• Registered Nurse ( RN

    Crossroads Hospice & Palliative Care (Cincinnati, OH)
    …of those we serve. Together, we can create lasting impacts that transcend medical treatment. Registered Nurse RN Case Manager Qualifications: + 6 months ... coverage + Interest and ability in providing patient care in homes and facilities Registered Nurse RN Case Manager Benefits & Schedule: + Schedule:… more
    Crossroads Hospice & Palliative Care (03/20/25)
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  • Registered Nurse ( RN

    UC Health (Cincinnati, OH)
    Registered Nurse ( RN ) Case Management, Full-Time, First Shift, Care Management Services UC Health is hiring a full-time Registered Nurse ( RN ) ... department for the first shift at University of Cincinnati Medical Center. The Case Manager utilizes advanced nursing skills and knowledge of resource management and… more
    UC Health (03/04/25)
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  • Registered Nurse ( RN

    UC Health (Cincinnati, OH)
    …UCMC Department: Care Management Hours: Part-Time, 16 Hours/Week Shift: First, Work on Weekends Registered Nurse ( RN ) Case Management, Part-Time, WOW ... Shift, Care Management Services UC Health is hiring a part-time Registered Nurse ( RN ) Case Management for the Care Management Service's department for… more
    UC Health (02/07/25)
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  • Registered Nurse ( RN

    UC Health (Cincinnati, OH)
    UC Health is hiring a Full-time Registered Nurse ( RN ) Case Management Supervisor for the Care Management Service's department for first shifts at ... University of Cincinnati Medical Center. The Supervisor of RN Case Management is responsible for ensuring quality standards and provides guidance to ensure… more
    UC Health (03/04/25)
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  • Registered Nurse ( RN ) ED…

    UC Health (Cincinnati, OH)
    …Care Management Services Hours: Part-Time, 20 Hours/Week Shift: Second Shift Registered Nurse ( RN ) ED Case Manager, Second Shift, Care Management ... Services Department UC Health is hiring a part-time Registered Nurse ( RN ) ED Case Manager for the care management services department for second shift at… more
    UC Health (12/30/24)
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  • Registered Nurse ( RN

    Bon Secours Mercy Health (Fairfield, OH)
    …for screening, identification, and assessment of individuals in need of active Case Management services and promotes the right resources, at the right time ... Basic Life Support - American Heart Association (required) Current RN License in the state in which they are...which they are working or covered by compact Preferred: Case Management Certification (ACM, CCM, or ANCC) (preferred upon… more
    Bon Secours Mercy Health (01/29/25)
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  • Registered Nurse ( RN

    UC Health (Cincinnati, OH)
    …to providing an inclusive, equitable and diverse place of employment. The Case Manager utilizes advanced nursing skills and knowledge of resource management and ... discharge planning, care coordination, and clinical resource management. The Case Manager interacts with Medical, Nursing and Ancillary department staff… more
    UC Health (03/05/25)
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  • Hospice Registered Nurse

    Gentiva (Cincinnati, OH)
    …quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...need with dignity, grace, and love. **As a Hospice RN / RN Case Manager, you… more
    Gentiva (03/12/25)
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  • Case Manager RN - Field (Hamilton,…

    CVS Health (Cincinnati, OH)
    …paid holidays, and flexibility as you coordinate the care of your members. + Nurse Case Manager is responsible for telephonically and/or face to face assessing, ... EST. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This opportunity… more
    CVS Health (03/21/25)
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  • Clinical Appeals Nurse ( RN ): Texas…

    Molina Healthcare (Cincinnati, OH)
    …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... interpret these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Compact… more
    Molina Healthcare (02/09/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Cincinnati, OH)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional… more
    Molina Healthcare (01/25/25)
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  • Program Manager, HCS RN , LMSW, LMHC, LMFT,…

    Molina Healthcare (Cincinnati, OH)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... LMSW, LMHC, LMFT, or LPC licensure with previous UM, Case Management, and managed care experience. Candidates with project...Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (03/21/25)
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  • Care Review Clinician, PA ( RN )…

    Molina Healthcare (Cincinnati, OH)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. To all… more
    Molina Healthcare (03/07/25)
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  • RN Home Health - PRN

    CommonSpirit Health at Home (Florence, KY)
    …Health Opportunities at St. Elizabeth Home Care - Pendleton County Service Area"** As a Registered Nurse with St. Elizabeth Home Care, you'll be at the heart of ... of an accredited nursing program; must hold an active RN license in the state served. + At least...(Home Health preferred). + Strong critical thinking, clinical expertise, case management, and a passion for patient care. +… more
    CommonSpirit Health at Home (03/13/25)
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  • RN Home Health

    CommonSpirit Health at Home (Florence, KY)
    …County Service Area** **Competitive Wages & Comprehensive Health Insurance Package Offered** As a Registered Nurse with St. Elizabeth Home Care, you'll be at the ... of an accredited nursing program; must hold an active RN license in the state served. + At least...(Home Health preferred). + Strong critical thinking, clinical expertise, case management, and a passion for patient care. +… more
    CommonSpirit Health at Home (03/05/25)
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  • Vocational Field Case Manager

    Sedgwick (Cincinnati, OH)
    …Counselor (CRC) and/or Certified Disability Management Specialist (CDMS), COHN, CCM , Registered Nurse ( RN ), CRRN or COHN Certification required. ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Vocational Field Case Manager **This Field Case Manager will...change the duties of the position at any time. \# RN #CRC #CRRN #COHN #CDMS Sedgwick is an Equal… more
    Sedgwick (01/31/25)
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  • Sr Clinical Performance Consultant

    Molina Healthcare (Cincinnati, OH)
    …on business need (up to 25%) **Job Qualifications** * Active and unrestricted Registered Nurse ( RN ) license or independent behavioral health license ... **Job Description** Looking for a Registered Nurse or Licensed Social worker...health care * Understanding of clinical operations: utilization management, case management, etc. * Ability to provide hands-on, immersive… more
    Molina Healthcare (03/15/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Cincinnati, OH)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) or State Clinical Social Worker/Counseling… more
    Molina Healthcare (03/13/25)
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  • Manager, Healthcare Services (Remote)

    Molina Healthcare (Cincinnati, OH)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license. + OR Bachelor's or master's degree in Nursing, Gerontology, Public… more
    Molina Healthcare (03/07/25)
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  • Manager, HCS Clinical Policy - Medicare (Remote)

    Molina Healthcare (Cincinnati, OH)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum… more
    Molina Healthcare (02/14/25)
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