requisition ID:** _2500127_ more
- Actalent (Columbus, OH)
- …management + Prior authorization + Utilization review + Clinical review + Patient care + Licensed registered nurse Additional Skills & Qualifications ... Job Description The Authorization Specialist will perform medical necessity and clinical reviews of authorization requests in accordance with regulatory guidelines… more
- Bon Secours Mercy Health (Toledo, OH)
- …directly managing the Education Coordinator and the Outreach Educators. + Propose, review and enforce Clinical Practice Guidelines, policies and procedures by ... effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** The… more
- Cleveland Clinic (Cleveland, OH)
- …and completing discharge summaries. This medical care may be in a variety of clinical settings. PA's are privileged by the Board of Governors. PA's in the Hospital ... teams. Cleveland Clinic Children's is currently seeking an experienced Nurse Practitioner (Pediatric or Family) or PA for a...data analysis. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes… more
- Cleveland Clinic (Cleveland, OH)
- Cleveland Clinic's Pediatric Institute is currently seeking an experienced Nurse Practitioner (Pediatric Acute care certified) for a full-time NIGHTS position with ... organ transplant, VA/VV ECMO and hepatic failure. The PCCM Nurse Practitioner performs a comprehensive history and physical exam...This medical care may be in a variety of clinical settings. PA's are privileged by the Board of… more
- Cleveland Clinic (Mayfield Heights, OH)
- …and completing discharge summaries. This medical care may be in a variety of clinical settings. PA's are privileged by the Board of Governors. PA's in this role ... of high-acuity care. Cleveland Clinic has a PRN opportunity for a Pediatric Nurse Practitioner working primarily inpatient with newborns through 26 years of age and… more