RN Utilization Review & Care Coordination (Hybrid)
Quantum Health
A healthcare navigation organization in Dublin, OH is seeking a Utilization Review Nurse responsible for reviewing medical services requests for members. The role involves assessing inpatient service requests, communicating effectively with providers, and facilitating discharge planning. Ideal candidates will have at least 2 years of clinical experience in a hospital setting and be licensed as an RN in Ohio. The position offers hybrid work flexibility, promoting quality and cost-effective care for members. #J-18808-Ljbffr
- ...that our members get the care they need, when they... .... About the role The Utilization Review Nurse is responsible for... ..., OH campus with hybrid flexibility. What you’... ...external review agencies. Coordinate health management... ...as a Registered Nurse (RN) in the state of Ohio....SuggestedWork at office
- ...Corporation is hiring for an RN, Registered Nurse - Pre-Certification... ...authorization processes and coordinating health management services to... ...members receive appropriate care. Applicants should hold a... ...experience. The position offers a hybrid work option and promotes a culture...Suggested
- ...organization in Dublin, OH is seeking an RN for the Pre-Certification role.... ...managing prior authorization processes, coordinating patient care services, and working closely with clinical... ...experience. This full-time position offers hybrid work flexibility and supports a mission...SuggestedFull time
- ...A healthcare navigation organization is seeking a Utilization Review Nurse in Dublin, OH. The role involves reviewing inpatient medical service... ...discharge planning for patients. Candidates should have a current RN license in Ohio, with a minimum of 2 years of clinical...SuggestedWork at office
- ...The Ohio State University Physicians, Inc is seeking a full-time RN Care Coordinator to join their dynamic team. This hybrid role offers a balance of in-office and remote work, allowing for flexibility while providing crucial patient care. Candidates should possess an...SuggestedFull timeWork at officeRemote work
- ...Ohio State University Physicians, Inc. is seeking an experienced RN Care Coordinator for a full-time hybrid role. This position offers flexibility in a dynamic work environment dedicated to advancing healthcare. The role includes supporting patient care in cardiovascular...Full time
- Ohio State University Physicians is hiring an RN Care Coordinator to deliver patient-centered care in a full-time, hybrid role. This position supports our Division of Cardiovascular Electrophysiology Medicine, ensuring comprehensive patient assessments and care plan implementations...Full time
- ...Nurse for their Pre-Certification Pharmacy Review role. This position involves reviewing and... ...team. Ideal candidates will hold an RN license, have strong critical thinking and... ...position offers a full-time employment opportunity with hybrid flexibility. #J-18808-Ljbffr...Full time
$73k - $75k
.... We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit... ...® Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To provide timely, evidence-based utilization...Work at officeFlexible hours$32.21 - $47.6 per hour
...excellence meets compassion? This RN Care Coordinator position is a full-time, hybrid role, offering a blend of in-... ...medical record (EMR); performs chart review/audit. Evaluates patient to... ...supports research activities; and utilizes available resources to provide and...Full timeWork at officeRemote workFlexible hours$36.38 - $45.48 per hour
...LTSS Service Coordinator - RN Clinician (Case Manager) Hiring... ...per our policy on hybrid/virtual work, candidates... ...revises the member's care plan to meet the member... ...effective and efficient utilization of health benefits.... ...under Florida law should review the education and...Temporary workWork experience placementWork at officeLocal area1 day per week$36.38 - $45.48 per hour
...LTSS Service Coordinator – RN Clinician (Case Manager) Hiring... ...that per our policy on hybrid/virtual work,... ...revises the member's care plan to meet the member... ...effective and efficient utilization of health benefits. Obtains... ...under Florida law should review the education and...Temporary workWork at officeLocal area- ...RN, Registered Nurse - Pre-Certification Founded... ...our members get the care they need, when they need... ...the company such as Utilization Review, Patient Services, Personal... ..., OH campus with hybrid work from home flexibility... ...outcome of requests. Coordinate health management...Permanent employmentCasual workWork at officeWork from home
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management... ...interpret and support the coordination, documentation and communication... ...frames. (i.e. 10 reviews per day?) You will... ...Registered Nurse (RN) license in your... ...To ensure Home or Hybrid Home/Office employees...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- ...solutions company seeks an LPN Case Manager to join its Utilization Management team in Columbus, OH. This role involves performing utilization review activities and conducting member visits to ensure they receive appropriate care while adhering to regulations. Candidates must...
- ## Clinical Leader (RN) - Hybrid Intermediate/Medical Surgical UnitApplylocations... ...expert guide. We work hard, care deeply and reach further to... ...provides leadership and coordinates the design, development,... ...improvement, efficient utilization of resources and financial performance...Local areaShift workNight shift
- ...Registered Nurse (RN), Mobile MDS Coordinator page is loaded## Registered Nurse (... ...well as previous Long Term Care and MDS experience. Multi-facility... ...and targets for utilization* Weekly visits to facilities... ...intervention, audit and training* Review resident clinical records...Work at officeImmediate startFlexible hours
$32.21 - $47.6 per hour
...dedicated to providing exceptional patient care while fostering a collaborative work... ...Responsibilities The Clinical Nurse Care Coordinator collaborates with clinic team members to... ...follow-up, care facility discharges). This RN acts as a liaison with patient’s family members...Work at officeFlexible hours- ...Nurse Transplant Case Manager to facilitate care coordination for patients with transplant needs. This... .... Ideal candidates will have a current RN license in Ohio, at least two years of... ...transplant experience. The position is hybrid with a commitment to diversity and inclusivity...
- ...could use an expert guide. We work hard, care deeply and reach further to help people... ...position is responsible for the comprehensive coordination, implementation, and evaluation of... ...coordination, and provides documentation for review by the ACS. The ACS requires that...Part timeLocal areaShift work
- ...Creekside Care Center is a long-term care skilled nursing facility seeking a dedicated... ...highly skilled, and compassionate MDS Coordinator RN/LPN to join our amazing team! Job... ...attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly Triple Check...Work at office
$61.25k - $84.2k
...States to confidently care for their loved... ...Registered Nurse (RN) Care Manager or... ...clinical assessments and coordinates service activation... ...plan of care and review on an ongoing... ...to drive effective utilization of established... ...location. #LI - Hybrid Join Our Award...Remote workFlexible hoursNight shift- ...0 FTE, 40 hour per weekLearn about Care Navigation: Experience: our website... ...appropriate setting through care coordination, case management, utilization management of inpatient admissions,... ...including case management, utilization review, and discharge planning.Assists in...Full timeRelocation package
- ...submitting an application, please review these .**Current Employees... ...the following:## Job Title:Care Manager (RN) - Inpatient - IRP##... ...admission to post discharge coordination of care. The Clinical Case... ...ensure efficient resource utilization.Minimum QualificationsRN license...Monday to FridayShift workDay shift
- ...Care Review Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic... ...to our clients' success. Job Description Works with the Utilization Management team primarily responsible for inpatient medical...Work at office
$30.89 per hour
...LTSS Service Coordinator – Clinician Hiring statewide... ...per our policy on hybrid/virtual work,... ...contributes to the LTSS care coordination... ...assisting the responsible RN with telephonic or... ...and efficient utilization of health benefits... ...law should review the education and...Hourly payContract workWork at officeLocal area- ...a Full-Time Registered Nurse to provide quality patient care through care coordination and case management. The ideal candidate will possess a BSN... ...the healthcare team. Candidates must also be skilled in utilizing healthcare standards. This position offers a comprehensive...Full timeRelocation package
$29.05 - $67.97 per hour
...Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical... ...necessity and appropriate level of care utilizing MCG/InterQual, state/... ...experience. - Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementWork at office$29.05 - $67.97 per hour
...Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical... ...and appropriate level of care utilizing MCG/InterQual, state/federal... .... • Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementWork at office- ...Registered Nurse (RN) Care Manager Role Summary The... ...implementing care plans, coordinating services, and... ...the team to regularly review and revise care goals... ...improvement projects, and utilization review discussions. Evaluate... ...homes as needed; some hybrid flexibility may be...Work at office
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