Clinical Utilization Nurse
2 weeks ago
As a Clinical Utilization Nurse, you will play a pivotal role in enhancing the lives of those who are often overlooked. Join a purpose-driven organization that prioritizes a culture centered around people.
Key Highlights:
- Make a meaningful impact in the lives of underserved populations
- Be part of a mission-oriented team that values compassion and integrity
- Opportunities for professional advancement and personal growth
Your Contributions Matter:
In this role, you will focus on:
- Providing care to vulnerable and marginalized patients
- Promoting diversity, equity, inclusion, and a sense of belonging
- Enjoying autonomy within a supportive team environment
- Engaging in continuous learning and development
Benefits and Perks:
We offer a comprehensive benefits package that includes medical, dental, and vision coverage, along with paid time off and a 401k plan. Our commitment to work-life balance ensures that you and your family can thrive both personally and professionally:
- DailyPay: Access your earnings as you work
- Tuition Assistance and scholarships for dependents
- Employee Assistance Program (EAP) offering free counseling and health coaching
- Company-paid life insurance
- Tax-free Health Spending Accounts (HSA)
- Wellness initiatives including fitness memberships and discounts
- Preferred banking partnerships with reduced rates for loans
About Us:
Now is the time to make a significant difference in the lives of those who need it most. Our team is united by a shared passion for serving society's most vulnerable individuals. Every day, we have the privilege of providing compassionate care and support to those who require it the most.
At Wellpath, we see countless individuals in our facilities each month, many of whom receive critical clinical care. We are dedicated to ongoing training and development for all healthcare team members, ensuring access to top-tier clinical resources for education and support.
Your Role:
The Clinical Utilization Nurse will be responsible for:
- Coordinating clinical care and managing utilization and care management activities in compliance with nursing standards and regulations.
- Ensuring adherence to all relevant policies while delivering effective utilization management and care services.
- Collaborating with a multidisciplinary team to provide optimal patient care.
Key Responsibilities:
- Conducting utilization management activities, including prospective, concurrent, and retrospective reviews to assess the appropriateness of care levels and lengths of stay.
- Communicating effectively with various hospital departments and establishing rapport with billing and medical records teams.
- Assisting with billing procedures and communicating discharge needs to relevant personnel.
- Utilizing databases and reference lists for third-party vendors and attending management meetings as necessary.
- Maintaining up-to-date knowledge through educational workshops and reviewing relevant publications.
Qualifications:
Education:
Master's in Healthcare Administration or an unrestricted, current RN license in the state of practice.
Experience:
Minimum of two years of clinical experience with a focus on Utilization Management, preferably in a correctional or detention facility.
Licenses/Certifications:
Must maintain all necessary certifications and educational requirements for RN licensure, including current BLS certification through AHA.
We are an Equal Employment Opportunity / Affirmative Action Employer and celebrate diversity, striving to create an inclusive environment for all employees.
-
Clinical Utilization Nurse
2 weeks ago
Dublin, California, United States Wellpath Full timeYour Impact Matters: Make a significant contribution daily to the lives of those in need. Be part of a mission-driven organization that prioritizes its people. Exceptional opportunities for career advancement await you.Discover a career that emphasizes: Providing care for marginalized and vulnerable populations. Commitment to diversity, equity, inclusion,...
-
Nurse Team Lead
14 hours ago
Dublin, California, United States OhioHealth Full timeJob SummaryWe are seeking a highly skilled and experienced Nurse Team Lead to join our team at OhioHealth. As a Clinical Leader RN, you will be responsible for providing leadership and coordination of programs, services, and processes within the responsible area.Key ResponsibilitiesProvide leadership and coordination of programs, services, and processes...
-
Clinical Lead for Infection Prevention
2 weeks ago
Dublin, California, United States TTM Healthcare Limited Full timePosition Overview:TTM Healthcare Solutions is collaborating with a distinguished Healthcare Group specializing in premium nursing facilities to recruit a full-time Clinical Nurse Manager focused on Infection Prevention Control (IPC).Key Responsibilities:Assist the Registered Provider/Director of Nursing in the daily operations of the facility.Participate as...
-
Nurse Educator and Staff RN
5 days ago
Dublin, California, United States OhioHealth Full timeJob SummaryWe are seeking a highly skilled Clinical Educator/Staff Nurse to join our team at OhioHealth. This role combines the responsibilities of a Clinical Educator and a Staff RN, providing educational support and general nursing care to patients and families.Key ResponsibilitiesProvides standardized education in area of expertise, including orientation,...
-
Nurse Manager
2 weeks ago
Dublin, California, United States TTM Healthcare Limited Full timePosition Overview:TTM Healthcare Solutions, in collaboration with a prestigious Healthcare Group specializing in nursing homes, is seeking a dedicated Clinical Nurse Manager for Infection Prevention Control (IPC) to oversee operations in our Transitional Care Units.Key Responsibilities:Assist the Registered Provider/Director of Nursing in the daily...
-
Communication Specialist
5 days ago
Dublin, California, United States Soliant Full timeJob OverviewWe are seeking a highly skilled and experienced Speech-Language Pathologist to join our team at Soliant. As a key member of our educational services team, you will play a vital role in providing high-quality speech and language services to students in our district.Key ResponsibilitiesConduct comprehensive assessments to evaluate students'...
-
Language Development Professional
5 days ago
Dublin, California, United States Soliant Full timeJob OverviewWe are seeking a highly skilled and experienced Speech-Language Pathologist to join our team at Soliant. As a key member of our educational services team, you will play a vital role in providing high-quality speech and language services to students in our district.Key ResponsibilitiesConduct comprehensive assessments to evaluate students'...
-
Dublin, California, United States Ethos Veterinary Health Full timeJob SummaryWe are seeking a highly skilled and compassionate Veterinary Technician to join our Oncology team at Ethos Veterinary Health. As a key member of our team, you will play a vital role in providing exceptional patient care and support to our clients and their pets.Key ResponsibilitiesAssist veterinarians in oncology procedures and treatments,...
-
Critical Care Veterinary Technician
1 week ago
Dublin, California, United States Ethos Veterinary Health Full timeRegistered Veterinary Technician or Senior Veterinary Assistant - Critical Care - Swing Shift Ethos Veterinary Health is a pioneering community formed by the merger of Ethos Veterinary Health, Compassion-First, SAGE Veterinary Centers, and legacy NVA Specialty and Emergency hospitals. This dynamic collaboration brings together a team of leading experts,...
-
Speech-Language Therapist
5 days ago
Dublin, California, United States Soliant Full timeJob OverviewWe are seeking a highly skilled and experienced Speech-Language Pathologist to join our team at Soliant. As a key member of our educational services team, you will play a vital role in providing high-quality speech and language services to students in our school district.Key ResponsibilitiesConduct comprehensive assessments to evaluate students'...
-
Critical Care Veterinary Technician
2 weeks ago
Dublin, California, United States Ethos Veterinary Health Full timeRegistered Veterinary Technician or Senior Veterinary Assistant - Critical Care - Swing Shift Ethos Veterinary Health is a pioneering community formed by legacy Ethos Veterinary Health, Compassion-First, SAGE Veterinary Centers, and legacy NVA Specialty and Emergency hospitals. This innovative network unites a remarkable team of specialists, advanced...
-
Critical Care Veterinary Technician
1 week ago
Dublin, California, United States Ethos Veterinary Health Full timeRegistered Veterinary Technician or Senior Veterinary Assistant - Critical Care - Swing Shift Ethos Veterinary Health is a pioneering community formed by the merger of leading veterinary institutions, including legacy Ethos Veterinary Health, Compassion-First, and SAGE Veterinary Centers. This exceptional community unites a team of experts, advanced...
-
Critical Care Veterinary Technician
2 weeks ago
Dublin, California, United States Ethos Veterinary Health Full timeRegistered Veterinary Technician or Senior Veterinary Assistant - Critical Care - Swing Shift Ethos Veterinary Health represents a pioneering community of esteemed veterinary practices, including legacy Ethos Veterinary Health, Compassion-First, SAGE Veterinary Centers, and legacy NVA Specialty and Emergency hospitals. This exceptional community unites a...
-
Critical Care Veterinary Technician
1 week ago
Dublin, California, United States Ethos Veterinary Health Full timeRegistered Veterinary Technician or Senior Veterinary Assistant - Critical Care - Swing Shift Ethos Veterinary Health represents a pioneering community formed by the integration of Ethos Veterinary Health, Compassion-First, SAGE Veterinary Centers, and legacy NVA Specialty and Emergency hospitals. This collaborative environment unites a distinguished team...
-
Critical Care Veterinary Technician
1 week ago
Dublin, California, United States Ethos Veterinary Health Full timeRegistered Veterinary Technician or Senior Veterinary Assistant - Critical Care - Swing Shift Ethos Veterinary Health is a pioneering community formed by the integration of legacy Ethos Veterinary Health, Compassion-First, SAGE Veterinary Centers, and legacy NVA Specialty and Emergency hospitals. This innovative community unites a remarkable team of...
-
Medical Assistant/Phlebotomist
2 days ago
Dublin, California, United States Life Line Screening Full timeJob SummaryWe are seeking a skilled Phlebotomist to join our community healthcare team at Life Line Screening. As a Phlebotomist, you will play a critical role in providing high-quality patient care and ensuring the accuracy and completeness of patient records.Key ResponsibilitiesReview patient records for accuracy and completeness.Label and ensure all...
-
Veterinary Care Specialist
19 hours ago
Dublin, California, United States Ethos Veterinary Health Full timeJob OpportunityWe are seeking a skilled Critical Care Technician to join our team at Ethos Veterinary Health. As a critical care professional, you will play a vital role in providing exceptional care and comfort to our patients and their owners.ResponsibilitiesProvide nursing care for critical cases, consistently evaluating patient needs and developing...
-
Veterinary Technician
2 days ago
Dublin, California, United States Ethos Veterinary Health Full timeAbout the RoleWe are seeking an experienced Veterinary Technician to join our Critical Care team at Ethos Veterinary Health. As a critical care specialist, you will play a vital role in providing exceptional patient care and support to our veterinarians.ResponsibilitiesPerform nursing care for critical cases, consistently evaluating patient needs and...
-
Clinical Care Reviewer
2 weeks ago
Dublin, Ohio, United States AmeriHealth Caritas Full timePosition: Clinical Care Reviewer - Utilization ManagementLocation: RemotePrimary Function: Medical ManagementOverview:Your professional journey begins here. At AmeriHealth Caritas, we are dedicated to empowering individuals to access care, maintain wellness, and foster healthy communities. As a prominent entity in health care solutions, we provide our team...
-
Utilization Management Nurse
4 weeks ago
Dublin, United States Wellpath Full timeYou Matter: Make a difference every day in the lives of the underserved Join a mission driven organization with a people first culture Excellent career growth opportunities Join us and find a career that supports: Caring for overlooked, underserved, and vulnerable patients Diversity, equity, inclusion, and belonging Autonomy in a warm team environment...
-
Dublin, United States AmeriHealth Caritas Full timeRN Clinical Care Reviewer, Concurrent Review, Utilization Management Location: Dublin, OH Primary Job Function: Medical Management ID**: 34460 Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the...
-
Vice President, Clinical Engagement
1 month ago
Dublin, United States quantum-health Full timeDescription Location: This position is located at our Dublin, OH campus with hybrid flexibility. Who we are Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone,...
-
Vice President, Clinical Engagement
1 month ago
Dublin, United States quantum-health Full timeDescription Location: This position is located at our Dublin, OH campus with hybrid flexibility. Who we are Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone,...
-
Clinical Nurse Specialist
2 weeks ago
Dublin, Ohio, United States Innovative Renal Care Full timePosition: Clinical Nurse SpecialistAs a Clinical Nurse Specialist, you will deliver exceptional patient care to individuals experiencing advanced stages of chronic kidney disease, specifically End Stage Renal Disease (ESRD). Your role is pivotal in enhancing the quality of life for patients, fostering meaningful relationships with them and their families.Key...
-
Vice President, Clinical Engagement
2 weeks ago
Dublin, United States quantum-health Full timeDescription Location: This position is located at our Dublin, OH campus with hybrid flexibility . Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we're on a mission to make...
-
Dublin, Ohio, United States OhioHealth Full timeJob SummaryJob Title: Clinical Nurse LeaderJob Summary:The Clinical Nurse Leader provides leadership and coordinates the design, development, implementation, and evaluation of programs, services, processes, and systems within the responsible area. The Clinical Nurse Leader assures quality, service, and satisfaction, continuum and process improvement,...
-
Vice President Clinical Engagement
4 weeks ago
Dublin, United States quantum-health Full timeDescription Location: This position is located at our Dublin, OH campus with hybrid flexibility . Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we're on a mission to make...
-
Senior Vice President of Clinical Operations
2 weeks ago
Dublin, Ohio, United States quantum-health Full time**Location:** This position offers hybrid flexibility. **About Us** Established in 1999 and based in Central Ohio, we are a privately-owned healthcare navigation organization dedicated to simplifying the complexities of healthcare for our members. Our mission is to ensure that individuals do not have to face the challenges of healthcare alone. Our...
-
Dietician (Clinical)
3 months ago
Dublin, United States Department Of Veterans Affairs Full timeSummary This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2024 or until all positions are filled. Clinical Dietitians coordinate nutritional care of Veterans with other health care providers, the Veteran, the Veteran's caregiver, and the community. They...
-
Dietician (Clinical)
3 months ago
Dublin, Ohio, United States Department Of Veterans Affairs Full timeSummary This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2024 or until all positions are filled. Clinical Dietitians coordinate nutritional care of Veterans with other health care providers, the Veteran, the Veteran's caregiver, and the community. They interpret research and utilize whole health principles to develop...
-
Clinical Nurse Coordinator ED
4 days ago
Dublin, Georgia, United States Fairview Park Hospital Full timeJob SummaryThe Clinical Nurse Coordinator (CNC) plays a vital role in ensuring high-quality, patient-centered care and coordination of all functions in the Emergency Department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies...
-
Vice President, Clinical Engagement
1 month ago
Dublin, United States quantum-health Full timeJob DescriptionDescription Location: This position is located at our Dublin, OH campus with hybrid flexibility.Who we areFounded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a...
-
Vice President, Clinical Engagement
1 month ago
Dublin, United States quantum-health Full timeDescription Location: This position is located at our Dublin, OH campus with hybrid flexibility. Who we are Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone,...
-
Clinical Authorization Specialist
2 weeks ago
Dublin, Ohio, United States quantum-health Full timeAbout Us:Founded in 1999 and based in Central Ohio, we are a privately-owned, independent healthcare navigation organization. Our mission is to simplify the complexities of healthcare for our members.Our dedicated and tech-savvy team strives to ensure that our members receive the necessary care at the most affordable cost, embodying the spirit of Healthcare...
-
Clinical Program Therapist
1 month ago
Dublin, United States Columbus Springs - Dublin Full timeOverview: Clinical Program Therapist (LSW, LISW, LPC, LPCC, MFT, IMFT)Full-time weekend shift - Friday-Sunday (12 hours daily) OR Thursday-Sunday (10 hours daily) Columbus Springs Dublin, part of Lifepoint Behavioral Health, nationally know healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate,...
-
Clinical Nurse Coordinator ED
4 days ago
Dublin, United States Fairview Park Hospital Full timeDescription IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Fairview Park Hospital our nurses set us apart from any other healthcare provider. We are seeking a Clinical Nurse Coordinator Emergency Department to join our healthcare family.BenefitsFairview Park Hospital,...
-
Clinical Nurse Coordinator ED
6 days ago
Dublin, United States Fairview Park Hospital Full timeJob DescriptionDescription IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Fairview Park Hospital our nurses set us apart from any other healthcare provider. We are seeking a Clinical Nurse Coordinator Emergency Department to join our healthcare family.BenefitsFairview Park...
-
Clinical Nurse Coordinator ED
3 days ago
Dublin, United States Fairview Park Hospital Full timeDescription IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Fairview Park Hospital our nurses set us apart from any other healthcare provider. We are seeking a Clinical Nurse Coordinator Emergency Department to join our healthcare family.BenefitsFairview Park Hospital,...