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Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions..
PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality..
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN..
PURPOSE AND SCOPE: The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the..
Med Surg/Tele openings in Cleveland, OH for RN's with Neuro exprience, 12 hr nights, 13 weeks, 60 mile radius rule applies We can help you achieve your career goals by..
Findley, OH has opening for RN in corrections, 1 year corrections or Acute Care exprience required. 8 hr evenings, 13 weeks We can help you achieve your career goals by..
Description Location: This position is located at our Dublin, OH campus. Multistate Licensure: Quantum Health nurses must be willing and able to obtain and maintain nursing licensure in multiple states,..
Description Location: This position is located at our Dublin, OH campus with hybrid flexibility. Multistate Licensure: Quantum Health nurses must be willing and able to obtain and maintain nursing licensure..
Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities such as the annual Quality Improvement..
Telemetry assignments in Akron, OH, 13 weeks, 12 hr days and night available, - 2 years recent Tele experience -Neuro/Trauma experience preferred - OH becomes compact state as of January..
PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct supervision and coordination of..
Experienced PMHNP needed for full time in Cincinnati, OH. Monday-Friday workweek. 140k or more salary range with benefits! 23-bed Inpatient geriatric hospital needs a PMHNP for full time work. Onsite..
POSITION FEATURES:Float to other facilities within Charleston area if help is needed in HTAbout this role: As a Home Therapies Registered Nurse, you will manage patient care in an independent..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work..
Job Description We may have full-time and/or part-time positions available working up to 40 hours per week. Please inquire with the recruiter. This position will be a neighborhood support of..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and..
Accountable Healthcare is seeking experienced local or travel RNs for Correctional Nursing positions in Ohio!! 8 hour EVE shift available! Give us a call today at 844-573-1028 ! Acute care..