Nurse Reviewer I - Columbus

· Company Description · Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracte ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

We're building a world of health around every individual — shaping a more connected, · convenient and compassionate health experience.At CVS Health, you'll be surrounded by passionate colleagues who care deeply, · innovate with purpose, hold ourselves accountable and prioritize ...

Position Qualifications:  · Current and valid license to practice professional nursing as Registered Nurse (i.e., R.N.) in Ohio as issued by Board of Nursing pursuant to Section of Revised Code and all of the following bulleted criteria\:   · 24 mos. exp. in pediatric nursing, wh ...

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website Our benefits package includes ...

What You'll Do: · Are you a compassionate and detail-oriented nurse looking to make meaningful impact in the lives of children with special care needs? This role offers a dynamic blend of clinical decision-making, case management, community engagement, and administrative support— ...

Description · To maintain high-quality, medically necessary, evidence-based care, and efficient treatment of all patients, regardless of payment source, by ensuring the patients receive the right care, at the right time, in the right place.  · Case Management Model: utilize an In ...

Location: This position is located at our Dublin, OH campus with hybrid flexibility. · Who we are · Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost ...

Location: · This position is located at our Dublin, OH campus with hybrid flexibility  · Who we · are · Founded in 1999 and headquartered in Central Ohio, w · e're a privately-owned · , independent · healthcare navigation · organization · . · We believe that no one should have to ...

· Description · Location: This position is located at our Dublin, OH campus with hybrid flexibility  · Who we are · Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to n ...

The Registered Nurse (RN) - Transplant Utilization Review is responsible for reviewing and processing medical service requests for members of Quantum Health's employer groups in an inpatient setting across the transplant continuum. · Assess and review all requests for inpatient t ...

The Pre-Certification Review Nurse – Pharmacy is responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications, · reviewing and processing all requests for specialty medications · ...

The Pre-Certification Review Nurse – Pharmacy will review and process coverage determinations and utilization management reviews for specialty medications. · ...

+The Manager UR Operations is responsible for managing the execution of Quantum's Utilization Review delivery. · This leader will have primary accountability for performance management escalation triage audit presentation. · Provide direct leadership subject matter expertise for ...

The Pre-Certification Review Nurse – Pharmacy is responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications. · ...

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr- If you have questions while submitting an application, please review these frequently asked questions. · Current Employees And Students · If you are currently employed or ...

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr- If you have questions while submitting an application, please review these frequently asked questions. · Current Employees And Students · If you are currently employed or ...

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr- If you have questions while submitting an application, please review these frequently asked questions. · Current Employees And Students · If you are currently employed or ...