Clinical Denials and Appeals Nurse

Job Summary:The Clinical Financial Case Manager will utilize clinical knowledge to manage complex ambulatory medical necessity denials through the appeals process. This role will provide scientific evidence to support cutting-edge therapies and diagnostic services, as well as clinical education to payers regarding current standard of care treatment and...

Job SummaryAs a Clinical Financial Case Manager at the Ohio State University Wexner Medical Center, you will play a critical role in ensuring the financial operations of our clinical programs are running smoothly. This position requires strong clinical knowledge and financial acumen to manage the complex process of coordinating insurance verification and...

Job Title: Accounts Receivable SpecialistLighthouse Behavioral Health Solutions (LBHS) is seeking a highly skilled Accounts Receivable Specialist to join our team. As an Accounts Receivable Specialist, you will be responsible for notifying established third-party payers of all billed accounts by mail, telephone, or email for the purpose of collection on all...

We are currently seeking a highly skilled Clinical Nurse Specialist to join our travel nursing team in Columbus, Ohio. This is a unique opportunity to work in a dynamic ICU/Critical Care environment, utilizing your expertise to make a positive impact on patient care.About the Position:Job SummaryThis travel nursing assignment offers a chance to work in a...

Job SummaryAccuity is seeking a highly skilled Clinical Documentation Specialist to join our DRG Review Team. As a valued member of our team, you will perform a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems.Key ResponsibilitiesReview pre-bill cases simultaneously with a physician during...

About the PositionTravel Nurse Source is working with Advantis Medical Staffing to find a qualified Oncology RN for a travel assignment in Columbus, OH. As a Joint-Commission-certified agency, we promise a seamless and stress-free experience.Job DetailsFacility: OSU James HospitalLocation: Columbus, OHContract Length: 13 weeksShift: RotatingQualifications2...

About the Role:We are seeking an experienced OB/GYN physician to join our team at Ascension Franklin Hospital. As a member of our OB/GYN practice, you will provide high-quality patient care and work collaboratively with our team of healthcare professionals to deliver exceptional patient outcomes.Responsibilities:Evaluate and treat patients with appropriate...

Evolent Health seeks a skilled Cardiology Physician Clinical Reviewer to join our team. As a key member of our utilization management team, you will play a critical role in ensuring patients receive the best possible care.Key Responsibilities:Serve as the specialty match reviewer in Cardiology cases that do not initially meet the applicable medical necessity...

We are seeking a Clinical Care Specialist to provide clinical expertise and ensure all patients receive high quality, efficient care at Centennial Head and Neck Surgery.This is a great opportunity to be part of a compassionate team that values patient care.Key Responsibilities:Manage efficient flow of patients including screening, preparation for exam,...

Are you a dedicated and compassionate nurse looking for a new challenge? We have an exciting opportunity for a Clinical Nurse Specialist to join our team at James Cancer Hospital and Research in Columbus, Ohio.About the Role:We are seeking a highly skilled RN with experience in MS/TELE to provide exceptional patient care and support to our patients and...

Job Title: Clinical Research NurseAt Evolution Research Group, we are seeking a skilled Clinical Research Nurse to join our team. As a Clinical Research Nurse, you will play a vital role in the conduct of clinical trials, ensuring the highest level of patient care and safety.Responsibilities:Dispense and collect investigational products, routine medications,...

Job Title: Clinical Research NurseJob Summary:The Evolution Research Group is seeking a skilled Clinical Research Nurse to join our team. As a Clinical Research Nurse, you will play a critical role in the conduct of clinical trials, ensuring the highest level of quality and patient care.Responsibilities:• Dispense and collect investigational products,...

Nursing Leadership OpportunityAt Nationwide Children's Hospital, we are seeking a skilled Clinical Nursing Leader to oversee nursing and UAP staff in our Psychiatric Crisis Department. As a key member of our team, you will be responsible for managing patient care, record-keeping, budgeting, and personnel issues. Key Responsibilities:Oversee nursing and UAP...

Job Summary: We are seeking a skilled LPN Clinical Support to join our team at Heart of Ohio Family Health. As a Clinical Support Nurse, you will play a vital role in supporting clinic operations and providing high-quality patient care.Key Responsibilities:• Assist in managing paperwork and ensure providers sign off on time.• Room patients, provide...

Job DescriptionAt Heart of Ohio Family Health Centers, we are seeking a skilled LPN Clinical Support Nurse to join our team. This role is designed to provide clinical support to our healthcare providers and patients, ensuring seamless operations in our clinics.Key Responsibilities:Assist in managing paperwork and documentation, ensuring accuracy and...

Job Summary:We are seeking a skilled Medical Billing Specialist to join our team at Trinity Health. As a key member of our revenue cycle team, you will be responsible for performing day-to-day tasks in the assigned area of responsibility, including insurance claim and billing, payment posting, and follow-up on denials.Key Responsibilities:Insurance claim and...

Job SummaryThe Clinical Research Nurse will coordinate care for subjects participating in clinical research trials while following applicable regulations. This includes coordinating patient appointments, serving as a point of contact for patient questions and concerns, preparing study documents, attending patient visits with providers, and processing...

Nursing Leadership Opportunity at Nationwide Children's HospitalWe are seeking a highly skilled and experienced RN Clinical Leader to join our team at Nationwide Children's Hospital. As a key member of our nursing leadership team, you will be responsible for overseeing nursing staff and activities in our Psychiatric Crisis Department, ensuring high-quality...

Clinical Nurse, RNWe are seeking a skilled Registered Nurse to join our care team at AndHealth. As a key member of our healthcare team, you will be responsible for coordinating and providing care coordination and care management services to patients. In this role, you will work collaboratively with other healthcare professionals to determine patient...

Job SummaryNationwide Children's Hospital is seeking a highly skilled Clinical Nurse Leader to join our team. As a key member of our nursing leadership team, you will be responsible for overseeing and providing expertise to staff in patient management and clinical competencies and operations.ResponsibilitiesEnsure regulatory compliance and emergency response...