Insurance Nurse Jobs in Ohio

Currently, there are no Insurance Nurse jobs available in Ohio which match this search. You may wish to explore similar job titles on the Insurance jobs in Ohio page or view related jobs below.
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American Financial Group , Inc Cincinnati, OH
Headquartered in the Central Florida city of Lakeland, Summit employs nearly 800 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees. This job is located in our Baton Rouge, LA office. Summit provides w...
American Financial Group , Inc Cincinnati, OH
Headquartered in the Central Florida city of Lakeland, Summit employs nearly 800 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees. This job is located in our Gainesville, GA office. Summit provides w...
HCA North Texas Mason, OH
Clinical Appeals Specialist Team Lead, RN( Job Number: 26601-93101) Work Location :United States-Ohio-Mason-PAS-Cincinnati Schedule :Full-time Description Job Summary – Assists Clinical Appeals Manager with training of the appeals department. Performs daily appeals follow-up and monitors denial trends and issues. Duties (included but not limited to):  Provides introductory and ongoing ...
HCA North Texas Mason, OH
RAC Spec RN CIN( Job Number: 26600-92898) Work Location :United States-Ohio-Mason-PAS-Cincinnati Schedule :Full-time Description GENERAL SUMMARY OF DUTIES - Handles appeals requiring clinical input or interpretation DUTIES INCLUDE BUT ARE NOT LIMITED TO: Review medical records and other documentation and prepare RAC appeal package accordingly Monitor RAC takebacks and appeal status by r...
Marten Transport Toledo, OH
Company DescriptionWhy You Should Work With Us: HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmac...
MountainStar Healthcare Mason, OH
Description Job Summary – Assists Clinical Appeals Manager with training of the appeals department. Performs daily appeals follow-up and monitors denial trends and issues. Duties (included but not limited to):  Provides introductory and ongoing training and education to Clinical Appeals staff to ensure that policies and procedures are followed  Meets with the Manager regularly to effective...
MountainStar Healthcare Mason, OH
Description GENERAL SUMMARY OF DUTIES - Handles appeals requiring clinical input or interpretation DUTIES INCLUDE BUT ARE NOT LIMITED TO: Review medical records and other documentation and prepare RAC appeal package accordingly Monitor RAC takebacks and appeal status by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons Identify proble...
Trinity Health Corporation Columbus, OH, 43216
Associate's Degree Registered Nurse (RN) We are seeking a Nurse Navigator to join our team of dedicated professionals as we continue our mission of improving the health of the communities we serve. Job Description This position is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member’s family and other resources as appropriate. Assist in ...
HMS Holdings Corp Westerville, OH, 43082
The Nurse Reviewer performs clinical review of medical information and quality assurance as defined by review methodologies specific to the contract for which services are being provided, and in support of the HMS Mission, Vision, Key Quality Strategies, and Values. Performs Independent Medical Record Reviews Assists in overseeing cases by ensuring case files contain all information necessary to...
COR01466 Overview: The Nurse Case Manager requires timely interaction with Workers’ Compensation physicians, medical vendors and injured employees. Candidate will analyze and present recommendations to claims personnel for combined strategy to provide aggressive proactive medical management on lost time claims, with emphasis on early return to work opportunities and cost containment. Utilization...
Sedgwick Claims Management Services, Inc. Cincinnati, OH, 45201
Utilization Review RN Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick Claims Management Services, Inc. has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick CMS is the place for...
HCA North Texas Mason, OH
Clinical Appeals Specialist LPN/RN CIN( Job Number: 26600-90178) Work Location :United States-Ohio-Mason-PAS-Cincinnati Schedule :Full-time Description Job Summary – Handles appeals requiring clinical input or interpretation Key Responsibilities Monitor insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons Ident...
MountainStar Healthcare Mason, OH
Description Job Summary – Handles appeals requiring clinical input or interpretation Key Responsibilities Monitor insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons Identify coding or clinical documentation issues and work to correct the errors in a timely manner Identify problem accounts and escalates as appropriat...
Job Summary – Handles appeals requiring clinical input or interpretation Key Responsibilities Monitor insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons Identify coding or clinical documentation issues and work to correct the errors in a timely manner Identify problem accounts and escalates as appropriate Update the...
Youngstown Ohio PSC Warren (Youngstown region), OH
Description COMPANY OVERVIEW Come grow with us! ValleyCare Health System of Ohio network (http://www.valleycarehealth.net/) is located in northeastern Ohio, within the beautiful Mahoning Valley, and is a network of three (3) hospitals, and numerous outpatient and physician practice locations throughout the area. With aggressive plans to grow our services including an infusion of $80M to expand ...
Sedgwick Claims Management Services, Inc. Cincinnati, OH
Start a new search >> Save it Upload Resume Case Management Specialist Claim Your Future as a Great Performer Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick Claims Management Services, Inc. has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose l...
Marten Transport Cincinnati, OH
Company Description: Maxim Healthcare Services provides integrated healthcare solutions to clients with a variety of needs. While serving as a complete industry resource, we understand that each of our service lines requires a unique focus. This specialized approach demonstrates our awareness and commitment to each niche of clinical administrative healthcare. Established in 1988, Maxim Healthcare ...
Description COMPANY OVERVIEW Come grow with us! Trumbull Memorial Hospital is part of the ValleyCare Health System of Ohio network (www.valleycareofohio.net). ValleyCare Health System of Ohio is located in northeastern Ohio, within the beautiful Mahoning Valley, and is a network of three (3) hospitals, and numerous outpatient and physician practice locations throughout the area. With aggressive...
National Interstate Insurance Company Richfield, OH
Overview: Established in 1989, National Interstate is one of the leading specialty property and casualty insurance companies in the country. We offer more than 30 different insurance products, including traditional insurance, innovative alternative risk transfer (ART) programs for commercial companies and insurance for specialty vehicle owners. We are able to provide innovative and customized insu...
AVON has available opportunities for part time or full time independent Sales Representatives. Bilingual and Entry Level Candidates welcome, No experience is required! Come join the change movement and enjoy amazing success! It doesn’t matter if you come from Customer Service, Accounting, Marketing, Administrative or any other - field AVON is looking for you to become an Independent Sales Represe...

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