Utilization review nurse jobs in Ohio - 1,038 jobs

MedSurg/Tele travel nurse job in Euclid, OH - earn $2,158/week on a 13 week, Nights shift at a travel-friendly hospital with Advantis Medical. Looking for MedSurg/Tele 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 "MedSurg/Tele travel RN jobs near me", this opportunity could be the perfect fit. This travel assignment is perfect for nurses looking to be near Euclid, OH. Don't miss out-click "I'm Interested" to start your application and connect with an Advantis recruiter to explore more travel MedSurg/Tele nurse jobs near you. Job Details Facility: Euclid Hospital Location: Euclid, OH 44119 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 MedSurg/Tele 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 Euclid, OH Euclid, OH lines Lake Erie's shoreline with I-90/SR-2 carrying cross-town traffic and Euclid Creek Reservation tying neighborhoods to the water in Ohio . Travelers looking for travel RN jobs near me will find roles across community settings serving east-side suburbs. Demand for travel nursing jobs is bolstered by retail and services concentrated near the highway and lakefront corridors. Popular nearby options include Cleveland, Mentor, and Lakewood. When commutes and daily stops use the same spines, clinicians can plan weeks efficiently and still fit in a quick lakefront walk or park segment between shifts. FAQs - MedSurg/Tele Travel Nurse Jobs Near Euclid, OH Expand All Are there MedSurg/Tele travel nursing jobs near Euclid, Ohio? Yes! Advantis Medical frequently staffs MedSurg/Tele travel RN jobs in Euclid and nearby areas like Cleveland (44114), Lakewood (44107), Mentor (44060) and Parma (44129). This assignment offers $2,158 per week and is one of our top current opportunities. Is Euclid a good location for MedSurg/Tele travel nursing jobs? Yes. With competitive pay, career-boosting clinical environments, and great local lifestyle perks, Euclid is a top destination for MedSurg/Tele travel nurse jobs in Ohio. What are the certification requirements for this Med Surg/Tele travel nurse job? Most Med Surg/Tele travel nurse jobs require Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS). Click "I'm Interested" to connect with a recruiter who can confirm exactly what's needed for this role. Can I work as a travel nurse in Ohio with a compact nursing license? 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 Med Surg/Tele Jobs ⟶ Travel Nursing Job in Euclid, OH Weekly Pay: $2,158 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: Euclid, OH 44119 Explore the area! See our local guide and an interactive map further down this page. × Facility: Euclid Hospital Specialty: MedSurg/Tele Duration: 13 weeks Shift: Nights (3x12) I'm Interested Have a question? Call us at 214-305-6445

Pride Health is hiring RN → OR to support our client's medical facility based in Columbus, Ohio. This contract opportunity is a great way to start working with a top-tier healthcare organization! Required Qualifications Experience Minimum 2 years of Operating Room RN experience Prior travel experience required Strong circulate and scrub experience Skills Proficiency in general OR procedures Experience with robotic surgery (Da Vinci preferred) Oncology surgical experience strongly preferred Charting, EPIC experience required Certifications BLS (required) ACLS (preferred) CNOR (preferred) Licensure Valid compact or Ohio RN license in hand at time of submission Additional Information: Location: Columbus, Ohio Job Type: Contract Schedule: 3x12 Days Pay Range: $2800/weekly *Offered pay rate will be based on education, experience, and healthcare credentials. Pride Health provides a comprehensive benefits package, including medical, dental, and vision insurance, flexible spending accounts, company-paid life and long-term disability insurance, and optional supplemental life insurance for employees, spouses, and children. Additional perks include short-term disability, accident and critical illness coverage, identity theft protection, a 403b retirement plan, and tuition reimbursement of up to $4,000 annually for full-time employees. Interested? Apply now! About Pride Health Pride Health is Pride Global's healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010. As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty. Equal Employment Opportunity Statement As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

This position is for a Travel ICU Registered Nurse (RN) providing critical care to intensive care unit patients in Columbus, Ohio, working 12-hour night shifts over a 13-week assignment. Responsibilities include monitoring vital signs, supporting patients and families emotionally, and delivering high-level nursing care. The role offers weekly pay, benefits, and professional development opportunities through a specialized healthcare staffing organization. Care Career is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: ICU - Intensive Care Unit Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel ICU registered nurses (RNs) provide care to critical medical, surgical and traumatized patients. Close monitoring and observation of the patient's heart rate, blood pressure and respiration for signs of distress represent a primary function of and ICU nurse. They also educate patients and their families while providing emotional support. Care Career Job ID #. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN ICU About Care Career Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry. Wherever you want to go, We Make It Happen. With travel nursing jobs across the country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of. Care Career is a modern, transparent staffing firm creating the ultimate community of US. Benefits Referral bonus Weekly pay Medical benefits Continuing Education Dental benefits Vision benefits Keywords: Travel Nurse, ICU Nurse, Registered Nurse, Intensive Care Unit, Critical Care, Night Shift Nursing, Healthcare Staffing, Patient Monitoring, Medical Care, Nursing Job

This position is for a Travel Emergency Department Registered Nurse (RN) providing patient care in a fast-paced hospital emergency setting. The role requires at least 2 years of ED experience, active RN licensure, and certifications including BLS, ACLS, and PALS. It involves 12-hour shifts over a 13-week travel assignment with responsibilities such as triaging, emergency response, medication administration, and patient stabilization. Prime Staffing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Canton, Ohio. Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel About the Position Specialty: Registered Nurse - Emergency Department (ED) Experience: Minimum 2 years of recent ED experience required License: Active state or Compact RN License Certifications: BLS, ACLS, PALS - must include expiration dates Must-Have: All time-off requests must be submitted with the initial application Description: We are seeking a skilled Emergency Department RN to provide high-quality, efficient care in a fast-paced environment. Responsibilities include triaging patients, responding to emergencies, administering medications, and collaborating with the healthcare team to stabilize and treat critically ill or injured patients. This is a 12-hour shift role with rotating weekends, holidays, and call requirements. Candidates may be asked to float within the facility based on department needs. Onboarding typically takes 4-6 weeks. Requirements Required for Onboarding: • Active RN License • BLS, ACLS, PALS Prime Staffing Job ID #. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:ED,19:00:00-07:30:00 About Prime Staffing At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success. We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives. Keywords: travel nurse, emergency department RN, registered nurse, ED nursing, BLS certification, ACLS certification, PALS certification, patient triage, hospital nursing, critical care

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: Recent RN experience in an OR setting preferred. RNs without recent OR experience will need to apply to the OR RN Residency program, JR102260. Responsibilities And Duties: 30% Assessment/Diagnosis Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual. 30% Outcomes Identification/Planning Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs. 20% Implementation/Evaluation Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data. 10% Leadership Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance. 10% Operations The major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job. Associate is expected to all perform other duties as requested by supervisor. Minimum Qualifications: Associate's Degree (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: MINIMUM QUALIFICATIONS (BSN required at 5 years of employment) Current Registered Nurse license from the State of Ohio BLS certification Recent RN experience in an OR setting. RNs without recent experience in an OR setting will need to complete the OR RN Residency. Work Shift: Day Scheduled Weekly Hours : 40 Department Surgery - Bone and Joint Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Staff - Registered Nurse (RN) - Telemetry PCU - Progressive Care Unit - $32-42 per hour at Core Medical-Perm summary: This position involves providing specialized nursing care as a Registered Nurse in the Telemetry Progressive Care Unit (PCU) in Dayton, Ohio. The role requires 12-hour shifts, 36 hours per week, delivering high-quality patient monitoring and support within a progressive care setting. The job is a permanent staff opportunity offering career advancement and support through a leading healthcare staffing agency. Core Medical-Perm is seeking a Registered Nurse (RN) Telemetry PCU - Progressive Care Unit for a nursing job in Dayton, Ohio. Job Description & Requirements Specialty: Telemetry PCU - Progressive Care Unit Discipline: RN Start Date: Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type: Staff We are looking for a healthcare professional who is ready to provide exceptional patient care in this permanent position. This is an excellent opportunity to expand your healthcare career and take the next step in your professional journey. CoreMedical Group is a nationally recognized leader in the medical recruitment and employment industry. Core will provide you with dedicated, personalized support from a recruiter who understands your needs and healthcare industry trends. Our services will connect you with open positions like this one nationwide. Working with a CoreMedical Group recruiter is free and confidential. You'll get access to: Extensive healthcare industry expertise that will help you map out your career Resume edits and formatting to make sure you put your best foot forward when applying Interview scheduling and coaching to help you win the job Support during difficult conversations, including help with pay negotiations Streamlined communication and feedback from the hiring manager Advice and support for relocation requirements CoreMedical Group also offers you the opportunity to earn a free, all-inclusive vacation each year as our way of saying "thank you" for your hard work. Join other healthcare professionals on the annual Club Coremed retreat and you'll see why candidates choose to work with us to expand their careers. Your career is too valuable to tackle on your own. Let CoreMedical Group help you with your healthcare journey! Core Medical Direct Job ID #994214. Posted job title: RN About Core Medical-Perm CoreMedical Group is one of the largest healthcare staffing agencies in the country. We have jobs nationwide in travel nursing, travel allied health, interim, locum tenens, and permanent placements! Join the staffing agency with Club CoreMed, the best perk in the industry - an all inclusive paid trip to a tropical resort! Keywords: Registered Nurse, Telemetry, Progressive Care Unit, Patient Care, Healthcare Staffing, Medical Nursing, Clinical Nursing, Health Care Services, Hospital Nursing, Staff Nurse

The role is for a Registered Nurse (RN) specializing in palliative care, providing in-home and telephonic care coordination, patient education, and assessments for individuals with serious or life-limiting illnesses. The RN collaborates with an interdisciplinary team to ensure high-quality, patient-centered care, supporting comfort and quality of life in various settings such as private homes and skilled nursing facilities. This field-based position requires a licensed RN with clinical experience and offers comprehensive benefits including medical coverage, continuing education, and career advancement opportunities. Gentiva is seeking a Registered Nurse (RN) Palliative for a nursing job in Dayton, Ohio. Job Description & Requirements Specialty: Palliative Discipline: RN Duration: Ongoing Employment Type: Staff Overview: We are seeking a compassionate and experienced Registered Nurse (RN) to join our Advanced Illness Management (AIM) Palliative Care Team. This is a field-based position that provides in-person and telephonic care coordination, education, and assessments to patients with serious or life-limiting illnesses. The AIM Palliative RN will collaborate with an interdisciplinary team including Nurse Practitioners, Social Workers, and Primary Care Providers. This role ensures high-quality, patient-centered care and supports comfort, dignity, and quality of life for patients in private homes, assisted living communities, and skilled nursing facilities. Key Responsibilities: Conduct in-home and telephonic nursing assessments and screenings for palliative care patients Complete risk stratification assessments and determine frequency of visits based on patient needs Deliver patient and family education on disease progression, medications, nutrition, and end-of-life care Collaborate with NPs and PCPs to identify changes in patient condition and escalate care appropriately Coordinate care transitions and facilitate hospice referrals when needed Accurately document clinical findings, assessments, care plans, and education in the Electronic Medical Record (EMR) Support the development and regular updates of individualized Palliative Care Plans Communicate lab results, order DME, and manage prescriptions in accordance with state RN scope of practice Participate in rotating on-call coverage for evenings and weekends Foster strong communication and collaboration across the care team, including social work and case management Ensure adherence to all HIPAA, compliance, ethical, and professional standards About You: Required Qualifications: Active and unrestricted Registered Nurse (RN) license with no board actions Minimum 2 years of clinical RN experience, preferably in skilled nursing, home health, palliative care, hospice, geriatrics, or oncology Demonstrated ability to provide quality care in high-empathy environments Proficiency in Microsoft Outlook, Word, Excel, and electronic medical records Exceptional communication, time management, and critical thinking skills Keen observation skills with the ability to identify changes in condition and escalate appropriately Comfortable working independently in the field and within interdisciplinary care models Valid driver's license and reliable transportation (field-based role) Preferred Experience: Previous experience in palliative care, hospice, or oncology nursing Familiarity with risk stratification, symptom management, and home-based care planning Experience working in or with assisted living and skilled nursing facilities We Offer: Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Legalese: This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace Compensation may vary within the salary range provided based on several factors including but not limited to a candidate's location, experience, education, skills, licensure, certifications and department equity. Gentiva provides associates with a comprehensive benefits and total rewards package, of which base pay is just one piece. Salary Range - $66,890-$78,645 Location: Illumia Our Company: At Illumia, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us - from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized - and kindness is celebrated. Gentiva Job ID #. Posted job title: Palliative Care RN - Palliative Care About Gentiva Gentiva is a family of industry-leading hospice, palliative, and home health providers that are passionate about caring for others. With more than 550 locations and thousands of compassionate clinicians across 38 states, our place is by the side of those who need us - from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Gentiva's corporate headquarters is in Atlanta, Georgia, with providers delivering care across the U.S. Benefits Continuing Education Medical benefits 401k retirement plan Vision benefits Discount program Pet insurance Holiday Pay Wellness and fitness programs Mileage reimbursement Dental benefits Employee assistance programs Life insurance Keywords: Registered Nurse, Palliative Care, Hospice Nursing, Home Health Care, Patient Education, Care Coordination, Advanced Illness Management, Clinical Assessments, Telephonic Nursing, RN License

**Virtual:** 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. _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._ **Schedule:** **9:30am-6:00pm local time,** **with rotating weekends.** **New Grads are encouraged to apply!** The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. + Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits. + Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners with more senior colleagues to complete non-routine reviews. + Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request to assess assessing the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment. **How you will make an impact:** + Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. + Conducts initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. + Follows-up to obtain additional clinical information. + Ensures proper documentation, provider communication, and telephone service per department standards and performance metrics. **Minimum Requirements:** + AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background. + Current unrestricted RN license in applicable state(s) required. **Preferred Skills, Capabilities, and Experiences :** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans strongly preferred. + BA/BS degree preferred. + Previous utilization and/or quality management and/or call center experience preferred. + Knowledge in Microsoft office. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $33.12/hr - $56.77/hr Locations: New York, New Jersey, Washington, Nevada, Maryland, Massachusetts, Illinois, District of Columbia 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.

GHR Healthcare - Travel Division is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Chardon, Ohio. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN 36 hours per week Shift: 12 hours Employment Type: Travel GHR Healthcare - Travel Division Job ID #. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About GHR Healthcare - Travel Division For over 30 years, GHR Healthcare has been the bridge between healthcare professionals and the facilities that need them nationwide. We're committed to uncovering your ideal fit, supported by GHR's dedication to competitive compensation, transparent communication, and a devoted team that genuinely cares about your career journey. You can trust us to stand by your side as your advocate, confidante, and partner in advancing your career. At GHR, care and consideration are at the heart of everything we do. Visit ghrhealthcare.com to learn more.

**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. 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. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

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! Job Description Daily Responsibilities: Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting Applies clinical knowledge to work with facilities and providers for care coordination Works with medical directors in interpreting appropriateness of care and accurate claims payment May also manage appeals for services denied Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract Facilitates member care transition through the healthcare continuum Refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications Hours for this Position: Monday-Friday (40 hours/week) Advantages of this Opportunity: Competitive salary, negotiable based on experience Benefits offered, Medical, Dental, and Vision Fun and positive work environment Weekly deposit options Qualifications Requirements: Must have clear and active RN license in the state of OH AS/BS in Nursing Experience in acute clinical care Experience with medical record review/utilization review/utilization management Additional Information Are you an experienced Registered Nurse with Utilization review experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Interested in hearing more about this great opportunity? Please click apply or call Amanda Hammer at 407-636-7030 ext.201 for additional details.

RN Case Management / Utilization Review Status: Full-Time Shift: Day shift- Monday through Friday The RN Case Management/Utilization Review role supports Adena's integrated Case Management Program, combining utilization review, discharge planning, and resource management. This position ensures patients receive care in the most appropriate setting based on clinical assessment, medical necessity, and efficient use of resources. The role collaborates with the interdisciplinary team to improve quality outcomes, manage length of stay, and reduce unnecessary costs. Required Qualifications Current Ohio RN license Bachelor's Degree in Nursing (BSN) 3-5 years acute hospital nursing experience Case Management Certification (CCMC) required within 3 years of hire Preferred Qualifications 3-5 years acute hospital case management experience Utilization review experience Knowledge of payer and regulatory guidelines Outstanding Benefits Package: Low-Deductible Health Plans - Quality coverage with affordable costs. Pet Insurance - Because your furry family members deserve care too. Public Service Loan Forgiveness (PSLF) Eligibility - Helping you work toward a debt-free future. Work with purpose - help patients and families during their most vulnerable times Collaborative team - be part of a multidisciplinary group that values your voice Supportive culture - compassion, respect, and dignity drive everything we do Ready to bring hope, healing, and support to those who need it most? Apply today and become a trusted resource in your community.

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

Core Medical Group is seeking a travel nurse RN Other for a travel nursing job in Chillicothe, Ohio. Job Description & Requirements Specialty: Other Discipline: RN 36 hours per week Shift: 12 hours Employment Type: Travel Client in OH seeking Registered Nurse: Acute Care for the following shift(s): Nights We are looking for a healthcare professional who is ready to provide exceptional patient care in this contract/travel role. Contract/travel assignments are typically 13 weeks, with potential to extend. Help us continue our mission to connect people, improve lives, and give back to the community by joining the CoreMedical Group team. When you work with CoreMedical Group, we put you first and treat you like family, supporting you every step of the way. CoreMedical Group is one of the largest healthcare staffing agencies in the country, with travel and contract positions located across the United States. Our recruiters will help you find the perfect job, whether it's across the country or across the street. In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive: Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more! Weekly paychecks with competitive pay packages Matching 401(k) benefits to help you save for retirement Licensure assistance and reimbursement to set you up for success on your contract Travel reimbursement and dedicated housing support while on assignment Referral cash bonuses when you connect us with other clinicians CoreMedical Group also offers you a free, all-inclusive vacation each year as our way of saying "thank you" for your hard work. Join other healthcare professionals on the annual Club CoreMed retreat and you'll see why our contract and travel professionals come back to us year after year! Your career is too valuable to tackle on your own. Let CoreMedical Group help you with your healthcare journey! *Estimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company. Any benefits (medical/dental/vision) are in addition to the weekly pay. Please speak with your Recruiter for additional details. Estimated payments are subject to change until formal offer of assignment is made and accepted. Core Medical Group Job ID #. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN About Core Medical Group CoreMedical Group is one of the largest healthcare staffing agencies in the country. We have jobs nationwide in travel nursing, travel allied health, interim, locum tenens, and permanent placements! Join the staffing agency with Club CoreMed, the best perk in the industry - an all inclusive paid trip to a tropical resort! Benefits Weekly pay Holiday Pay Guaranteed Hours Continuing Education 401k retirement plan Pet insurance Company provided housing options Sick pay Wellness and fitness programs Mileage reimbursement Referral bonus Employee assistance programs Medical benefits Dental benefits Vision benefits Benefits start day 1 License and certification reimbursement Life insurance Discount program

Immunization Nurse Consultant - 20013627 (250007Y4) Organization: HealthAgency Contact Name and Information: Ryan F. Candidates chosen for an interview will be contacted directly.Unposting Date: OngoingWork Location: Health Department Building 246 North High Street 1st Floor Columbus 43215Primary Location: United States of America-OHIO-Franklin County Compensation: $31.74Schedule: Full-time Work Hours: M-F, 8a-5pClassified Indicator: ClassifiedUnion: 1199 Primary Job Skill: NursingTechnical Skills: Learning and Development, Public Relations, TrainingProfessional Skills: Adaptability, Managing Meetings, Verbal Communication Agency OverviewImmunization Nurse Consultant (Public Health Nurse Specialist) About Us: Our mission at the Ohio Department of Health (ODH) is advancing the health and well-being of all Ohioans. Our agency is committed to building a modern, vibrant public health system that creates the conditions where all Ohioans flourish.The goal of the Bureau of Infectious Diseases (BID) is to prevent and control the spread of infectious diseases (e.g., foodborne outbreaks, general infectious diseases, healthcare-associated infections, influenza, meningitis, tuberculosis, vaccine-preventable diseases, waterborne outbreaks, zoonotic diseases and vector-borne diseases).The bureau works closely with local health departments (LHDs), healthcare providers and laboratories to ensure that infectious disease reports are reviewed and investigated timely; the program provides technical expertise and coordination to LHDs, healthcare providers, laboratories and where appropriate, the general public.Job DutiesWhat You'll Do:The Bureau of Infectious Diseases is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases. This position will monitor & evaluate implementation of Get Vaccinated subgrants including review of local grant applications. Additional job duties may include:Write & assure accomplishment of CDC grant objectives related to immunization education interventions.Participate in immunization program phone duty responding to calls from providers & general public on immunizations, vaccine-preventable diseases, Vaccine for Children (VFC) issues & storage & handling guidelines.Ensure adherence to all applicable state & federal rules, regulations, laws, agency policies, procedures & protocols for immunization & vaccine preventable disease control educational program.Collaborate with other state &/or local agencies, educational institutions & advocacy organizations to develop & present coordinated educational activities, programs for health professionals & the general public.Research & identify ODH resources (e.g., ODH publications, employees with expertise on vaccine- preventable disease prevention & control) available to assist agencies in dealing with vaccine- preventable diseases.Training and development required to remain in the classification after employment: Biennial renewal of license to practice as registered nurse.Unusual working conditions: Travels overnight; exposed to unpredictable patient behavior.Normal working hours are Monday through Friday, 8:00am to 5:00pm. This is an hourly position, with a pay range of 12 on the Ohio Health Care SEIU/1199 Pay Range Schedule.Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsCurrent & valid license to practice professional nursing as Registered Nurse (i.e., R.N.) in Ohio as issued by Board of Nursing pursuant to Section 4723.03 of Revised Code AND 6 mos. trg. or 6 mos. exp. in nursing; must be able to provide own transportation. OREquivalent of Minimum Class Qualifications for Employment noted above may be substituted for the education & experience required, but not for the mandated licensure. Job Skills: NursingTechnical Skills: Learning and Development, Public Relations, TrainingProfessional Skills: Adaptability, Managing Meetings, Verbal Communication*Applications of those who meet the minimum qualifications will be further evaluated against the following criteria:Bachelor's or advanced degree in nursing.12 months experience working as a nurse in a clinical setting, public health or community health setting.Experience working with vaccinations or in the vaccine field. Experience with computer software (e.g., Word, Excel, PowerPoint, TEAMS). Experience presenting, training, and/or public speaking.Experience in writing and implementing grants.Experience working on a committee or facilitating a group.Experience in analyzing health related data to produce reports.Experience working with healthcare providers and local health departments. Experience collecting health related data and information from studies, investigations, or reports.All eligible applications shall be reviewed considering the following criteria: qualifications, experience, education, active disciplinary record, and work record. Supplemental InformationSupplemental InformationAll answers to the supplemental questions must be supported by the work experience/education provided on your civil service application.Application Procedures:All applicants must submit a completed Ohio Civil Service Application using the TALEO System. Paper applications will not be considered. Applicants must clearly indicate how they meet the minimum qualifications and/or position specific minimum qualifications. Applicants are also encouraged to document any experience, education and/or training related to the job duties above. An assessment of these criteria may be conducted to determine the applicants who are interviewed.Status of Posted Position:You can check the status of your application online by signing into your profile. Jobs you applied for will be listed. The application status is shown to the right of the position title and application submission details.Background Check Information:The final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration. ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

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 ************ *******************

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.

Job Description Responsible for interacting with low stratification members via phone calls, coordinating care, completing, reviewing, and updating assessments and care plans that address problems, goals, and interventions. Based on assessments and claims data creates a care plan for members to follow 70% Participate as a member of the Care Team during Interdisciplinary Team meetings to discuss the members health care needs, barriers to care and explore better outcomes for the member 20% Identify and link members with health plan benefits and community resources 5% Perform administrative work to maintain skills needed for job duties 5% 5% Experience: Required: 2 years LPN Nursing exp, preferred 3 + years experience. Regular and reliable attendance Familiar with community resources & services Strong organizational skills Works independently. Maintains professional relationships with the members we serve as well as colleagues. Communicates effectively and professionally verbally and in writing. Proficient with computer systems Knowledgeable in Microsoft Office Software Excellent customer service skills Has a dedicated home work space Position Summary: Looking for Columbus OH and immediate surrounding counties. The Care Manager Specialist is a member of the Care Team. The Care Manager Specialist is responsible for the care management of members that are enrolled in the Dual Special Needs Plan. These members are usually stratified as low medium stratification, or those with Social Determents of Care needs. The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the members health outcomes, address social determinants of health and connect members with community-based organizations. The Care Manager will assess members needs as well as gaps in care, communicate with the members Primary Care Provider (PCP), maintain updated individualized care plans, and participate in Interdisciplinary team meetings. Care Managers will be able to identify members whose needs require clinician involvement and transition members appropriately. Complete health screening questionnaires, assessments which may be market specific. Support reduction of population of unable to reach members by telephone and in -person visits. Ensure member has filled/received their medication(s) and has an understanding on how to take their ordered medications. Manage caseload of members with current stratification of monitoring, low and medium or those with high social determinants of care needs- frequency /contract guidelines Provides clinical assistance to determine appropriate services and supports due to members health needs (including but not limited to: Prior Authorizations, Coordination with PCP and Specialty providers, Condition Management information and education, Medication management, Community Resources and supports) Evaluation of health and social indicators Identifies and engages barriers to achieving optimal member health. Uses discretion to apply strategies to reduce member risk. Presents cases at case conferences for multidisciplinary focus to benefit overall member management. Facilitates overall care coordination with the care team to ensure member achieves optimal wellness within the confines of the members condition(s) and abilities to self-manage. Coordinates resources, assists with securing DME, and helps to ensure timely physician follow-up. Understands Payer/Plan benefits, policies, procedures, and can articulate them effectively to providers, members, and other key personnel. Updates the Care Plan for any change in condition or behavioral health status. Provide support to members in transitions of care Education: HS or equivalent, must be licensed LPN. What Days & Hours will the Person Work in this Position List Training Hours, if Different. M-F 8-5

Job Description NCA is in search of an experienced Field Nurse Case Manager based near the following locations: San Francisco, CA San Jose, CA Modesto, CA Los Angeles, CA Portland, OR Las Vegas, NV Phoenix, AZ This position will be responsible for regional case management services responsive to special needs and elder client care and quality of life challenges. This position requires collaboration with the primary family caregivers, attorneys, financial planners and trustees that are also serving the client. Requirements Bachelor of Science in Nursing (BSN) required, CCM or CRRN preferred Minimum of 5 years clinical Nursing experience - experience in field case management or workers' compensation case management, preferred Experience with third-party benefits - health insurance, Medicaid, Social Security, Developmental Disability services Excellent communication skills - written and verbal Highly motivated self-starter comfortable working in a virtual company/office, with solid time management and organization skills Proficient in using MacOS and a variety of related software applications (including MS Office) Strong ability to quickly learn and adapt to new technologies and tools in a Mac environment Proven ability to collaborate as necessary to accomplish goals and work through conflicts Ability to research and develop solutions to challenges presented by the client Excellent customer service skills Overnight travel required regionally 1-2 times per month and occasional nationwide travel Willingness to meet timely documentation requirements This is a salaried position with competitive pay, excellent benefits, and a flexible work from home schedule.