Top 20 Rn clinical value analysis Jobs in Columbus

Clinical Quality Assurance Specialist, RN
Wider Circle —Columbus, OH
- $80,000 - $95,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Licensed Clinical Social Worker
- Health savings account
- AD&D insurance
Quick Apply
Field Case Manager - Vocational
Sedgwick —Dublin, OH
- Full-time
- Nursing
- RN License
- Mid-level
- Continuing education credits
- Health insurance
Clinical MDS and Care Coordination Manager
Life Enriching Communities —Reynoldsburg, OH
- Weekends as needed
- Skilled nursing facility
- RN License
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
6d
Electrophysiology Cardiac Device RN
Ohio State University Physicians —Columbus, OH
- $32.85 - $48.55 an hour
- Full-time
- Nursing
- Anatomy knowledge
- RN License
- Wellness program
- Paid holidays
1d
Clinical Nurse Manager - Ortho/Neuro Surgery -OR Experience Required-Full Time/Days/Grant Medical Center
OhioHealth —Columbus, OH
- Full-time
- Nursing
- Surgery
- RN License
Clinical Nurse Manager -Multi Specialty med/surg and Intermediate care unit-Day Shift -Grant Medical Center
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- Word processing
12d
Wellness Nurse-MC-PRN
Sunshine Retirement Living Llc —Gahanna, OH
- $30.00 - $30.50 an hour
- PRN
- Patient monitoring
- RN License
- English
Quick Apply
Administrative Nurse Manager Surgery/Endoscopy
OhioHealth —Dublin, OH
- Full-time
- Nursing
- Surgery
- RN License
Clinical Nurse Manager Neuro – Surgical Services,OR Experience Required/Riverside Methodist Hospital
OhioHealth —Columbus, OH
- Full-time
- Nursing
- Surgery
- RN License
Administrative Nurse Manager - Trauma Intermediate Care Unit
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- BLS Certification
13d
Clinical Nurse Mgr
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- Hospital
Administrative Nurse Manager - Emergency Department
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- BLS Certification
Clinical Nurse Manager
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- Hospital
Clinical Nurse Manager - Cardiac and Vascular Surgery -OR Experience Required (Riverside Methodist Hospital)
OhioHealth —Columbus, OH
- Full-time
- Nursing
- Surgery
- RN License
Pacu Clinical Nurse Mgr, Evening
OhioHealth —Columbus, OH
- Full-time
- Nursing
- Surgery
- RN License
Grant Medical Center - Emergency Department - Clinical Nurse Manger - Nights
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- BLS Certification
5d
Administrative Nurse Manager - ICU/CCU
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- BLS Certification
4d

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Clinical Quality Assurance Specialist, RN
Wider Circle —Columbus, OH
An active, unrestricted RN, NP, LPN, or LCSW license (a multi-state or compact license is preferred). You can pull, sort, and understand QA data on your own.
$80,000 - $95,000 a year
Quick Apply
Field Case Manager - Vocational
Sedgwick —Dublin, OH
Valid driver’s license required. RN licensure preferred; or graduate degree in health or human services field required with a one of the following…

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Clinical Quality Assurance Specialist, RN

Wider Circle -
Columbus, OH

Quick Apply

Job Details

Full-time
$80,000 - $95,000 a year

Benefits

Health savings account
AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Adoption assistance
Employee assistance program
Vision insurance

Qualifications

Clinical compliance checks
Medicare
Automation
Quality of care (regulatory compliance area)
Tooling
Slack
Care documentation
Schedule management
Health insurance knowledge
Medicare regulations
Clinical information systems
Patient care
Centers for Medicare & Medicaid Services (CMS) billing regulations
Document quality checks
Medicaid regulations
Medicaid
Clinical documentation improvement
AI-driven automation
Clinical documentation standards
Cross-functional collaboration
Clinical data analysis
Financial compliance
Quality assurance experience within healthcare

Full Job Description

About Wider Circle

Wider Circle is a mission-driven healthcare organization on a mission to improve health outcomes for older adults and people with complex health needs. We do this by addressing the social and clinical barriers that get in the way of good care. We partner with health plans and local organizations to help members find their way through the healthcare system, stay engaged in their care, and live healthier lives.

We are launching a permanent clinical program that brings together physicians, care advocates, and community support teams. Together, they will provide coordinated, human-centered care. We need a sharp, operations-minded RN to make sure every patient encounter is documented correctly, defensible, billable, and helpful to the patient's health.

About the Role

We are looking for a Quality Assurance Specialist, RN, to build and run our clinical Quality Assurance program. This is a hands-on role focused on operations — not a simple checklist job. You will review patient charts, design and run the QA schedule, and make sure documentation is clear and well-supported across the care team.

You will report to the Senior Director of Clinical Operations. You'll work closely with the Operations team, the Billing team, and the Training and Enablement Specialist to turn QA findings into action. This means finding patterns, fixing problems at their source, and putting corrective action plans in place.

Review clinical charts on a regular schedule for both new hires and current staff. Pull random samples and keep monthly QA records and audit documentation.
Ensure documentation and billing compliance. Every patient encounter should meet billing standards with clear clinical reasoning. Work with the Billing team to resolve unclear cases.
Report larger patterns and gaps to leadership, along with suggested fixes. Help prepare the team for new or changing standards.
Work across teams on QA findings: partner with Operations on workflow and automation fixes, with Billing on documentation and revenue issues, and with the Training and Enablement Specialist to close skill gaps through targeted training.
Build a clinical quality scoring system with clear standards for coaching and escalation. Add these scores to performance reviews so that reviews reflect the quality of care, not just productivity.
Own and grow the QA program overall — including tracking, scoring rules, adverse event reporting, grievance handling, and support for health plan audits.
Keep a clear line between clinical QA and billing QA, and manage the handoff between the two.

Why this Role Matters

Documentation quality is more than paperwork. It's the difference between a billable visit and a financial loss, between passing an audit and failing one, and between a care plan that holds up and one that doesn't. Most importantly, high-quality documentation helps our providers give better care by giving them a clear and reliable picture of each patient. In this role, you'll help set the standard for clinical quality at Wider Circle as we grow.

Requirements

What You Bring

An active, unrestricted RN, NP, LPN, or LCSW license (a multi-state or compact license is preferred)
At least 3 years of clinical experience, plus experience in operations or quality — ideally at a healthcare organization or a fast-growing healthcare startup
Hands-on experience reviewing charts for billing compliance. You know what a clean, well-written note looks like.
A strong understanding of documentation rules for Medicare, Medicaid, and value-based care. Knowledge of community health billing (CHI/PIN, CHW services) is a plus.
An operations mindset. You don't just spot problems — you build systems that prevent them. You think in terms of schedules, scoring systems, trackers, and automation.
A tech-forward attitude. You look for ways to use technology, automation, and AI to grow a quality program, and you pick up new tools quickly.
Openness to feedback. You give direct, honest feedback and welcome it in return. You see feedback as a tool for growth, not a threat.
A proactive, persistent attitude, with a strong drive to take action and solve problems.
Comfort working in a fast-changing, sometimes uncertain environment.
Strong project management and prioritization skills, along with close attention to detail.
Skill in data analysis. You can pull, sort, and understand QA data on your own.
Strong collaboration skills across teams. You do well working between Operations, Billing, Training, and frontline staff.
Comfort using technology, including EHR systems, Slack, Google Suite, and QA or audit tools

Benefits

Compensation & Benefits

The salary range for this role is $80,000–$95,000. Final offers are based on qualifications, experience, skillset, and geography. This role is also eligible for Wider Circle's full benefits package.

As a venture-backed company, Wider Circle offers competitive compensation, including:

Comprehensive health coverage, including medical, dental, and vision
401(k) Plan
Paid Time Off
Employee Assistance Program
Health Care FSA
Dependent Care FSA
Health Savings Account
Voluntary Disability Benefits
Basic Life and AD&D Insurance
Adoption Assistance Program
Training and Development

Quick Apply

Refine Your Search

rn clinical value analysis jobs in columbus

Clinical Quality Assurance Specialist, RN

Field Case Manager - Vocational

Clinical MDS and Care Coordination Manager

Electrophysiology Cardiac Device RN

Clinical Nurse Manager - Ortho/Neuro Surgery -OR Experience Required-Full Time/Days/Grant Medical Center

Clinical Nurse Manager -Multi Specialty med/surg and Intermediate care unit-Day Shift -Grant Medical Center

Wellness Nurse-MC-PRN

Administrative Nurse Manager Surgery/Endoscopy

Clinical Nurse Manager Neuro – Surgical Services,OR Experience Required/Riverside Methodist Hospital

Administrative Nurse Manager - Trauma Intermediate Care Unit

Clinical Nurse Mgr

Administrative Nurse Manager - Emergency Department

Clinical Nurse Manager

Clinical Nurse Manager - Cardiac and Vascular Surgery -OR Experience Required (Riverside Methodist Hospital)

Pacu Clinical Nurse Mgr, Evening

Grant Medical Center - Emergency Department - Clinical Nurse Manger - Nights

Administrative Nurse Manager - ICU/CCU

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