- Humana (Columbus, OH)
- …skills to make an impact** **Required Qualifications** + **Must reside in Ohio** + Licensed Registered Nurse ( RN ) in the state of Ohio without restrictions + ... organization focused on continuously improving consumer experiences **Preferred Qualifications** + Case Management Certification (CCM) + Experience working with… more
- Sharecare, Inc. (Columbus, OH)
- …and delivery of Sharecare's Advocacy program by providing high quality telephonic/digital Case Management and/or condition management in a virtual ... clinical analytics and clinical team to identify at risk members and provide Complex Case Management and strategies for health self- management through the… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …by collaborating with members of the interdisciplinary team. The primary role of the Float Pool Registered Nurse ( RN ) is to provide back -up coverage for the ... Virtual: This is not a virtual position. Functional Statement Title: Registered Nurse - Intermittent House Float Pool/CBSR-12481377-24-JD. Financial Disclosure… more
- Highmark Health (Columbus, OH)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... regulatory agency requirements and applicable standards of practice for case management including those published by CMSA...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Columbus, OH)
- …member to facilitate the member's overall wellness within a high-risk maternity case management program. The Case Manager RN is empowered to take care ... This position is for a Fertility Advocate- high-risk maternity case management team and experience with this... team and experience with this is required. The Case Manager RN is responsible for telephonically… more
- CVS Health (Columbus, OH)
- …be able to work occasional holiday on-call as needed **Preferred Qualifications:** + Compact RN licensure + Case management experience + Bilingual in Spanish ... and affordable. **Position Summary:** **This Case Manager RN position is a fully remote position....face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate… more
- CVS Health (Columbus, OH)
- …be able to work occasional holiday on-call as needed **Preferred Qualifications:** - Compact RN licensure - Case management experience - Bilingual in Spanish ... and affordable. **Position Summary:** This Case Manager RN position is a fully remote position....face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate… more
- CVS Health (Columbus, OH)
- …companies, and healthcare personnel as appropriate. + Implements and coordinates all case management activities relating to catastrophic cases and chronically ... with members/clients in their homes, worksites, or physician's office to provide ongoing case management services. + Assesses and analyzes injured, acute, or… more
- Humana (Columbus, OH)
- …Clinical Social Worker (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse ( RN ). + Minimum of 2 years of ... caring community and help us put health first** Combination remote work at home and onsite member facing. Must...post-degree clinical experience in a behavioral health setting. + Case management experience. + This role is… more
- Humana (Dublin, OH)
- …Clinical Social Worker (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse ( RN ). + Minimum of 2 years of ... post-degree clinical experience in a behavioral health setting. + Case management experience. + **Must reside in Ohio, preferably Southern Ohio.** + **Must have… more
- Prime Therapeutics (Columbus, OH)
- …oversight for this program is provided by the Manager, Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical ... every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision,...- Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State… more
- Highmark Health (Columbus, OH)
- …in a second language **LICENSES or CERTIFICATIONS** Required One of the following: + Registered Nurse ( RN ) + Licensed Professional Counselor (LPC) + Licensed ... **Job Description :** **JOB SUMMARY** This job provides telephonic case management services to members with mental...or requested. **EDUCATION** Required + High School Diploma/GED with RN license **OR** + Master's Degree if Licensed Behavioral… more
- Sedgwick (Columbus, OH)
- …While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful ... accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is… more
- Highmark Health (Columbus, OH)
- …provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. In addition, ... scope. The medical director will partner with the APP, RN and SW as needed to interact/ communicate with...the interdisciplinary team.Devote their best ability to the proper management of the program + Assure that the established… more
- AmeriHealth Caritas (Dublin, OH)
- …+ Current and unrestricted RN license in OH. + 3+ years of utilization/ case management experience in relevant scope preferred, one year required. + 3+ years ... **Utilization Management Plan Oversight Manager** Location: Dublin, OH Primary...healthy. **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time… more
- J&J Family of Companies (Columbus, OH)
- …Detection Scientist** located in Titusville, NJ; Raritan, NJ; Horsham, PA; OR High Wycombe, UK. Remote work options in the US or UK may be considered on a case ... of this position is to lead the implementation of the Signal Management Group's aggregate surveillance strategies for proactive and systematic detection and… more