Clinical Authorization Review Nurse

Job SummaryWe are seeking a skilled Clinical Authorization Review Nurse to join our team at the Ohio Department of Medicaid. As a key member of our healthcare team, you will be responsible for reviewing and authorizing medical services to ensure compliance with Medicaid regulations.Key ResponsibilitiesConduct thorough reviews of medical records and services...

Job SummaryThe Ohio Department of Medicaid is seeking a skilled Clinical Authorization Review Nurse to join our team as a Medicaid Health Systems Specialist - RN. As a key member of our organization, you will be responsible for reviewing and authorizing medical services to ensure compliance with Medicaid regulations.Key ResponsibilitiesConduct thorough...

Job Title: Diagnostic Testing Precertification SpecialistAt The NEXus Pain Center, we are seeking a highly skilled Diagnostic Testing Precertification Specialist to join our team. This role is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process.Key Responsibilities:Prioritize incoming...

Job DescriptionThe Clinical Nurse Navigator is a key member of our healthcare team, responsible for providing individualized assistance to patients, families, and caregivers to help overcome healthcare system barriers. Using the nursing process, this role provides education and resources to facilitate informed decision making and timely access to quality...

Job DescriptionThe Clinical Nurse Navigator is a key member of our healthcare team, responsible for providing individualized assistance to patients, families, and caregivers to help overcome healthcare system barriers. Using the nursing process, this role provides education and resources to facilitate informed decision making and timely access to quality...

Job Title: Document Review Specialist Job Summary: Williams Lea is seeking a highly detail-oriented Document Review Specialist to join our team in Columbus, OH. As a Document Review Specialist, you will be responsible for reviewing and preparing documents to support our clients' brands and track progress. Key Responsibilities: * Create and edit legal...

Job Title: Clinical Nurse SpecialistWilliamson Medical Center is seeking a skilled Clinical Nurse Specialist to join our team. As a key member of our healthcare team, you will provide clinical nursing support to our patients and staff.Responsibilities:Communicate clinical information to patients and businessesSchedule tests and consultationsObtain clinical...

Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process. Welcome to The Ohio State University's career site. We invite you to explore available positions of interest. To ensure your application is thorough, please follow these steps: ...

Job Title: Clinical Nurse SpecialistWilliamson Medical Center is seeking a skilled Clinical Nurse Specialist to join our team at the Bone and Joint Institute of Tennessee. As a key member of our healthcare team, you will provide clinical nursing support by communicating with patients and businesses, scheduling tests and consultations, obtaining clinical...

Job SummaryThe Utilization Review Specialist is a critical role at Mount Carmel Behavioral Health, an 80-bed inpatient acute treatment center for adult men and women experiencing mental or behavioral health challenges. This position serves as a liaison between managed care organizations and the facility's professional clinical staff, ensuring seamless...

Job Overview The Oncology Clinical Nurse Navigator utilizes specialized nursing expertise to provide tailored support to patients, families, and caregivers, helping them navigate the complexities of the healthcare system. Through the application of the nursing process, the Clinical Nurse Navigator delivers education and resources that empower informed...

Williamson Medical Center is a leading healthcare system in Franklin, Tennessee, providing exceptional care to the community. We are seeking a skilled Clinical Nurse to join our team at Williamson Health Medical Group.**Job Summary:**This role provides clinical nursing support to our medical group by communicating with patients and businesses, scheduling...

Job SummaryWe are seeking a skilled Clinical Nursing Support Specialist to join our team at Williamson Medical Center. As a key member of our healthcare team, you will provide clinical nursing support to our patients and businesses, communicating clinical information, scheduling tests and consultations, and maintaining adequate clinical...

Job SummaryWe are seeking a skilled Nurse/Reviewer to join our team at the Ohio Department of Medicaid. As a Compliance and Safety Check Nurse, you will play a critical role in ensuring the accuracy and integrity of our health systems.Key ResponsibilitiesConduct thorough reviews of Medicaid health systems to identify areas of non-complianceCollaborate with...

Job SummaryWe are seeking a highly skilled and organized Clinical Research Nurse to join our team at the Ohio State University Wexner Medical Center. The successful candidate will be responsible for coordinating and performing daily clinical research activities in accordance with approved protocols.Key ResponsibilitiesCoordinate and manage clinical aspects...

Clinical Research Nurse Job DescriptionWe are seeking a highly skilled and detail-oriented Clinical Research Nurse to join our team at Nationwide Children's Hospital. As a Clinical Research Nurse, you will play a critical role in coordinating care for patients participating in clinical research trials while ensuring compliance with applicable regulations and...

Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process. Welcome to The Ohio State University's career site. We invite you to explore positions of interest. To ensure your application is complete, please follow these steps: Gather all...

Apree Health Clinical Care Coordinator Job DescriptionApree Health is seeking a skilled Clinical Care Coordinator to join our team. As a Clinical Care Coordinator, you will play a vital role in condition management services, with a focus on Complex Case Management.Responsibilities:Ability to understand the impact of high and rising risk populations on the...

Admissions Nurse Opportunity at Mount Carmel Behavioral HealthMount Carmel Behavioral Health is seeking a dedicated and compassionate Admissions Nurse to join our team. As an Admissions Nurse, you will play a crucial role in ensuring a smooth and efficient admissions process for our patients.Key Responsibilities:Review medical documentation for all...

Job Overview The Oncology Clinical Nurse Navigator leverages their specialized nursing expertise to provide tailored support to patients, families, and caregivers, assisting them in navigating the complexities of the healthcare system. By employing the nursing process, the Clinical Nurse Navigator delivers education and resources that empower informed...