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  • Travel RN - PCU Travel Nurse Job in Cincinnati, OH, Nights (3x12), $1,994 Wk

    Advantis Medical Staffing

    Utilization review nurse job in Cincinnati, OH

    PCU travel nurse job in Cincinnati, OH - earn $1,994/week on a 13 week, Nights shift at a travel-friendly hospital with Advantis Medical. Looking for PCU travel nursing jobs near you? This contract follows a (3×12) schedule and offers high pay, clinical experience, and the full support of the #1 rated travel nurse agency. Whether you're planning your next assignment in Ohio or searching for "PCU travel RN jobs near me", this opportunity could be the perfect fit. This travel assignment is perfect for nurses looking to be near Cincinnati, OH. Don't miss out-click "I'm Interested" to start your application and connect with an Advantis recruiter to explore more travel PCU nurse jobs near you. Job Details Facility: Mercy Health - Anderson Hospital Location: Cincinnati, OH 45255 Explore the area! See our local guide and an interactive map further down this page. Contract Length: 13 Weeks Shift: Nights (3×12) Travel Nursing Requirements: 2+ years of recent PCU nursing experience. Active Ohio RN License or Compact License (if applicable) Benefits Day One Benefits - Medical, Dental, Vision & 401(k) Relocation and Travel Reimbursement Dedicated team to help with travel & housing accommodations Weekly Direct Deposit $500 Referral Bonuses Near Cincinnati, OH Cincinnati, OH sits between the Ohio River hills and the I-71/I-75 junction, with the Connector streetcar linking downtown neighborhoods. Many clinicians searching for travel RN jobs near me find roles across a compact core that avoids heavy cross-town drives. Demand for travel nursing jobs is reinforced by riverfront corridors where errands remain within easy reach. Common bases for travelers include Norwood, Mason, and Fairfield. Across Ohio, a mix of transit and walkable blocks helps professionals coordinate housing, shifts, and errands while still leaving time for museums, ballparks, and the river path network. FAQs - PCU Travel Nurse Jobs Near Cincinnati, OH Expand All Are there PCU travel nursing jobs near Cincinnati, Ohio? Yes! Advantis Medical frequently staffs PCU travel RN jobs in Cincinnati and nearby areas like Dayton (45402), Covington, KY (41011), Florence and KY (41042). This assignment offers $1,994 per week and is one of our top current opportunities. Is Cincinnati a good location for PCU travel nursing jobs? Yes. With competitive pay, career-boosting clinical environments, and great local lifestyle perks, Cincinnati is a top destination for PCU travel nurse jobs in Ohio. What are the licensing requirements for working as a travel nurse in Ohio? Ohio Board of Nursing Contact information Website: https://nursing.ohio.gov/ Phone: 614.466.3947 Fees License by Exam: $75 (+$200 testing fee) License by Endorsement: $75 Renewal: $65 - July 1 - September 15 odd years / $115 - September 16 - October 31 odd years Timing Processing Time: 4 - 6 weeks Valid for: 2 years Renewal Schedule: October 31, every two years General Information Nurse Licensure Compact: Yes Nursys: Yes CEU Requirements: CEU Requirements: 24 contact hours including 1 hour of Category A CE Helpful Links Apply Now Check Status Verify License Travel Nursing Jobs With Advantis Medical - The Gold Standard At Advantis Medical Staffing, we take great pride in our commitment to caring for travel nurses. We are dedicated to connecting nurses with the best travel nursing jobs nationwide, while providing exceptional service that fosters a trusted partnership for life. Our mission is to deliver the "Gold Standard" in service -not only by securing your first assignment but by advocating for your long-term career goals and well-being. Experience our gold standard level of service as we create a stress-free and rewarding journey for you. View Similar PCU Jobs ⟶ Travel Nursing Job in Cincinnati, OH Weekly Pay: $1,994 This pay combines taxable wages and tax-free stipends. For a full, transparent breakdown, submit the "I'm Interested" form, & a recruiter will send you the details. × Location: Cincinnati, OH 45255 Explore the area! See our local guide and an interactive map further down this page. × Facility: Mercy Health - Anderson Hospital Specialty: PCU Duration: 13 weeks Shift: Nights (3x12) I'm Interested Have a question? Call us at 214-305-6445
    $2k weekly 7d ago
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  • Medical Review Nurse (RN)- Itemized Bill Review

    Molina Healthcare 4.4company rating

    Utilization review nurse job in Covington, KY

    Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. ESSENTIAL JOB DUTIES: Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers. Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience. Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions. Supplies criteria supporting all recommendations for denial or modification of payment decisions. Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. Provides training and support to clinical peers. Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice. Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). Experience working within applicable state, federal, and third-party regulations. Analytic, problem-solving, and decision-making skills. Organizational and time-management skills. Attention to detail. Critical-thinking and active listening skills. Common look proficiency. Effective verbal and written communication skills. Microsoft Office suite and applicable software program(s) proficiency. PREFERRED QUALIFICATIONS: Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications. Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics. Billing and coding experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $29.05 - $67.97 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $29.1-68 hourly 2d ago
  • Utilization Review Nurse- Pool

    Dayton Children's Hospital 4.6company rating

    Utilization review nurse job in Dayton, OH

    Facility: Dayton Children's - Main Campus Department: Utilization Review Team Schedule: Part time Hours: 8 Job Details: Under the supervision of the Manager of Utilization Management, the Utilization Review RN conducts medical record review for medical necessity and level of care using nationally recognized acute care indicators and criteria as approved by medical staff, Joint Commission, CMS, and other agencies. Prospectively, concurrently, or retrospectively determines the appropriateness of inpatient, observation, and extended recovery services following review of relevant medical documentation and medical guidelines and communicates information to payers in accordance with contractual obligations. The Utilization Review RN serves as a resource to the physicians, collaborates with the Care Manager in the development and implementation of the plan of care, and collaborates with the Denials team assisting to prevent concurrent and retrospective denials. The Physician Advisor role will support the Utilization Review RN for second level clinical reviews for cases that do not meet medical criteria, complex cases, appropriate level of care, Medicare cases as required, and the need for Peer-to-Peer reviews. Collaboration with Physician Advisor will support policy development, process improvement, and staff education related to clinical denial mitigation. Department Specific Job Details: Education * Completion of accredited RN program with current RN license in Ohio required * Graduate of an accredited BSN Nursing Program required Experience * Two years' experience required in the acute care setting, preferably in pediatrics. * Current knowledge of reimbursement requirements, level of care criteria, APR-DRGs, MCG guidelines * Exceptional oral and written communication skills * Proficiency in Microsoft Word, Excel, PowerPoint and Epic Systems preferred Education Requirements: Bachelors: Nursing (Required) Certification/License Requirements: [Lic] RN: Registered Nurse (RN) - Ohio Board of Nursing
    $63k-72k yearly est. Auto-Apply 1d ago
  • Utilization Review RN

    Healthcare Support Staffing

    Utilization review nurse job in Mason, OH

    Why You Should Work For 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 Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! This is a utilization review position. Nurses will be responsible for collaborating with healthcare providers and members to promote quality member outcomes to optimize member benefits and to promote effective use of resources. Essentially they will be reviewing patient records and treatment profiles to ensure proper and cost effective treatment, member satisfaction, and quality results. They will be doing both inpatient and outpatient UM. Qualifications Job Description: This is a utilization review position. Nurses will be responsible for collaborating with healthcare providers and members to promote quality member outcomes to optimize member benefits and to promote effective use of resources. Essentially they will be reviewing patient records and treatment profiles to ensure proper and cost effective treatment, member satisfaction, and quality results. They will be doing both inpatient and outpatient UM. Additional Information Hours for this Position: M-F: 8am-4:30pm Advantages of this Opportunity: • Competitive salary, negotiable based on relevant experience • Benefits offered, Medical, Dental, and Vision • Fun and positive work environment Additional Information: 6-12 month long term contract Interested in being considered? If you are interested in applying to this position, please click the Green I'm Interested Button to email your resume.
    $56k-76k yearly est. 1d ago
  • Utility Coordinator - Transportation Market

    Gresham, Smith and Partners 4.5company rating

    Utilization review nurse job in Cincinnati, OH

    At Gresham Smith, we call it Genuine Ingenuity. Our culture is the cornerstone of who we are, and our people are at the heart of everything we do. United by our Core Purpose to plan, design, and consult to create healthy and thriving communities, we deliver innovative solutions for life's essential infrastructure and institutions. What sets us apart is our dedication to care for our people, our clients, and the places we call home. We are more than a team of professionals, we are a community built on commitment, integrity, respect, and teamwork. Why Gresham Smith? When you join Gresham Smith, you're joining a place where you can connect and thrive. Our employees consistently recognize us as a Best Place to Work because we go above and beyond to ensure that you feel valued, supported, and empowered. About You * Has working knowledge of State DOT Plans Development processes and requirements. * Brings experience coordinating utility design and construction for State and Local Programs roadway projects. * Demonstrates knowledge across overhead and underground utilities: electric, communications/fiber/broadband, natural gas, water, and sewer. * Can develop accurate utility relocation cost estimates and support or perform relocation inspection services. * Understands State DOT utility policies and practices; has a knowledge base of utility permitting and Subsurface Utility Engineering (SUE). * Has experience with the Bentley product suite; OpenRoads Designer preferred and experience with AutoCAD. * Shows high attention to detail and exercises strong organizational, time management, and communication skills (written and verbal). * Education: Bachelor's degree in Engineering. * Experience: 10+ years in the utility industry, including overhead and underground utility construction related to transportation projects. * Licensure: Kentucky licensure strongly preferred. * Certifications: KYTC Utility Coordination Certification preferred. About the Role The Utility Coordinator supports transportation projects, particularly State DOT-funded highway and roadway work, by leading utility relocation coordination, advancing standards, and ensuring quality, consistency, and compliance across disciplines. As a Utility Coordinator , you will: * Lead utility relocation coordination with internal teams, utility owners, contractors, and agencies to minimize conflicts and keep projects on schedule. * Apply State DOT Plans Development requirements and utility policies to planning, design, and construction coordination activities. * Prepare, review, and maintain utility relocation plans; develop accurate relocation cost estimates; and provide or support relocation inspection services. * Coordinate utility design and construction activities for State and Local Programs roadway projects, identifying conflicts and facilitating timely resolution. * Support utility permitting and SUE activities; document decisions, assumptions, and approvals. * Utilize Bentley tools, preferably OpenRoads Designer, to support design, documentation, and coordination workflows. Join Us If you're excited to bring your talents to a collaborative, people-first environment where you can make an impact while growing your career, we'd love to hear from you. Here's what you can expect: Professional Growth: In-house Learning, Tuition Reimbursement, Licensure Support, Professional Organization Engagement. Culture that Cares: 93% of employees say they feel cared for, and 96% are confident in our future success. Competitive Benefits: * Flexible Schedules & Generous PTO * Healthcare (Medical, Dental, Vision, Wellness Programs) * 401(k) with Company Match * Short- & Long-term Disability, Paid Life & AD&D * Supplemental, Critical Care, Pet, Legal & ID Theft Insurance * Family Planning and Parental Leave * Mass/Public Transit Program Telemedicine and Employee Assistance Program
    $53k-65k yearly est. 14d ago
  • Formulary Strategy & Utilization Review Pharmacist

    Pharmacy Careers 4.3company rating

    Utilization review nurse job in Cincinnati, OH

    Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus
    $60k-71k yearly est. 60d+ ago
  • Telephonic Nurse Case Manager II

    Elevance Health

    Utilization review nurse job in Cincinnati, OH

    **Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.** **_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._** **Hours: Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST.** *******This position will service members in different states; therefore, Multi-State Licensure will be required.** **_This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. + Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. + Coordinates internal and external resources to meet identified needs. + Monitors and evaluates effectiveness of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management policies and procedures. **Minimum Requirements:** + Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state required. + Multi-state licensure is required if this individual is providing services in multiple states. **Preferred Capabilities, Skills and Experiences:** + Case Management experience. + Certification as a Case Manager. + Minimum 2 years' experience in acute care setting. + Managed Care experience. + Ability to talk and type at the same time. + Demonstrate critical thinking skills when interacting with members. + Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. + Ability to manage, review and respond to emails/instant messages in a timely fashion. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126,408. Locations: Colorado; New York; New Jersey In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $76.9k-126.4k yearly 21d ago
  • Field Nurse Practitioner - Hamilton County, OH

    Advantmed 3.6company rating

    Utilization review nurse job in Cincinnati, OH

    Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities. Learn more about our primary purpose here Follow us on LinkedIn: ****************************************** NP Responsibilities: In-home Clinical Assessments Travel to members' homes and conduct comprehensive health evaluations Conduct Annual Wellness Visits and health assessments for members with chronic conditions. Perform: Medical history and physical examinations Review of systems Vital signs collection Medication review and reconciliation Possible preventive health screenings Hemoglobin A1C Spirometry KED (Kidney Health Evaluation) DRE (Diabetic Retinal Exam) FIT Patient Education & Engagement Deliver preventive health education and counseling opportunities. Educate patients on ongoing health monitoring, medication adherence, and chronic condition management. Support informed decision-making and ensure true, informed consent. Engage in goals of care discussions when appropriate. Care Coordination & Quality Support Identify clinically relevant diagnoses for care management and risk adjustment documentation. Communicate findings used to generate post visit summaries for the primary care provider. Identify and help close quality care gaps (e.g., screenings, labs, follow-ups). Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience. Compliance & Professional Standards Adhere to HIPAA regulations and safeguard protected health information (PHI). Maintain accurate, timely, and compliant EMR documentation. Perform additional duties as assigned in alignment with organizational goals. An enthusiastic collaborator contributing to the enhancement of care delivery Providers are expected to commit a minimum of 30 hours per month Locations: Hamilton County, OH Requirements Travel Requirements Daily travel expectations remain within a 55-mile radius of the assigned home location. NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county Preference is given to weekday schedules Preference is given to standard working hour schedules Previous in-home risk assessment experience preferred Previous 1099 (PRN) experience is preferred but not required 3 years patient care experience preferred (primary care/adult/geriatric, EMR) May be requested to obtain additional NP licensure supported by Advantmed Access to reliable transportation that will enable you to travel to members' homes within a designated area Strong ability to work within our EMR system Ability to work independently Bilingual is a plus Benefits Advantmed offers: Competitive compensation of ~$100 per completed in-home health assessment Paid mileage Flexible work schedule, choose your own schedule No on call Visits ready to be scheduled immediately Appointment confirmation support Dedicated coordinator support Advanced member scheduling coverage State of art technology
    $100 hourly Auto-Apply 60d+ ago
  • Regional Nurse Consultant

    Align Executive Search

    Utilization review nurse job in Dayton, OH

    Regional Nurse Consultant (RN) - Skilled Nursing | Dayton, OH Join a highly respected Senior Care organization offering a Regional Nurse Consultant role with real autonomy, strong support, and excellent work/life balance. You'll oversee 6 Skilled Nursing Facilities, all located in the Dayton market, allowing you to be home every night. Highlights: Oversee 6 SNF buildings (Dayton area) $124K-$144K salary + aggressive compensation package Excellent work/life balance with flexibility Strong corporate and facility-level support Clean, well-run buildings with a great local reputation Growth opportunity within the organization All travel and expenses reimbursed Requirements: Active Ohio RN license Prior Regional or multi-facility experience Previous DON experience in Skilled Nursing Strong clinical, leadership, and communication skills Willingness to travel locally Apply today to learn more about this standout regional opportunity. Chris Morley Senior Account Executive ************ *******************
    $124k-144k yearly Easy Apply 21d ago
  • Utilization and Appeals Coordinator

    Trihealth 4.6company rating

    Utilization review nurse job in Cincinnati, OH

    This position may perform utilization management functions on a prospective, concurrent or retrospective basis in order to maximize revenue for TriHealth. This includes analysis of clinical information presented with comparison to established national clinical criteria to determine appropriate place of service such as inpatient/outpatient/observation and medical necessity for ongoing inpatient care. In addition, understands all government and health plan requirements while negotiating with health plan to obtain authorization for services or payment on denied claims, pre-pay and post pay audit review. This staff works independently with a high level of autonomy and decision making surrounding high dollar services and revenue. Job Requirements: Associate's Degree or Diploma in Nursing New hires required to obtain BSN within 5 years of hire Registered Nurse Current Ohio licensure 5-7 years experience Clinical in Nursing hospital based Job Responsibilities: Teamwork, communication, problem solving, conflict resolution. Risk management Assesses and analyzes quality indicators, documents them, and differentiates between morbidity and mortality outcomes. Reports as indicated to manager, medical dir. Identifies areas for self improvement, maintains areas of current practice, supports organizational activities. Applies the principals of UR in processes of admission orders, levels of care, documents current status, communicates with attending physicians. Other Job-Related Information: Working Conditions: Climbing - Rarely Concentrating - Consistently Continous Learning - Consistently Hearing: Conversation - Consistently Hearing: Other Sounds - Consistently Interpersonal Communication - Consistently Kneeling - Occasionally Lifting Lifting 50+ Lbs - Rarely Lifting 11-50 Lbs - Consistently Pulling - Consistently Pushing - Consistently Reaching - Consistently Reading - Consistently Sitting - Frequently Standing - Occasionally Stooping - Occasionally Talking - Consistently Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Consistently Visual Acuity: Far - Consistently Visual Acuity: Near - Consistently Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS… • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist • Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS… • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met • Offer patients and guests priority when waiting (lines, elevators) • Work on improving quality, safety, and service Respect: ALWAYS… • Respect cultural and spiritual differences and honor individual preferences. • Respect everyone's opinion and contribution, regardless of title/role. • Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS… • Value the time of others by striving to be on time, prepared and actively participating. • Pick up trash, ensuring the physical environment is clean and safe. • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS… • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the community
    $37k-48k yearly est. Auto-Apply 30d ago
  • Nursing Simulation Coordinator, Full-Time, College of Nursing

    University of Cincinnati 4.7company rating

    Utilization review nurse job in Cincinnati, OH

    Apply now Job Title: Nursing Simulation Coordinator, Full-Time, College of Nursing Work Arrangement: Current UC employees must apply internally via SuccessFactors Next Lives at the University of Cincinnati Founded in 1819, the University of Cincinnati ranks among the nation's best urban public research universities. Home to more than 53,000 students, 12,000 faculty and staff, and over 350,000 living alumni, UC, a Carnegie 1 institution, combines research prowess with a physical setting The New York Times has called "the most ambitious campus design program in the country." UC's momentum has never been stronger as the anchor of the Cincinnati Innovation District, the oldest cooperative education (co-op) program in the country with students earning $88.8 million annually through paid experiences, an academic health system, and as a member of the Big 12 Conference. The university contributes $10.6 billion in economic impact to the city and $22.7 billion to the state of Ohio. At UC, next is all of us. Learn more at uc.edu. UC is a mission-driven organization where we are committed to student success and positively transforming the community through scholarship and service. We thrive on innovation, making an impact, and fostering an environment where staff and faculty are key contributors to UC's success. The College of Nursing For nurses, compassion, empathy and critical thinking go without saying. University of Cincinnati nurses build on these traits to become leaders in whichever setting they choose to work. A nationally recognized institution for our academic standards, technology application and research activity, we educate our students to put patients first, abide by ethical standards, innovate, open themselves to change and meet new workplace demands. UC Nurses. We See Leaders. Job Overview The College of Nursing is seeking a full-time Nursing Simulation Coordinator to join our team in the Simulation and Skills Lab. The Simulation Coordinator will work on simulation-based activities across the undergraduate, pre-licensure and graduate programs. This position will supervise the daily operations of the simulation and skills lab and will report to the Director of Simulation. Essential Functions * In collaboration with the Lab and Simulation Director, oversee the regular maintenance and repair of all simulation equipment including human patient simulators, computers, monitors and a variety of clinical durable medical equipment A/V and debriefing systems. * Recommend future equipment and supply purchases. * Facilitate the adult learning process to create a psychologically safe climate to support learning across the curriculum and programs. * Create, implement, facilitate, and debrief simulation-based learning and assessment activities within and across undergraduate and pre-licensure programs. * Participate in assessment of student learning activities necessary to meet prescribed student learning outcomes. * Maintain relevant simulation-based education through the review of relevant journals, abstracts, and scientific literature including underlying educational theories work/interact effectively with various populations, showing respect and sensitivity for all cultures. * Perform related duties based on departmental need. This job description can be changed at any time. Required Education * Bachelor's of Science in Nursing. Required Trainings/Certifications * Valid unencumbered Ohio license as a Registered Nurse. Required Experience * Three (3) years of clinical experience. * Experience in simulation-based education and training. Additional Qualifications Considered * Master's of Science in Nursing. * Experience in a higher education. * Previous experience as a nurse educator. * Current Certified Healthcare Simulation Educator (CHSE) Certification. Application Process Interested and qualified applicants must apply online and include a cover letter of interest and a current CV/Resume. All certifications and other documentation can be uploaded using the Additional Documents section in the application. Applications without a cover letter and CV/Resume will not be considered for the position. Physical Requirements/Work Environment * Sitting - Continuously * Talking - Continuously * Walking - Continuously * Stooping - Continuously * Standing - Continuously * Hearing, listening - Continuously * Bending - Continuously * Kneeling, squatting - Continuously * Reaching overhead - Continuously * Pulling, pushing - Continuously * Lifting - up to 20 pounds - Continuously * Lifting - up to 50 pounds - Continuously * Climbing stairs/ladders - Often * Repetitive hand motion (such as typing) - Often * Crouching - Often * Lifting - over 50 pounds - Often * Crawling - Seldom Compensation and Benefits UC offers an exceptional benefits package designed to support your well-being, financial security, and work-life balance. Eligibility varies by position and FTE. Highlights include: Comprehensive Tuition Remission UC provides tuition remission for you and your eligible dependents, covering tuition costs for nearly all undergraduate and graduate programs offered by the university. Robust Retirement Plans As a UC employee, you won't contribute to Social Security (except Medicare). Instead, you'll choose between state pension plans (OPERS, STRS) or an Alternative Retirement Plan (ARP), with UC contributing 14-18% of your salary based on position. Real Work-Life Balance UC prioritizes work-life balance with a generous time-off policy, including: Vacation and sick time 11 paid holidays and additional end-of-year paid time off (Winter Season Days) 6 weeks of paid parental leave for new parents Additional Benefits Include: * Competitive salary range of $70,000 - $78,000 commensurate with qualifications and experience * Comprehensive health coverage (medical, dental, vision, prescription) * Flexible spending accounts & wellness programs * Professional development & mentorship opportunities For questions about the UC recruiting process or to request accommodations with the application, please contact Human Resources at ***********. Equal Opportunity Employer. Building a workplace where all qualified applicants will receive consideration for employment, including Individuals with Disabilities and Protected Veterans. REQ: 100031 Apply now
    $70k-78k yearly 41d ago
  • Dialysis Nurse

    Concerto Renal Services

    Utilization review nurse job in Cincinnati, OH

    Why Work at Concerto? What is in it for you? Three (3) day work week Competitive pay Nurse to patient's ratio Clinical/Corporate Career Advancement Medical, dental, vision, short- and long-term disability benefits Pet Insurance 401k match of 50% up to 6% of salary PTO Paid Holidays Discounts through Nectar Employer Paid Employee Assistance Program Who Are We? Concerto Renal Services is an industry leader in sub-acute hemodialysis within a skilled nursing facility and/or long-term care facility. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model. Why is this Role Essential? Concerto is seeking a Dialysis Nurse to join its team! The Dialysis Nurse supervises dialysis care in accordance with policy, procedure and training and in compliance with state and federal regulations. Assures responsibility for the unit and works collaboratively with members of the hemodialysis healthcare team. Supervises care given by dialysis technicians while assuming a ‘hands on' role and fostering a team approach to patient care. What Will You Do? Patient Care & Education Provides direct hemodialysis care, performs assessments, administers medications, and educates patients on renal health, treatment, and self-care. Team Leadership & Supervision Delegates tasks to dialysis technicians, supervises their performance, and ensures compliance with clinical standards and regulations. Treatment Monitoring & Adjustment Monitors patient response to dialysis, adjusts treatment plans as needed, and ensures accurate documentation of interventions and outcomes. Collaboration & Communication Works closely with physicians and healthcare team members to coordinate care, report critical lab results, and ensure continuity of treatment. Documentation & Compliance Maintains accurate electronic medical records, ensures timely completion of care plans, and adheres to safety and regulatory protocols. Qualifications You Might Be a Good Fit If You are... Compassionate and Empathetic A Critical Thinker and Problem-Solver An Individual who Thrives in a Team Environment An Individual with Excellent Communication Skills Purpose-driven What's Required? Graduate of an accredited school of Nursing Current State appropriate or Compact RN License Minimum of one (1) year of nursing experience in any practice area Minimum of three (3) months of Dialysis experience required BLS Provider certification Physical Requirements & Work Environment This role requires successful completion of the Ishihara Color Blindness Test to ensure accurate color perception in a clinical setting. It also involves prolonged walking, standing, stooping, and bending, with the ability to lift up to 25 lbs. Strong focus and attention to detail are essential. The work environment includes temperature control, moderate noise levels, and potential exposure to infectious materials. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Compensation $38 - $50 per hour Hourly rate is dependent upon several factors, including but not limited to the following: a candidate's experience in this position and/or the dialysis industry in general, location of the position in question, urgency of company need, timeline of required to fill position, and other potential and/or applicable factors that emerge from time to time.
    $38-50 hourly 17d ago
  • RN MDS Nurse Coordinator

    Communicare 4.6company rating

    Utilization review nurse job in Dayton, OH

    Job Address: 3800 Summit Glen Drive Dayton, OH 45449 Wood Glen Alzheimer's Community, a member of the CommuniCare Family of Companies, is currently recruiting an RN MDS Nurse / Resident Assessment Coordinator (RAC) to join our team. At CommuniCare, MDS Nurses are treated as key members of our Operations team. We appreciate your contribution to our facility's success! Full Time Day Shift Position Available *No on call, No working the floor* WHAT WE OFFER Beyond our competitive wages and Paid Time Off, we offer all full-time employees a variety of benefit options including: Life LTD/STD Medical, Dental, and Vision 401(k) Employer Match with Flexible Spending Accounts CATCH THE SPIRIT! When you join the CommuniCare family, you'll quickly catch the team spirit. Coworkers and residents become family, the workplace becomes a home, and a touch of spontaneity and fun keeps everyone smiling. Our core values promote an environment of respect, courtesy, and professional excellence where you can dedicate yourself to a career you love. Do you have what it takes to be an RN MDS Nurse with CommuniCare? QUALIFICATIONS & EXPERIENCE REQUIREMENTS Graduate of an accredited school of nursing; RN Valid RN license in the state employed Three years of experience in a long term care environment preferred Experience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIES The MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process. Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. This includes ensuring that the centers are in compliance with federal and state regulations as well as the CommuniCare Family of Companies' guidelines and policies and procedures. This role serves as a key member of the facility's management team in helping the facility obtain/maintain quality outcomes. THE COMMUNICARE COMMITMENT A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.
    $66k-78k yearly est. Auto-Apply 60d+ ago
  • Nurse (RN or LPN)

    Greater Cincinnati Behavioral Health Services 3.6company rating

    Utilization review nurse job in Batavia, OH

    Join our mission to help individuals with mental illness and addictions to lead healthy and productive lives. Greater Cincinnati Behavioral Health Services (GCBHS) has an immediate opening for a Licensed Practical Nurse (LPN) or Registered Nurse (RN) in our medication assisted treatment program to provide nursing services to adults experiencing substance use disorder in Batavia. Why Work at GCBHS? As the region's most comprehensive community behavioral healthcare organization, GCB seeks to make life better and brighter for those challenged with mental illness and addiction. Specifically, GCB is a nonprofit behavioral health agency with over 550 staff serving over 30,000 persons annually. Working in our outpatient, clinic-style setting also means less physical demand, with fewer heavy lifts and less time on your feet compared to hospital nursing-promoting comfort, balance, and long-term career wellness. New nurse? No worries! No prior experience is required. Our wonderful team of nurses will provide all the training and support you need to feel confident, capable, and successful in this role. Benefits Boost Your Earning Potential-we Offer Productivity Bonuses up to $50.00 an hour! Did you know you could earn up to $50.00/hour in unfettered bonuses? Ask our team for more information about Ohio's State-Sponsored Workforce Initiative! Flexible schedule with low evening requirement Free health care clinic and wellness incentives Paid Time Off and Sick Time (accrued separately) Public Student Loan Forgiveness Tuition Assistance (Up to $2,500 per semester!) Comprehensive health insurance (Medical/Dental/Vision) 403(b) Retirement with agency matching Eligibility for development annual incentive bonus Professional development opportunities and no cost to you CEUs Position Summary for RN: Provides direct nursing care in accordance with the Ohio Board of Nursing and established GCB policies, procedures, and protocols in a medication assisted treatment program serving individuals with substance use disorders. Follows the steps in the nursing process to implement and monitor a holistic plan of care for behavioral health patients, including patients with substance use disorders. The GCB nurse may serve as a coordinator in collaboration with other disciplines for purposes of coordination of patient care issues. Monitors, records, and communicates patient condition and carries out physician and nursing orders. Position Responsibilities for LPNs: Perform duties under the direction of the medical prescribers, psychiatric prescribers and/or RN. These duties include but are not limited to: vitals, phlebotomy, point-of-care labs and testing, vaccinations and psychiatric medication administration. Prepare clients and assist physicians with patient exams and/or treatment; obtain vital signs, draw laboratory specimens. Provide education and training to staff, family members and other significant patient supports related to illness, disease, and medications. Requirements: Licensure by the Ohio Board of Nursing as a Registered Nurse or a Licensed Practical Nurse is required. Experience in working with individuals who have substance use disorders and/or co-occurring disorders is preferred but not required (Selected candidate must be open to training) GCBHS has been named a Top Workplace in Greater Cincinnati and Northern Kentucky every year since 2010! Please visit our website to learn more about GCBHS. ************* EEO Employer Disabled/Vets #Lifechanging #INDADMIN
    $50 hourly Auto-Apply 60d+ ago
  • Nurse - Residential Interventions

    Newpath Child & Family Solutions 3.4company rating

    Utilization review nurse job in Cincinnati, OH

    Job Description Welcome! Are you ready to begin a NewPath? At NewPath, we do more to make a difference -more for each child, each client, and our community. Our dedicated team does what it takes, day and night, to get to the heart of every case and deliver the best care. Backed by a full breadth of services, we cater to each individual and answer to every need. We reach more ages with more experts for more results. Every program offers opportunity for change, every plan improves lives, and every person ignites hope, one success story at a time. Make an Impact as a Nurse in Residential Interventions! NewPath Child & Family Solutions is in search of a caring, compassionate Nurse for our Residential Intervention Program. Services in this program aim to provide diagnostic clarity and behavioral stabilization for each youth by providing strengths-based interventions, a relationship-centered environment, and an array of individualized mental health services. Location: This position will work primarily at our East Campus. Hours: 12-hour shifts, one weekend day required. Company Perks: Quick Reference Competitive Compensation Excellent Benefits Package Including Medical, Dental, Vision, and Life Insurance Career Growth in an Inclusive Company Culture 401(k) (4% automatic employer contribution - no required match) Paid Holidays, Vacation and Sick Days Employee Discounts & Partner Programs Tuition Reimbursement Employee Assistance Program Flex Spending Accounts Paid Family/Paternal Leave Legal Benefits Services Clinical Counseling/Therapy Licensure Supervision Hours (Cost Covered) Board Licensure Exam Cost Covered (Therapy, Counseling, and Nursing) What You Will Be Doing Direct patient care makes up the majority of the daily expectations for a Behavioral Mental Health Nurse. Prepare and administer prescribed medications and treatments. Evaluate the effectiveness of the treatment/medication on target symptoms and document the findings. Monitor and advocate for both re-evaluations of medications and associated labs. Assist or perform blood draws and injections. Assist prescribers with patient appointments, including obtaining vital signs, medical history, and new orders. Assess Residential clients for any injuries or illnesses. Assist interdisciplinary team in patient's plan of care. Manage adequate inventory of medication, first-aid supplies, lab supplies, etc. Provide for any urgent medical/psychiatric concerns, arrange for transportation and/or emergency services, if necessary, provide first aid and monitor vital signs. What You Bring To The Table Minimum qualifications include a corresponding degree with a current Ohio LPN license in good standing. Preferred qualifications include a corresponding degree with a current Ohio RN license in good standing. 1 year of experience in a related field, and at least 1 year of experience working with youth preferred. Experience with an understanding of various mental health diagnoses. Must be at least 18 years of age. Have a valid driver's license and good driving record with no more than 5 points and current automobile insurance with ability to drive a 15-passenger van. Good written and verbal skills. Good analytical, problem-solving skills, and the ability to remain calm and professional in crisis situation. NewPath Child & Family Solutions, an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law . If you are unable to apply online due to a disability or have a special need that requires accommodation, please let us know by contacting Human Resources at *********************. ** A clean criminal background check is required.
    $41k-56k yearly est. 8d ago
  • Nurse - Day Shift

    Sisters of Notre Dame de Namur 3.7company rating

    Utilization review nurse job in Cincinnati, OH

    Full-time Description Are you called to serve others through compassionate nursing care? Sisters of Notre Dame de Namur is a long-term care residence for Sisters who have dedicated their lives to serving God. We are dedicated to providing compassionate, high-quality care to our Sisters in a faith-based environment. Our mission is to extend God's goodness through service. We are seeking a compassionate and reliable Full-Time 3rd Shift Nurse (RN or LPN) to join our healthcare team in our 80-bed, five-star facility. This vital role involves providing high-quality, personalized care to our Sisters, ensuring their comfort, safety, and well-being. This is more than a job; it's an opportunity to make a meaningful difference in the lives of our Sisters. This full-time role is scheduled for 32 hours per week and operates on a 6:00 a.m. - 2:30 p.m. shift, including rotating weekends and holidays. Applicants must be willing and able to commit to this schedule in order to be considered. Requirements Responsibilities: Provide hands-on nursing care and assist in implementing individualized care plans for residents. Administer medications and treatments in accordance with physician orders and facility policies. Monitor Sisters conditions and promptly report changes to the supervising RN and physician. Supervise and support STNAs, ensuring quality care and teamwork. Communicate effectively team members. Uphold our mission and values through compassionate, faith-based service. Qualifications: Current and valid Licensed Practical Nurse (LPN) license in the State of Ohio. Previous experience in long term care or geriatric nursing preferred. Strong leadership, communication, and organizational skills. Commitment to serving Sisters with kindness, respect, and integrity. Why Work for Sisters of Notre Dame de Namur Low ratios, allowing our nurses to provide attentive, and individualized care Meaningful work in a supportive, mission-driven environment Competitive pay and benefits package Employer paid Life insurance, Short- and Long-Term Disability Employee Assistance Program (EAP) Eleven (11) paid holidays and double time for holidays worked Generous Paid Time Off Bank Defined contribution retirement plan Annual Performance Reviews with cost-of-living consideration Training and growth opportunities Opportunity to make a difference in the daily lives of our Sisters Complimentary meal per shift If you are passionate about nursing and feel called to serve in a community that honors both faith and care, we invite you to apply today.
    $46k-60k yearly est. 7d ago
  • Wellness Nurse, (LPN)

    Artis Senior Living 3.5company rating

    Utilization review nurse job in Mason, OH

    * Starting pay is $29 / hour! * This is a full time position offering a 12 hour shift schedule, 7pm-7am! Every other weekend is required! The Wellness Nurse (LPN) will provide clinical monitoring and support for residents with Alzheimer's/Dementia. Ensures that all restorative, support and preventative measures are met in accordance with applicable state laws and regulations. Experience with Alzheimer's/Dementia or behavioral health conditions, and a willingness to work with the elderly population is essential for this role. Working at Artis Senior Living, you'll play an integral role on a dynamic team helping people living with dementia achieve the essential human needs of purpose, belonging and joy by building a bridge between their lifelong identity and present daily life - we call this act of service "Honoring Yesterday & Celebrating Today." We like to think that Artis associates are the most thoughtful people on the planet, so in return - they deserve to feel safe, supported, and inspired to grow. We truly look forward to you being part of the Artis family! We are proud to be a Great Place to Work Certified company. The Wellness Nurse (LPN) will: * Take an active role in resident assessments, development of service plans, and daily care. * Oversee and implement the self-administered medication management program for residents. * Administer medication and/or treatment to residents in accordance with physician orders. * Document and report care provided and resident observations including unusual or significant changes in physical, mental, or behavioral conditions. * Provide emotional support, physical comfort and ensure ongoing safety of residents. * Supervise Care Partners and Home Health Aides in providing resident care in accordance with State, Federal and Artis guidelines. * Ensure residents receive the highest quality of service in a caring and compassionate atmosphere which recognizes their individual needs and rights. * Assist in the marketing of the community by touring and participating in public relation events; establishing relationships with potential resident referral sources. * Assist with resident move-ins and relocations, help residents acclimate to their new surroundings and community personnel. * Performs other duties as required. Education Requirements: * Must possess current Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) designation as granted by State Board of Nursing. * Fulfill and maintain continuing education credits as required by state. * Experience in rehabilitative or geriatric nursing is preferred.
    $29 hourly 14d ago
  • Weekend Nurse

    RHWM020

    Utilization review nurse job in Cincinnati, OH

    Benefits/Perks A competitive salary Flexible Schedules Casual Dress-code Fun, wellness-focused work environment Company OverviewRestore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America. Job SummaryDo you have a passion for nursing but are tired of the hectic, high-stress environment of a clinic or ER? This is your chance to take your career in an exciting, new direction. Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. We're the antithesis of a traditional medical office or clinic, offering innovative wellness services in a fun, comfortable environment. Our nurses have described working for Restore as “the most fun you can have at a nursing job while still helping people in a meaningful way.” This is your opportunity to take an active role in assisting individuals on their health and wellness journey and leading a team of nurses to support the Restore mission. Responsibilities Medical Operations & Clinical Duties Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. Administer Hyperbaric Oxygen Therapy sessions. Utilize blood test offerings to help clients optimize their wellness. Promote memberships and medical services based on client needs. Document client visits via electronic medical records. Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers. Communicate to the medical compliance team any issues or adverse effects clients experience. Provide therapeutic communication along with exceptional customer service Assist staff with store services. Assist with off-site nursing events and special projects. This position reports to the Lead Nurse. Maintain a safe and clean working environment. Qualifications You're a licensed Registered Nurse (RN). You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). You are BLS (Basic Life Support) certified You have at least one year of experience administering injections. You're comfortable using electronic medical records to document client details. You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele. Your verbal and written communication skills are on point. You value ethics and integrity. You embrace a team environment and also excel at working independently. You're willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance. Restore Hyper Wellness is the award-winning industry leader and creator of an innovative new category of care-Hyper Wellness . Restore delivers expert guidance and the most extensive array of cutting-edge modalities available under one roof. With over 100+ locations nationwide and a fast-growing retail footprint, Restore is making true health more accessible than ever before. Restore is one of America's fastest-growing companies right now, and for good reason. Inc. 5000 just named Restore the #1 hottest franchise in America, and #113th company in America. We are on a blazing mission to restore people's health and wellness so that they can do more of what they love every day. Our daily metric? How many people we helped that day. That's why it is paramount that we attract people who are as passionate about helping people as we are. Join us on our mission to help people feel better so they can do more of what they love. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Restore Hyper Wellness.
    $40k-65k yearly est. Auto-Apply 60d+ ago
  • HEDIS Nurse

    Confident Staff Solutions

    Utilization review nurse job in Cincinnati, OH

    Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we will connect you with hiring recruiters looking to hire for the upcoming HEDIS season. HEDIS Course: Includes - Medical Terminology - Introduction to HEDIS - HEDIS Measures (CBP, LSC, CDC, BPM, CIS, IMA, CCS, PPC, etc) - Interview Tips September 05, 2025 Self-Paced Course HEDIS Enrollment - Confident Staff Solutions
    $40k-65k yearly est. 60d+ ago
  • 4 Nurses (RN/LPN)

    Provider Home Health Care

    Utilization review nurse job in Cincinnati, OH

    Job DescriptionBenefits: Flexible schedule Opportunity for advancement Wellness resources Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summary We are seeking nurses Registered Nurses/ LPNs to join our team. In this role, you will primarily be creating and managing a plan of care for individual patients. You are a Nurse who operates with great attention to detail and a big heart. You take pride in creating personalized care plans for patients and are able to observe and communicate effectively in your patient's best interest. To succeed, you should have demonstrated knowledge and skill in current nursing practices as well as a strong penchant for solving problems. Responsibilities Coordinate with other colleagues to assess, plan, implement, or evaluate patient care plans Administer medications and monitor patients for side effects or reactions Document any changes in patient conditions and report on changes Maintain accurate records of patient care and discuss observations with the supervisor Qualifications Currently licensed Registered Nurse (RN) in state of employment Previous experience as a Registered Nurse is preferred Excellent interpersonal and client care skills Valid drivers license First aid/CPR certification required
    $40k-65k yearly est. 10d ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in Cincinnati, OH?

The average utilization review nurse in Cincinnati, OH earns between $49,000 and $87,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in Cincinnati, OH

$65,000

What are the biggest employers of Utilization Review Nurses in Cincinnati, OH?

The biggest employers of Utilization Review Nurses in Cincinnati, OH are:
  1. Pharmacy
  2. Molina Healthcare
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