- CVS Health (Columbus, OH)
- …and work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH Schedule: W/Th/F/Sa (4-10hr shifts) **Position ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** 3+ years of… more
- CVS Health (Columbus, OH)
- …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... + 3+ years of clinical experience as a Registered Nurse in a hospital setting in adult acute care/critical...or specialty area + Managed Care experience preferred, especially Utilization Management + preference for those residing… more
- CVS Health (Columbus, OH)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... available with Holiday, Weekend, and late rotations. **Required Qualifications** + Registered Nurse + Must have active current and unrestricted RN licensure in state… more
- Elevance Health (Cincinnati, OH)
- **Wellness Nurse Consultant ** **Sign on Bonus: $5000** **Field:** This field-based role enables associates to primarily operate in the field, traveling to client ... and together we will drive the future of health care. The **Wellness Nurse Consultant ** position is responsible for developing and recommending customized,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …education and care with active tracking of high risk patients to decrease utilization .** Essential Functions: + Collaborates and acts as a resource to the ... medical staff and organizational leadership to proactively address quality and /or utilization issues. + Collaborates with hospital departments to ensure site survey… more
- Deloitte (Cincinnati, OH)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... for this role ends on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice, you will have the opportunity to… more
- Cleveland Clinic (Garfield Heights, OH)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... when a deviation in standard practice has occurred. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality … more
- Cleveland Clinic (Cleveland, OH)
- …ensure compliance with standards and improve performance across safety, quality, utilization and experience metrics. This is an exciting opportunity to advance ... data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality… more