Nursing Jobs in Middletown

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that..

Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work..

POSITION FEATURES:This is a full time RN for our surgery center in Moraine, OH.The center is open Monday through Friday 7:30am to 4:00pm. No eveings, weekends or Call.You will need..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor,..

Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Cincinnati Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity,..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...

Qualifications nn n Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.nnBasic Requirements:nntCitizenship: Citizen..

u003cbu003e More than a career - a chance to make a difference in people's lives. u003c/bu003eu003cbru003eu003cbru003eBuild an exciting, rewarding career with us - help us make a difference for millions..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions..

Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities such as the annual Quality Improvement..

Description The Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Stars Improvement, Clinical Professional work assignments are varied and..

Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Moraine Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity,..

Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Dayton Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity,..

Telemetry assignments in Akron, OH, 13 weeks, 12 hr days and night available, - 2 years recent Tele experience -Neuro/Trauma experience preferred - OH becomes compact state as of January..

Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work..

Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward..

Experienced PMHNP needed for full time in Cincinnati, OH. Monday-Friday workweek. 140k or more salary range with benefits! 23-bed Inpatient geriatric hospital needs a PMHNP for full time work. Onsite..

Description Humana Healthy Horizons in Ohio is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education programs for professional..

PURPOSE AND SCOPE:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to..

Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Springdale Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity,..

Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Milford Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity,..

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the..