- Molina Healthcare (Akron, OH)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for … more
- Health Advocates Network (Cleveland, OH)
- …$672 M&I 413=$1,085. Total comp $1769.00.00- blended rate: $49.14 Job Summary: The Registered Nurse ( RN ) plans and provides comprehensive nursing care ... medical records. -Assist Health Service Administrator with the review of medical files to determine all provided services are documented. -Closely monitor… more
- Fresenius Medical Center (Garfield Heights, OH)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Surgery Care Affiliates (Chagrin Falls, OH)
- …change. If you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse ( RN ) PreOp PACU. + Promote the mission, vision, and ... your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company...to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing… more
- Elevance Health (Independence, OH)
- …states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most complex or challenging ... ** Medical Management Nurse ** **Location: Virtual: This...Skills and Experiences:** + ACMP experience is preferred. + Medical Management experience is preferred, + Utilization Review… more
- Molina Healthcare (Akron, OH)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...specific programs supported by the plan such as utilization review , medical claims review , long-term… more
- Molina Healthcare (Akron, OH)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Akron, OH)
- For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This role will be doing Utilization review for ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- Molina Healthcare (Akron, OH)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support...care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work Hours:… more
- Molina Healthcare (Akron, OH)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- MetroHealth (Cleveland, OH)
- …the Case Western Reserve University (CWRU) School of Medicine, is seeking Advance Practice Registered Nurse to join our growing team at our Life Flight team.** ... **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **8AM-5PM** **The...**Delivers direct patient care consistent with the advanced practice registered nurse 's education, experience and certification, in… more
- Molina Healthcare (Akron, OH)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Akron, OH)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Cleveland Clinic (Cleveland, OH)
- …+ Graduate from an accredited school of professional nursing + Current licensure as a Registered Nurse ( RN ) + Current Basic Life Support (BLS) and Advanced ... transport RN is responsible for the on-duty nurse practitioner for triage and deployment of medical...required within 6 months of hire + Certified Flight Registered Nurse (CFRN), Certified Transport Registered… more
- Molina Healthcare (Akron, OH)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Cleveland Clinic (Cleveland, OH)
- PRN Registered Nurse ( RN ) Join Cleveland...could be considered with the Chief Nursing Officer level review and approval. + Will consider military RN ... organizations in the world. J72 is one of three Medical Cardiac Step-down Units that care for the full...of professional nursing. + Current state licensure as a Registered Nurse ( RN ). + Basic… more
- Cleveland Clinic (Cleveland, OH)
- …with the Chief Nursing Officer level review and approval. + Will consider military RN experience. + Any registered nurse or advanced practice nurse ... PRN Registered Nurse ( RN ) -...PRN Registered Nurse ( RN ) - Oncology Med Surg...adults, 18 years of age and older, who have medical and surgical diagnoses. **A caregiver in this position… more
- Cleveland Clinic (Cleveland, OH)
- …Care certification from an accredited school/college of nursing_ + _Current license as a Registered Nurse in the State of Ohio_ + _Current OH license*_ ... comprehensive critical care services to the most acutely ill Medical ICU patients. Fellows of the program will graduate...the field of Critical Care Medicine. The Advanced Practice Registered Nurse , Certified Nurse Practitioner… more
- Cleveland Clinic (Akron, OH)
- …school of professional nursing (ADN or BSN program) + Current state licensure as a Registered Nurse ( RN ) + External applicants: two years of recent ... Medical Intensive Care (MICU) Units provide comprehensive critical medical support to diverse populations. As an RN...could be considered with the Chief Nursing Officer level review and approval + Will consider military RN… more
- Cleveland Clinic (Canton, OH)
- …accredited school of professional nursing (ADN or BSN) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through ... in 2021, Mercy Hospital offers a wide variety of medical specialties to the communities in and around Stark...review and approval + Will consider licensed military RN experience Preferred qualifications for the ideal future caregiver… more