Latest Medical Review Nurse jobs in Columbus, OH

16 Medical Review Nurse Jobs in Columbus, OH

Medical Reviewer/Safety Reviewer - A Experis - Columbus, Ohio , LPN, Registered Nurse, PA or NP, Pharmacist Consumer Complaint processing experience; Medical Devices or nutritional products especially MS Office experience Understanding of medical terminology BS 5 days ago
Director of Specialty Bill Review Services - Remote Rising Medical Solutions - Columbus, OH, United States medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experienced medical bill review auditors, nurse auditors, med-legal nurse, negotiators and related staff 29 days ago
Utilization Management Nurse Consultant CVSHealth - Columbus, OH reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): -Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit 12 days ago
UM Nurse Consultant Medical Review CVSHealth - Columbus, OH criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. For more information on our benefit 22 days ago
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Sr Coordinator - LPN (remote) Maximus - Columbus, OH : Experience performing medical review for all DMEPOS categories within Medicare - Required: Current Unrestricted Licensed Practical Nurse (LPN) license valid in the state of practice - Preferred: Experience 21.78 USD 7 days ago
Licensed Practical Nurse Night FT Armor Health - Columbus, Ohio or condition. Review patient chart; records and reports observed symptoms, reactions, treatments, and changes in patient's conditions. Coordinate patient transfers to medical facilities or outside health care 21 days ago
Utilization Management Nurse Consultant CVSHealth - Columbus, OH clinical records. Looking for someone who is high energy and motivated team environment and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical necessity 26 days ago
Registered Nurse (RN Mental Health) 2884 Alpha Rae Personnel Inc - Columbus, Ohio At the direction of the Psychiatric/DD Nurse Director, assumes primary nursing responsibility for assigned residents (e.g., nursing treatment planning, verification & review of physician order, chart 6 days ago
Columbus, OH - Medical - DODD - Columbus Developmental Center - Registered Nurse (RN General, Dialysis, Mental Health) - Region 5 Softpath System LLC - Columbus, Ohio , verification & review of physician order, chart audits, self-medication plans, human sexuality programs, medical administration, infection control, physical assessments & health care related scenario programs 7 days ago
Case Manager RN Oncology CVSHealth - Columbus, OH and escalates member’s needs appropriately following set guidelines and protocols – Need to actively reach out to members to collaborate/guide their care – Perform medical necessity reviews Required 27 days ago

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