- Highmark Health (Columbus, OH)
- …the appropriate clinical interventions and referrals, the incumbent will 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 management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Intermountain Health (Columbus, OH)
- **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health care ... improve the health of patients with chronic conditions or complex needs. The position educates patients and caregivers to...round at hospitals as needed. **Minimum Qualifications** + Current RN license in state of practice. + Two years… more
- CVS Health (Columbus, OH)
- … will be the primary care manager for a selected member population. The RN Case Manager is responsible for both telephonically and in person assessing, ... activities with members across the continuum of care. The RN Case Manager utilizes advanced...English/Spanish Chronic Disease care management CCM Certification **Education** Active Registered Nurse ( RN ) license; a… more
- CVS Health (Columbus, OH)
- …deliver solutions to make health care more personal, convenient and affordable. **Position Summary:** This RN Case Manager role is part of Aetna One Advocacy ... is delivered today. We are health care innovators. The RN Case Manager is responsible...based on key questions and conversation. **Required:** - A Registered Nurse that must hold an unrestricted… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have … more
- CVS Health (Columbus, OH)
- …schedule, paid holidays, and flexibility as you coordinate the care of your members. Nurse Case Manager is responsible for telephonically and/or face to ... counties). We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This… more
- Molina Healthcare (Columbus, OH)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- AmeriHealth Caritas (Dublin, OH)
- …Discover more about us at; www.amerihealthcaritas.com .; **Responsibilities:** The Care Manager II is responsible for managing and coordinating care, services, and ... determinants of health for Members with acute, chronic, medically complex and/or behavioral health conditions and other health needs....gaps in care and barriers to care. The Care Manager II develops a plan of care through shared… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in remote setting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
- Elevance Health (Columbus, OH)
- **Position specific details: This is a field-based role where the case manager will be visiting with members in homes and/or facilities up to 40% of the time. ... throughout Ohio are welcome to apply.** The **Behavioral Health Case Manager II - Ohio** is responsible...but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Molina Healthcare (Columbus, OH)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Sharecare (Columbus, OH)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- Gilead Sciences, Inc. (Columbus, OH)
- …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
- Elevance Health (Columbus, OH)
- …reside within 50 miles of an Elevance Health PulsePoint . The **Medical Management Nurse Lead** will be responsible for serving as the team lead, coach, and ... as appropriate, with review of the most challenging and complex cases, as well as overflow cases. + Works...Requires a minimum of 6 years care management or case management experience and requires a minimum of 2… more