- Highmark Health (Columbus, OH)
- …:** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... and regulatory agency requirements and applicable standards of practice for case management . + Other duties as assigned or requested. **REQUIRED EDUCATION** +… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a specified ... operations and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in… more
- CVS Health (Columbus, OH)
- …energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This opportunity offers a competitive salary and ... you coordinate the care of your members. + Nurse Case Manager /Clinical Case Manager...face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate… more
- CVS Health (Columbus, OH)
- …schedule, adhering to the defined metrics, as required by the business. Nurse Case Manager is responsible for telephonically and/or face to face assessing, ... planning, implementing and coordinating all case management activities with members to evaluate...will provide. * Bilingual preferred - Spanish * Certified Case Manager is preferred. * Additional national… more
- Elevance Health (Columbus, OH)
- …commute each way of a relevant Elevance Health location. The **Nurse Case Manager Sr.** is responsible for care management within the scope of licensure for ... members with complex and chronic care needs by assessing, developing, implementing,... management experience. + Certification as a Case Manager is preferred. + Certification as… more
- Molina Healthcare (Columbus, OH)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... Long Term Services & Supports. + 1-3 years in case management , disease management , managed...services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina… more
- CVS Health (Columbus, OH)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences * Utilizes case management processes in… more
- CVS Health (Columbus, OH)
- …appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of Case ... is a member of the Care Team. The Care Manager Specialist is responsible for the care management...and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **Must hold an active OH RN license and live in ... While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful… more
- Cardinal Health (Columbus, OH)
- …impact insurance processing and minimize rejections * Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate * Place ... Answer minimal inbound calls from doctors and/or patients checking on status of case * Maintain quality while providing an empathetic and supportive experience to… more
- CVS Health (Columbus, OH)
- …change lives in new markets across the state. **Position Summary/Mission** The Case Management Analyst facilitates appropriate healthcare outcomes for members by ... to achieve optimum level of health. * Documentation of Care: Utilizes case management processes in compliance with regulatory and accreditation guidelines… more
- Cardinal Health (Columbus, OH)
- …+ Track any payer/plan issues and report any changes, updates, or trends to management + Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works… more
- Cardinal Health (Columbus, OH)
- …* Track any payer/plan issues and report any changes, updates, or trends to management * Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area * Applies advanced skills to resolve complex problems independently * May modify process to resolve situations * Works… more
- Turner & Townsend (Columbus, OH)
- … management within the context of business results (business case , larger economic implications, business risk, etc.). **Supervisory Responsibilities:** + ... using distinctive style. + Ability to make effective and persuasive presentations on complex topics to employees, clients, top management and/or public groups. +… more
- Cardinal Health (Columbus, OH)
- …to Cardinal Health** Transformation enables the organization to drive complex and transformational programs through disciplined project/program management ... in related field, or equivalent work experience, preferred + Extensive project management experience leading cross-functional teams with complex projects and… more
- Deloitte (Columbus, OH)
- Oracle Cloud SCM - Sr Manager Today's chief financial officers (CFOs) and financial executives are being asked to improve business performance and shareholder value, ... stages of Oracle Cloud implementations. Responsibilities will include: + Client Management : Manage day to day interactions with executive clients and sponsors.… more
- Deloitte (Columbus, OH)
- …investment vehicles, charitable pursuits, and closely-held business concerns, while providing solutions to complex tax issues? Do you not only know what AGI & DNI ... June 1, 2025 What You'll Do As a Tax Manager in our Private Wealth Tax practice, you will...public accounting experience (at least 3 years in investment management ) or equivalent in law firms or industry +… more
- Black & Veatch (Columbus, OH)
- …or on assignment in a different country. Exceptions may be approved by division management on a case by case basis. **Work Environment/Physical Demands** ... **Project Engineering Manager - Water/Wastewater - US Hybrid** Date: Oct...Manage budgets, scheduling, and correspondence with clients and project management in support of a project **The Team** Black… more
- Humana (Columbus, OH)
- …in direct patient care required. + 2 or more years of case management and/or rehabilitative counseling experience required. Certified or certified-eligible ... caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral... case manager required. + 1 or more… more
- AmeriHealth Caritas (Dublin, OH)
- …provides support to complex members appropriate for care coordination and case management services in achieving their optimal level of health through ... self- management . The Care Manager II (RN/LSW) is...goals. + Assess members to determine care coordination and case management needs for all referred members.… more