- Humana (Columbus, OH)
- …to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such as a ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Compliance Utilization Management Nurse 2 reviews utilization management ... rotating schedule. (about 2 holidays per year) The Compliance Utilization Management Nurse 2 ensures...make an impact** **Required Qualifications** + Active unrestricted Licensed Registered Nurse , ( RN ), in your… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Welcome_** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... procedures, guidelines of the organization, and within the State's Nurse Practice Act. The RN provides a...of Science Nursing (preferred) **Work Experience** 1 year of RN experience (preferred) Recent Behavioral Health experience… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …* Nursing judgment and skill based on principles of the biological, physical, behavioral , and social sciences * Application of the nursing process in patient care ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …, to help our nurses grow, professionally and personally. **Tier 3 - System Flex Team traveler Registered Nurse ( RN )** A Tier 3 - System Flex Team Traveler ... Registered Nurse ( RN ) is expected...and skill based on principles of the biological, physical, behavioral , and social sciences + * Application of the… more
- Elevance Health (Mason, OH)
- … with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, ... **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Sharecare, Inc. (Columbus, OH)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- Cleveland Clinic (Cleveland, OH)
- …Licensed Professional Counselor [LPC], Licensed Chemical Dependency Counselor III [LCDC-III], or Registered Nurse [ RN ] + Certifications preferred - Licensed ... opportunities for the highest utilization of bed management and advocates with behavioral health unit...or MS in a healthcare profession, MEd, or an RN + Master's Degree preferred **Languages:** + Language required… more
- BrightSpring Health Services (Canton, OH)
- …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... all nursing personnel, and ensure care and services are coordinated with behavioral and programmatic staff in partnership with the Executive Director. The Director… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …recognized for clinical and operational excellence. **Summary of Primary Function** The Registered Nurse ( RN )Left Atrial Appendage Closure Device Coordinator ... coordinate care for a defined population of patients. This RN LAACD Coordinator will be working with patients who...and skill based on principles of the biological, physical, behavioral , and social sciences * Application of the nursing… more
- Cleveland Clinic (Cleveland, OH)
- …by regulatory and accreditation bodies. The ideal caregiver is someone who: * Is a Registered Nurse with passion for safety and critical thinking skills. * Is ... Professional (CPPS) or Certified Professional in Healthcare Quality (CPHQ) required. + Registered Nurse Preferred + Other preferred certifications: + Certified… more
- Cleveland Clinic (Garfield Heights, OH)
- …by regulatory and accreditation bodies. The ideal caregiver is someone who: * Is a Registered Nurse with passion for safety and critical thinking skills. * Is ... Professional (CPPS) or Certified Professional in Healthcare Quality (CPHQ) required. + Registered Nurse Preferred + Other preferred certifications: + Certified… more
- BrightSpring Health Services (Columbus, OH)
- …Degree from an accredited school of nursing. * Certificates, Licenses: License as a Registered Nurse ( RN ), current and in good standing. Valid driver's ... Works with nursing personnel on survey preparation/ chart reviews/staffing concerns/ED utilization and hospital admission reduction.* Provides survey management … more
- Cleveland Clinic (Cleveland, OH)
- …degree required. **Certifications:** + Certified Professional Healthcare Quality (CPHQ) required. + Registered Nurse ( RN ) preferred. + Other preferred ... challenges within the assigned facility. Models Cleveland Clinic Core Values and behavioral standards. Coordinates with nursing, care management , medical staff,… more
- Humana (Columbus, OH)
- …projects. **Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin or have a compact license. ... community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the… more
- CVS Health (Columbus, OH)
- …industry-leading solutions for our customers and members. This role partners with a registered nurse case manager to utilize a collaborative process of ... - Advanced care planning experience - Hospice/palliative care experience - Case management and discharge planning experience - Managed care/ utilization review… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Assistant demonstrates expertise in patient care activities under the supervision of a Registered Nurse . + Anticipates and performs tasks that help provide a ... Technology and Surgical Assisting (NBSTSA) If employed in Virginia, registered with the Virginia Board of Medicine as a...and skill based on principles of the biological, physical, behavioral , and social sciences Application of the nursing process… more