- 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 ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** will be responsible for conducting preauthorization,… more
- Elevance Health (Mason, OH)
- **Clinical Review Nurse I - Medicare Part A** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... and Medicaid Services to transform federal health programs. The **Clinical Review Nurse I** is responsible for reviewing and making medical determinations as… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- Summary The Cincinnati VA Medical Center is seeking a night shift Nurse in the Community Living Center (CLC). The CLC Nurse will deliver fundamental ... knowledge-based care to assigned clients while developing technical skills. The nurse will assess plans, implement them, and evaluate care based on age-specific… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... VA Medical Center is seeking a well-qualified Licensed Practical Nurse (LPN) to function as a LPN for the...completed work may require routine or detailed higher level review depending upon the complexity of the duties involved.… 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 (Cincinnati, OH)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the… 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 ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the… 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
- Molina Healthcare (Covington, KY)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or other specific program… 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
- Adecco US, Inc. (Milford, OH)
- Adecco is recruiting for a Nurse Case Manager for a national health care company in Ohio Looking in: Hamilton, Butler, Clermont, or Warren Counties. Remote but will ... license Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …issues when needed, obtaining chief complaint and health maintenance checks, medication review , and other relevant patient details prior to the actual virtual visit. ... * Documents in electronic medical records (EMR) accurately and appropriately. * Manages in basket messages in the electronic health record (EHR) under the Provider's verbatim instructions. * May perform front desk workflows (ie, My Chart requests, patient… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …issues when needed, obtaining chief complaint and health maintenance checks, medication review , and other relevant patient details prior to the actual virtual visit. ... * Documents in electronic medical records (EMR) accurately and appropriately. * Manages in basket messages in the electronic health record (EHR) under the Provider's verbatim instructions. * May perform front desk workflows (ie, My Chart requests, patient… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** For this position we are seeking a (RN) Registered Nurse who must have a RN OHIO license, or compact RN license The Care Review Clinician ... will provide prior authorization for OH Medicaid behavioral health population. Experience in Behavioral Health hospital and/or outpatient services. Experience with substance use disorders and familiarity with ASAM criteria. Familiarity with utilization… 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 ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing (RN) license in good standing. To all current Molina employees: If you are interested in applying for this position, please apply through the… more
- Elevance Health (Cincinnati, OH)
- …precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer . + Responsible for the ... I** will be responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… 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