RN Lead - Clinical Operations & Appeals (Hybrid)
Medical Mutual
Medical Mutual in Ohio seeks a Senior Clinical Appeals Nurse to supervise clinical staff, review complex medical appeals, and ensure compliant utilization management. You will collaborate with physicians, providers, and internal teams to ensure appropriate and timely care. Qualified candidates are RNs licensed in Ohio with 7+ years of progressive experience in clinical appeals or health insurance and a Bachelor’s degree preferred. Hybrid role with on-site in Brooklyn, OH. #J-18808-Ljbffr Medical Mutual
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$34.5 - $54.4 per hour
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$34.5 per hour
Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading‑edge, patient care is world class and caregivers... ...in the world. As RN Team Lead, you will coordinate and oversee daily operations, workflows, delivery of care and...OperationsHourly payShift work- ...Cleveland Clinic Health System At Cleveland Clinic Health System, we believe in... ...The Power of Every One. Job Title RN Ambulatory Team Lead - Women's Health Location... ...you will coordinate and oversee daily operations, workflows, delivery of care and caregiver...OperationsShift work
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...environment. Internal Medicine Department Overview As RN Team Lead, you will coordinate and oversee daily operations, workflows, delivery of care and caregiver... ...variety of ambulatory settings. Assist in providing clinical oversight to assigned caregivers and patients to...OperationsHourly payShift workAfternoon shift- A leading healthcare system in Cleveland, Ohio is looking for a Clinical Documentation Integrity Manager to oversee day-to-day operations of the CDI program. This role requires strong leadership skills, expertise in documentation integrity, and a commitment to ensuring...Operations
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$39.5 - $57.6 per hour
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$34.5 per hour
...healthcare our patients have come to expect from Cleveland Clinic. At this facility, you will join a team of... ...comprehensive medical services for adults. As RN Team Lead, you will coordinate and oversee daily operations, workflows, delivery of care and caregiver education...OperationsHourly payShift workAfternoon shift- ...Care, Inc. is seeking an experienced Senior Clinical Appeals Nurse to supervise staff and oversee medical claim reviews in a hybrid Ohio setting. The role emphasizes regulatory... ...cases. The ideal candidate holds a BSN, an Ohio RN license, and at least seven years in...
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$36.9 - $52.7 per hour
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