- Elevance Health (Mason, OH)
- ** Nurse Reviewer I** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training ... an accommodation is granted as required by law. The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Elevance Health (Mason, OH)
- …for employment, unless an accommodation is granted as required by law. The ** Nurse reviewer I** is responsible for conducting preauthorization, out of network ... on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners with… more
- Molina Healthcare (Covington, KY)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. Experience… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- Summary The Cincinnati VA Medical Center is seeking a Registered Nurse - Endoscopy in the GI Lab. The Endoscopy RN will deliver fundamental knowledge-based care to ... Eligible. Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
- Elevance Health (Cincinnati, OH)
- …unless an accommodation is granted as required by law._** The **Medical Management Nurse ** is responsible for review of the most complex or challenging ... **Medical Management Nurse ** **Work schedule: M-F** **8:00am to 5:00pm EST....Make an Impact** : + Conducts precertification, continued stay review , care coordination, or discharge planning for appropriateness of… more
- Insight Global (Cincinnati, OH)
- Job Description Insight Global Health is looking for an experienced Trauma OR Nurse for one of our large Level 1 Trauma Center clients in the Cincinnati, OH area! ... brand new facility and adding 8 new operating rooms. This Trauma OR Nurse will be responsible for providing high-level emergency care to patients suffering from… more
- Elevance Health (Mason, OH)
- **Medical Management Nurse ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... drive the future of health care. The **Medical Management Nurse ** is responsible for reviewing the most complex or...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more
- Elevance Health (Cincinnati, OH)
- **Telephonic Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of required ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management within… more
- Elevance Health (Cincinnati, OH)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Elevance Health (Cincinnati, OH)
- **Telephonic RN Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of required ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management within… more
- CommuniCare Health Services Corporate (Cincinnati, OH)
- Registered Nurse (RN), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of RN Mobile MDS ... + Weekly visits to facilities for intervention, audit and training + Review resident clinical records for coverage, utilization, errors, assessments and accurate… more
- Fresenius Medical Center (Kenwood, OH)
- …therapy for assigned patients under the direct supervision of a registered nurse . Participates in the implementation and evaluation of patient care. Responsible for ... intravenous medication in accordance with physician orders and state nurse practice laws. + Perform and document pre, interim,...+ Perform and document pre, interim, and post treatment review of patient condition. + Initiate basic CPR measures… more
- Elevance Health (Mason, OH)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Insight Global (Cincinnati, OH)
- …shifts ONLY -13 week contract with extension possibilities Job Responsibilities The Registered Nurse is an individual who holds a current state license to practice ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
- Molina Healthcare (Covington, KY)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. To all… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …the section (if appropriate), as needed. Provides guidance and support to the nurse practitioners assigned to Medical Service in their respective areas of expertise. ... professionals, medical center staff, and management. Participates as a peer reviewer process when requested. Systematically evaluates patient care programs in all… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …and personnel activities as it related to Nursing Excellence, Magnet(R), and nurse -sensitive clinical outcomes. This role serves as a culture and change strategist ... initiatives as outlined below. As the organization's site coordinator for nurse -sensitive quality indicators and the survey coordinator for nursing satisfaction… more
- Fresenius Medical Center (Cincinnati, OH)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- Fresenius Medical Center (Kenwood, OH)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- HCA Healthcare (Cincinnati, OH)
- …to function effectively in the healthcare environment. 4. Participates in the review of the curriculum to ensure integrity, rigor, and currency. **Participates in ... Active, Current, Unencumbered Licensure: Applicable state as a Registered Nurse and per State Board of Nursing + Education...two (2) years of clinical experience as a Registered Nurse and per State Board of Nursing + Physical/Mental… more