- Trinity Health (Columbus, OH)
- …to call your own in Columbus. Learn more at www.experiencecolumbus.com ! The Peer Review Specialist provides leadership and coordination for the provider ... peer review processes across the facilities and...**License / Certification** : Current license to practice as Registered Nurse in the State of Ohio.… more
- Fresenius Medical Center (Columbus, OH)
- …As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility ... come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity,… more
- CVS Health (Columbus, OH)
- …+ 3+ years of clinical experience in a healthcare setting. + 2+ years as a Registered Nurse ( RN ) or License Practical Nurse / License Vocational ... with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse )...+ Author and revise internal policies and contribute to peer review of others. + Mentor peers… more
- Highmark Health (Columbus, OH)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the delivery of review services. + Respect… more
- Cardinal Health (Columbus, OH)
- …be needed to perform your duties up to 25%. **_Qualifications_** + Current, unrestricted Registered Nurse license, required. + BA, BS or equivalent experience in ... and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides coaching as needed… more
- Highmark Health (Columbus, OH)
- …in achieving their personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a timely manner. **ESSENTIAL ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
- Evolent (Columbus, OH)
- …payers. Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the ... mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance… more