Medical Review Nurse jobs in Ohio

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Behavioral Health Registered Nurse (RN) -- FT 12 and 8 hour...
Springstone - Columbus, OH 43219
Experience in patient assessments, family motivations, treatment planning and communication with external review organizations or comparable entities....
Registered Nurse Home Health RN - Paid Relo to FL and $5,000...
Participate in the review process. Registered Nurse – Home Care RN. Registered Nurse (RN) Home Health / Home Care....
Registered Nurse
Reviews and revises service plan as indicated; Under the direction of the RN Nursing Supervisor, Resident Care Director, the Registered Nurse (RN) delivers...

Medical Review Nurse (Medicare)

CES, LLC - Grove City, OH
Analyst (Medical Review Nurse). Equivalent experience in the Medical Review field. Performs pre and/or postpay medical review workload for....

Nurse Bill Auditor - Remote

HMS - 539 reviews - California, OH
Abide by National Audit Review Guidelines to review bill and medical record. Nurse Bill Auditor - Remote....

Utilization Management Nurse Consultant

Aetna - 2,224 reviews - Richfield, OH 44286  +2 locations
Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position. The UM Nurse Consultant utilizes clinical skills to...

UM Nurse Consultant

Aetna - 2,224 reviews - Canton, OH  +2 locations
Assessment of a member's clinical condition and ongoing medical services and treatments to determine medical appropriateness;...

RN Nurse Appeals - (Medicare Complaints, Appeals & Grievance...

Anthem, Inc. - 2,113 reviews - Mason, OH
Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical information for...

Clinical Advisor - RN |Clinical Advisor-RN||CL91XX

Humana - 2,657 reviews - Dublin, OH
Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Clinical RN Advisor who will collaborate with other health care...

CLINICAL DOCUMENTATION SPECIALIST

TriHealth - 85 reviews - Cincinnati, OH
Concurrently review inpatient medical records for accuracy and completeness of documentation on admission and throughout hospitalization....

QM Nurse Consultant

Aetna - 2,224 reviews - New Albany, OH
Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position....

UM Clinical Consultant - After Hours

Aetna - 2,224 reviews - New Albany, OH
Assessment of a member's clinical condition and ongoing medical services and treatments to determine medical appropriateness;...

Nurse Analyst - PRN

Advance Talent, LLC - Mayfield Heights, OH
Must have current knowledge of medical record review process and medical terminology. The Nurse Analyst will perform medical record review for the company’s...
Easily apply
Nurse (RN) Clinical Coordinator
Brookdale - 1,417 reviews - Cincinnati, OH
Registered Nurse (RN) license in the state of practice. Medical, dental, vision, disability, life, paid time off, educational reimbursement....
Easily apply
Director of Nursing
Reviews and assures that staff is compliant with in-service requirements and program for self-development. Acts as a liaison with the Medical Director(s) and...

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