UM Administration Coordinator - Healthcare Humana IncUM Administration Coordinator - HealthcareOHRemote$40,000–$52,300 / yearWork-at-Home (WAH) Internet Statement: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Psychiatrist - Adult - Outpatient - Hybrid - Columbus, OH LifeStance HealthPsychiatrist - Adult - Outpatient - Hybrid - Columbus, OHColumbus, OHRemote$327,000–$414,000 / yearAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. Please apply now or contact me directly: Haily KontogianisDirector, Practice DevelopmentEmail: haily.fowler@lifestance.comWe offer Psychiatrists: Flexible work schedules.
NewHybrid Remote/Onsite Dietitian Compass Group USAHybrid Remote/Onsite DietitianColumbus, OHRemote$35–$40 / hourThe company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years. Compass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems.
NewPrincipal Data Engineering - Remote or Hybrid in MN or DC UnitedHealth Group IncPrincipal Data Engineering - Remote or Hybrid in MN or DCDublin, OHRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Work within Optum"s Enterprise Data Strategy to consume and share data in the most efficient manner - data mesh enablement, data mastering, data governance, data certification and self- service.
Hybrid Remote/Onsite Dietitian Compass Group North AmericaHybrid Remote/Onsite DietitianColumbus, OHRemote$35–$40 / hourThe company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years. Compass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems.
Diagnostic Radiologist, Hybrid, Remote and Onsite, Board Certified Greenberg-Larraby, Inc. (GLI)Diagnostic Radiologist, Hybrid, Remote and Onsite, Board CertifiedColumbus, OHRemoteThis position offers the flexibility of working from home while maintaining occasional presence onsite to collaborate with the clinical team and participate in patient care activities. Greenberg-Larraby, Inc. (GLI) is seeking a Board Certified Diagnostic Radiologist for a hybrid role combining remote and onsite work.
Nurse Practitioner- Akron, OH - Hybrid Remote DaVita IncNurse Practitioner- Akron, OH - Hybrid RemoteWesterville, OHRemote$118,000–$150,000 / yearProfessional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning. Clinical Care & Evaluation: The primary responsibility is completing Comprehensive Health Evaluations (CHEs) to assess and manage comorbid conditions while addressing medical, social, emotional, and financial needs.
Registered Nurse (Ohio) Tuesday HealthRegistered Nurse (Ohio)OhioRemoteAs a key member of the multidisciplinary team, the RN is responsible for developing individualized care plans and leading care coordination efforts through active participation in internal and joint rounds. A dynamic and inclusive team environment where you can lean on your teammates, offer candid feedback, bring your true self to work each day, and deliver tremendous impact while having fun along the way.
NewCase Manager Registered Nurse CVS Health CorpCase Manager Registered NurseOHRemote$60,522–$129,615 / yearWe're seeking an experienced Registered Nurse (RN) Case Manager to provide telephonic and occasional face-to-face care coordination, guiding members through complex health needs with a holistic, proactive approach. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CSTColumbus, OHRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST IntellaTriageRemote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CSTColumbus, OHRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Denials RN Coordinator Ensemble Health PartnersDenials RN CoordinatorOhioRemoteJob duties include but are not limited to: understanding insurance contract terms, reviewing claim denials and underpayments to determine if additional payment amounts can be expected, analyzing medical records and determining if a member or an Independent Review organization (IRO) appeal is necessary, understanding payer medical policy guidelines, preparing IRO appeal documentation which may include correcting and resubmitting claims, gathering additional information, reviewing medical records, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting provider, member and IRO/ALJ appeals in a timely manner. Extensive review of medical records for medical necessity criteria, filing written letters of appeal on denied claims, filing complaints with state Department of Insurance, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting appeals in a timely manner.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorColumbus, OhioRemote$72,000–$80,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Manager, Behavioral Health Clinical Liaison/Operations AmeriHealth CaritasManager, Behavioral Health Clinical Liaison/OperationsDublin, OHRemotestrong>Role Overview: The Manager, Behavioral Health Clinical Liaison, is responsible for supporting the development, implementation, and monitoring of programs that promote whole-person integrated physical and behavioral healthcare. + Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management (IHCM), Long-Term Services and Supports (LTSS) to support care coordination and service delivery.
NewPotential Quality of Care (PQOC) Quality Management Behavioral Health Nurse Consultant - Remote CVS Health CorpPotential Quality of Care (PQOC) Quality Management Behavioral Health Nurse Consultant - RemoteOHRemote$60,522–$129,615 / yearThe PQOC team reviews quality of care concerns by reviewing documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. Additional responsibilities to include but not limited to the following: Works BH Potential Quality of Care cases, along with Patient Safety Events across all lines of business (Commercial, Medicare, and Medicaid).
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorColumbus, OHRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.