• Clinical Registered Nurse

    Sharecare (Columbus, OH)
    …for all Sharecare clinicians. **Essential Job** **Functions:** **Achievement of Clinical Objectives** + Reviews status of participant's preventive health exams ... impact of the health care delivery system on the clinical and financial outcomes of the member population and...+ Minimum of 3 years recent experience in a clinical setting. + Basic knowledge of physiology and chronic… more
    Sharecare (01/08/25)
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  • Care Manager, Registered Nurse , RN

    Humana (Columbus, OH)
    …to make an impact** **Required Qualifications** + **Must reside in Ohio** + Licensed Registered Nurse (RN) in the state of Ohio without restrictions + This ... to begin your future with a Fortune 500 Company! The Field Care Manager Nurse 2 (Care Manager Plus, Physical Health) work assignments are varied and frequently… more
    Humana (12/14/24)
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  • RN - Remote Utilization Management…

    Humana (Columbus, OH)
    …to make an impact** Additional Job Description **Required Qualifications** + Licensed Registered Nurse (RN) with compact license with no disciplinary action ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication… more
    Humana (01/08/25)
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  • Special Investigation Unit Nurse Consultant…

    CVS Health (Columbus, OH)
    …5+ years of clinical experience required + 2+ years of experience as a Registered Nurse + Must have active, current and unrestricted RN licensure in state of ... to make health care more personal, convenient and affordable. **This is a full-time remote position with less than 5% required travel. Requirement to reside in the… more
    CVS Health (01/07/25)
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  • UM Nurse Consultant ( Remote )

    CVS Health (Columbus, OH)
    …both verbal and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... health care more personal, convenient and affordable. This is a full-time remote position. Utilization management is a 24/7 operation. Work schedules will include… more
    CVS Health (01/05/25)
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  • Clinical Documentation Specialist-…

    Trinity Health (Columbus, OH)
    …in lieu of a RN..** **Licensure / Certification: Current license to practice as registered nurse in the State of Ohio.** ** Registered Health Information ... to address legibility, clarity, completeness, consistency, and precision of clinical documentation.** **Demonstrates understanding of clinical documentation… more
    Trinity Health (12/12/24)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Columbus, OH)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
    Lincoln Financial Group (01/03/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Columbus, OH)
    Nurse in state of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute or post-acute setting + Willing and ... more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days **including… more
    CVS Health (01/08/25)
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  • Care Manager Behavioral Health - Part Time…

    Highmark Health (Columbus, OH)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
    Highmark Health (12/12/24)
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  • Investigator, Coding SIU ( Remote )

    Molina Healthcare (Columbus, OH)
    …Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse (RN), Licensed practical nurse ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
    Molina Healthcare (12/15/24)
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  • Care Manager- Remote

    Sharecare (Columbus, OH)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (12/04/24)
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  • Case Manager RN - Field

    CVS Health (Columbus, OH)
    …coordination 2+ years of telephonic and/ or field care management experience required. A Registered Nurse that must hold an unrestricted license in their state ... Bilingual - English/Spanish Chronic Disease care management CCM Certification **Education** Active Registered Nurse (RN) license; a Bachelor's degree in Nursing… more
    CVS Health (12/06/24)
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  • Patient Health Advocate

    Somatus (Columbus, OH)
    …+ And more! **Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position will be focused on high ... CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN...+ Works under the guidance of physicians and/or a nurse care manager. + Follow-up with health management plans… more
    Somatus (12/31/24)
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  • Field Care Manager, Behavioral Health

    Humana (Columbus, OH)
    clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **(RN)** license with at least three years of experience ... Virginia, or West Virginia.** + An active, unrestricted Licensed Masters Clinical Social Worker **(LCSW),** Licensed Professional Clinical Counselor **(LPCC)**… more
    Humana (11/20/24)
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  • Field Care Manager, Behavioral Health (RN, LCSW,…

    Humana (Columbus, OH)
    … Social Worker (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse (RN). + Minimum of 2 years of post-degree ... caring community and help us put health first** Combination remote work at home and onsite member facing. Must...clinical experience in a behavioral health setting. + Case… more
    Humana (11/19/24)
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  • Utilization Management Behavioral Health…

    Humana (Columbus, OH)
    …Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **(RN)** or other professional license. + Three (3) ... independent determination of the appropriate courses of action. + Utilizes clinical knowledge, communication skills, and independent critical thinking skills towards… more
    Humana (11/13/24)
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