Top 132 Rn clinical supervisor Jobs in Columbus

Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
6d
RN - Clinical Program Coordinator
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- Mid-level
7d
Nurse Manager
Mount Carmel Behavioral Health —Columbus, OH
- $43.94 - $68.10 an hour
- Full-time
- Acute care
- CPR Certification
- Nursing
4d
RN
Nationwide Children's Hospital —Westerville, OH
- Full-time
- Nursing
- RN License
- BLS Certification
7d
RN Clinical Leader - Surgery Clinic
Nationwide Children's Hospital —Columbus, OH
- $43.71 an hour
- Full-time
- Nursing
- Surgery
- RN License
11h
Clinical Manager-Day Shift-Workhealth Grove city
OhioHealth —Grove City, OH
- Full-time
- Nursing
- RN License
- Hospital
Nurse 1 (Registered Nurse)
State of Ohio - Rehabilitation & Correction - Pickaway Correctional Institution —Orient, OH
- $95,000 a year
- Online Application
- Nursing
- Vital signs
- RN License
- Paid holidays
- Health insurance
Ambulatory RN- Adolescent Med Clinic
Nationwide Children's Hospital —Columbus, OH
- 8 hour shift
- Nursing
- RN License
- BLS Certification
11d
Registered Nurse (RN) Supervisor
Solero Behavioral Transitions - Columbus —Pickerington, OH
- Full-time
- Nursing
- Addiction Medicine
- RN License
- Paid holidays
- Disability insurance
Quick Apply
RN Coordinator, Fetal Center
Nationwide Children's Hospital —Columbus, OH
- 8 hour shift
- Nursing
- RN License
- Customer service
RN Clinical Leader - Psychiatric Crisis Department (Evenings)
Nationwide Children's Hospital —Columbus, OH
- $43.71 an hour
- Part-time
- Nursing
- Psychiatry
- RN License
Employee Health RN - Employee Health Services - Contingent
Nationwide Children's Hospital —Columbus, OH
- Part-time
- CPR Certification
- Nursing
- Current TB test
Registered Nurse (RN) On Call 7 days on and 7 days off Quick Response
Bella Care Hospice —Columbus, OH
- $75,000 - $85,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,940 per week in Columbus, OH
TravelNurseSource —Columbus, OH
- $1,940 a week
- 12 hour shift
- RN License
- Mid-level
- Critical & Intensive Care
7d
X-Ray Tech - ORN BOSM Float
SCA Health —Dublin, OH
- $27 - $33 an hour
- Full-time
- BLS Certification
- High school diploma or GED
- Operating room
- Continuing education credits
- Disability insurance
Clinical Nurse Mgr
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- Hospital
OR Clinical RN- Surgery (Contingent)
Nationwide Children's Hospital —Columbus, OH
- Part-time
- CPR Certification
- Nursing
- Surgery
12d
Director of Nursing
Trueman Pointe Care Center —Hilliard, OH
- Full-time
- Nursing
- RN License
- Computer literacy
- Disability insurance
- Health insurance
Quick Apply
8d
Ambulatory RN - Dermatology (36 hours per week)
Nationwide Children's Hospital —Columbus, OH
- Part-time
- Nursing
- RN License
- BLS Certification
Linden Primary Care Center - Ambulatory Staff RN
Nationwide Children's Hospital —Columbus, OH
- Part-time
- Nursing
- RN License
- BLS Certification
5d

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Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)

State of Ohio - Medicaid -
Columbus, OH

Apply Now

Job Details

Full-time
$40.40 an hour
6 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance
Loan forgiveness
Life insurance

Qualifications

RN License
Customer inquiry handling

Full Job Description

What You Will Do At ODM:

Office: Legal Counsel

Bureau: Program Integrity

Classification: Medicaid Health Systems Administrator 1 RN (PN: 20092018)

Job Overview:

The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization of Medicaid services, detect fraud, waste and abuse and recover inappropriate payments to providers. As a Clinical Review Nurse Supervisor your responsibilities will include:

Helping to manage an over $ 7million/ year hospital utilization contract
Reviewing necessary medical record reviews and making a determination on hospital appeals.
Supervising and training RNs, Auditors, and Analysts in identifying fraud, waste, and abuse in the Medicaid program.
Participating/leading meetings with external stakeholders including law enforcement
Developing and implementing changes to processes and procedures as needed in a team environment
Evaluating provider clinical compliance with state and federal Program Integrity rules
Evaluating provider medical documentation and billing practices for fraud, waste and abuse
Recovering overpayments for medically unnecessary services via administrative procedures and/or referrals to health oversight agencies
Responding to provider clinical reconsideration (appeal) requests
Consulting on clinical matters with ODM policy units and other state agencies
Coordinating clinical Program Integrity efforts with ODM contractors and managed care plans
Presenting findings from clinical reviews of provider non-compliance
Responding to inquiries from the public, consumers, providers, and other agencies

Why Work for the State of Ohio

At 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.

Qualifications

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. in the delivery of a health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise; health services program communication; health services budget development, HMO & hospital rate development, health services eligibility, health services data base analysis); Current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code;

Or 12 months experience as Medicaid Health Systems Specialist, 65293, may be substituted for the experience required, but not for the mandated licensure.

Note: education & experience is to be commensurate with approved position description on file.

Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.

Technical Skills: Nursing

Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication

Supplemental Information

Supplemental Information:

Compensation is as listed on the posting unless required by legislation or union contract.

Must poses Current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code

This positions is overtime exempt.

Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.

Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.

ADA Statement

Ohio 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 Workplace

The 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.

Apply Now

Refine Your Search

rn clinical supervisor jobs in columbus

Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)

RN - Clinical Program Coordinator

Nurse Manager

RN

RN Clinical Leader - Surgery Clinic

Clinical Manager-Day Shift-Workhealth Grove city

Nurse 1 (Registered Nurse)

Ambulatory RN- Adolescent Med Clinic

Registered Nurse (RN) Supervisor

RN Coordinator, Fetal Center

RN Clinical Leader - Psychiatric Crisis Department (Evenings)

Employee Health RN - Employee Health Services - Contingent

Registered Nurse (RN) On Call 7 days on and 7 days off Quick Response

Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,940 per week in Columbus, OH

X-Ray Tech - ORN BOSM Float

Clinical Nurse Mgr

OR Clinical RN- Surgery (Contingent)

Director of Nursing

Ambulatory RN - Dermatology (36 hours per week)

Linden Primary Care Center - Ambulatory Staff RN

I want to receive the latest job alert for rn clinical supervisor in columbus

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