• Field Case Manager RN

    Molina Healthcare (Cincinnati, OH)
    **JOB DESCRIPTION** We are seeking RN ( Registered Nurse ), who must live in the CINCINNATI OHIO area, and must be licensed for the state of OHIO. Excellent ... + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field ...services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina… more
    Molina Healthcare (08/18/24)
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  • Case Manager RN (Ohio…

    CVS Health (Cincinnati, OH)
    …to make health care more personal, convenient and affordable. **This is a field -based (up to 75% travel) position for candidates in Butler county or Hamilton ... Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for… more
    CVS Health (08/27/24)
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  • Registered Nurse - Inter Facility…

    Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
    …unrestricted license from any US State or territory Interfacility Consult (IFC) Coordinator Registered Nurse ( RN ): Responsible for the oversight and ... Medical Center is seeking an Inter Facility Consult (IFC) Registered Nurse Coordinator in Integrated Access Service...Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing… more
    Veterans Affairs, Veterans Health Administration (09/13/24)
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  • Telephonic Nurse Case Manager

    Elevance Health (Cincinnati, OH)
    **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is...procedures. **Minimum Requirements:** + Requires BA/BS in a health-related field and minimum of 5 years of clinical experience;… more
    Elevance Health (09/17/24)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Covington, KY)
    …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
    Molina Healthcare (08/11/24)
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  • Nurse Case Mgr I

    Elevance Health (Mason, OH)
    …if this individual is providing services in multiple states. + Certification as a Case Manager is preferred. **For candidates working in person or remotely in ... with providers, claims or service issues. **Requirements:** + BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of… more
    Elevance Health (09/17/24)
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  • Program Manager , Utilization Management…

    Molina Healthcare (Covington, KY)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... for Utilization Management platforms required; Pega UM preferred (5+yrs) + Registered Nurse , Informatics + 3+ years supervisory/management experience in… more
    Molina Healthcare (08/14/24)
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