Nursing Jobs

Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Cincinnati Ohio Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

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 for Humana's Kentucky Medicaid Plan. The Utilization ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Job Information Humana Care Manager, Registered Nurse, RN in Cincinnati Ohio Description Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and requirements ..

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..

Job Information Humana Care Manager, Registered Nurse, RN - Maternity, L&D, Mother Baby in Cincinnati Ohio Description The Field Care Manager assesses and evaluates member's needs and requirements to achieve and/or ..

Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Cincinnati Ohio Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. This ..

Start Date: 4/4/23 DISRUPTING THE TYPICAL AGENCY MODEL Managed by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little differently from the normal staffing structure out there. Our team ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Assignments in Cleveland, 13 weeks, 12 hr days or nights available, 2 years recent experience, Strong MS/Tele level 1 needed, OH will become compact state in January 2023 We can help ..

Job Information Humana Utilization Management Registered Nurse - Remote in Cincinnati Ohio Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..

Job Information Humana Pre-Authorization Registered Nurse, RN, 1 in Cincinnati Ohio Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

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 2023 ..

Job Information Humana Utilization Management Registered Nurse, RN in Cincinnati Ohio Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge and ..

Current UC employees must apply internally via SuccessFactors > http://bit.ly/UCEMPL   You are invited to submit an application to be considered for multiple CRNA positions.   Founded in 1819, the University of Cincinnati ..

... and 7407(d).ntGraduation from School of Nursing:ntnttGraduate of a school of professional ... of a school of professional nursing approved by the appropriate State ... the applicant.nttntttThe National League for..

Job Information Humana Senior Compliance Registered Nurse in Cincinnati Ohio Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management and ..