- Molina Healthcare (Covington, KY)
- … 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
- Bon Secours Mercy Health (Cincinnati, OH)
- …quality, patient safety, and performance improvement committees and projects as needed. Supports Medical Staff Quality and Peer Review . **Primary focus will be ... and clinicians are recognized for clinical and operational excellence. RN Quality Specialist Summary: Ensures the delivery of high... medical staff bylaws. Includes support of the Medical Staff Quality/Peer Review function. + Collects… more
- Insight Global (Cincinnati, OH)
- …Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Registered Nurse * 2 years experience of neuro, ... Global Health is looking for an experienced Trauma OR Nurse for one of our large Level 1 Trauma...Trauma Center clients in the Cincinnati, OH area! The Medical Center is opening brand new facility and adding… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …of Primary Function/General Purpose of Position** In the capacity of a Care Transition Nurse / Registered Nurse ( RN ), provide and facilitate coordination ... in Nursing (required) Bachelor's Degree in Nursing (BSN) (preferred) **Licensing/ Certifications:** Registered Nurse with active License in State of Patient Care… more
- Molina Healthcare (Covington, KY)
- 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 (Covington, KY)
- …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
- Molina Healthcare (Covington, KY)
- …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...and cost-effective member care. The candidate must have a RN licensure and experience with medical surgical,… more
- Molina Healthcare (Covington, KY)
- …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 (Covington, KY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Molina Healthcare (Covington, KY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- CenterWell (Fort Mitchell, KY)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Fresenius Medical Center (Cincinnati, OH)
- **PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff ... Registered Nurse , to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's… more
- IQVIA (Cincinnati, OH)
- Our **MedTech Registered Nurse Liaison** experiences a unique opportunity and leverage your clinical expertise in a dynamic role that goes beyond bedside care. ... with healthcare professionals and advocate for the well-being of patients through medical device technology. You will be responsible for assisting the service team… more
- Fresenius Medical Center (Cincinnati, OH)
- …task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state laws. + ... information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient...obtain vital signs + Collect patient's treatment records and review for completion. Notify RN of incomplete… more
- Molina Healthcare (Covington, KY)
- …American Nurses Credentialing Center (ANCC). + Minimum 3 years of experience as a Registered Nurse and/or Nurse Practitioner, ideally in managed care, ... appropriate, cost-effective, and regulatory-compliant care determinations. Assists in evaluating medical necessity, ensuring timeliness, and supporting the consistency of… 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 ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more
- Fresenius Medical Center (Florence, KY)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and...+ Monitors patients performing self-care under the supervision of RN . **Staff Related** + Assists in training of applicable… more
- Molina Healthcare (Covington, KY)
- …related field or equivalent experience, OR completion of any of the following programs: + Registered Nurse ( RN ) or State Licensed Vocational Nurse (LVN), ... in support of annual HEDIS project management and ongoing review of medical records submitted by providers....OR completion of any of the following programs: + Registered Nurse ( RN ) or State… more
- HCA Healthcare (Cincinnati, OH)
- …hazards may include needle sticks, blood and bodily fluid exposure, or any other hazard a Registered Nurse ( RN ) might be exposed to in the normal performance ... needs are met. We offer a comprehensive package of medical , dental, and vision plans along with unique benefits,...+ Active, Current, Unencumbered Licensure: Applicable state as a Registered Nurse and per State Board of… more
- Deloitte (Cincinnati, OH)
- …degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation ... (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, clinical documentation… more