- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Highmark Health (Columbus, OH)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case ... to handle multiple priorities in a fast paced environment **Required Licensure** Registered Nurse **Preferred** Certification in Case Management **LANGUAGE… 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
- CVS Health (Columbus, OH)
- …on a defined schedule, adhering to the defined metrics, as required by the business. Nurse Case Manager is responsible for telephonically and/or face to face ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...will provide. * Bilingual preferred - Spanish * Certified Case Manager is preferred. * Additional national… more
- Molina Healthcare (Columbus, OH)
- …member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- CVS Health (Columbus, OH)
- …compact licensure **Preferred Qualifications :** * Bilingual - Spanish * Certified Case Manager **Educational Requirements:** * Associates Degree or Nursing ... enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we… more
- AmeriHealth Caritas (Dublin, OH)
- …**Responsibilities:** The Care Manager II ( RN /LSW) provides support to complex members appropriate for care coordination and case management services in ... **Care Manager II- RN /LSW/LISW (Remote to Ohio)**...from 8a to 5p EST. + Current and unrestricted Registered Nurse licensure in OH OR licensed… more
- Elevance Health (Columbus, OH)
- …a 50-mile or 1-hour 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,... case management experience. + Certification as a Case Manager is preferred. + Certification as… more
- Sedgwick (Columbus, OH)
- …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 Ohio in ... partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to… more
- Humana (Columbus, OH)
- …as Social Work, Counseling, or Psychology from an accredited university + Licensed Registered Nurse or a licensed Master's Level Behavioral Health Clinician in ... case management and/or rehabilitative counseling experience required. Certified or certified-eligible case manager required. + 1 or more years of clinical… more
- Elevance Health (Columbus, OH)
- The Nurse Care Mgr II is responsible for collaborating...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Participation in ... activities within the scope of licensure for members with complex and chronic care needs. Primary duties may include,...experience and a minimum of 1 year in a Nurse Care Mgr I role or equivalent experience; or… more
- Elevance Health (Columbus, OH)
- …or 1-hour commute each way of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to collaborate with healthcare providers and ... member benefits, and to promote effective use of resources for more complex medical issues. Ensures medically appropriate, high quality, cost effective care through… more