- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- Summary The Northeast Ohio VA Healthcare System is recruiting for one full-time Registered Nurse - Nurse Manager . The Registered Nurse - Nurse ... level degree in Nursing may have opportunity to become registered as a nurse with a state...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Molina Healthcare (Cincinnati, OH)
- …looking for a Licensed Social Worker to do telephonic Behavioral Health Case Manager . This role will work in remote setting supporting our Medicaid SMI ... assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Molina Healthcare (Columbus, OH)
- …to resolve/correct them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or ... be discussed during our interview process. This is a remote position. Work hours: Monday- Friday: 8:00am -5:00pm. Michigan...+ Required License, Certification, Association + Active, unrestricted State Registered Nurse ( RN ) License in… more
- Highmark Health (Columbus, OH)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Humana (Parma, OH)
- …Clinical Social Worker (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse ( RN ). + Minimum of 2 years of ... caring community and help us put health first** Combination remote work at home and onsite member facing. Must...and Committed? If so, apply today! The Field Care Manager , Behavioral Health 2 work assignments are varied and… more
- Cleveland Clinic (Cleveland, OH)
- …are available for all areas. + RN Homecare Case Manager - 5-8s + RN Homecare Visit Nurse (Non- Case Manager ) - 5-8s & 4-10s + PRN (required to ... equipment as required. Keywords: Homecare, Flexible, Autonomous, Home, Registered Nurse , PRN, remote , Travel RN Salaries [which may be] shown on… more
- Medical Mutual of Ohio (Toledo, OH)
- **_The Case Manager II position allows you the...preferred. . 3 years as a Registered Nurse with a combination of clinical and case ... health care experience is a plus. **Professional Certification(s):** . Registered Nurse with current State of Ohio...state licensure preferred and may be required. . Certified Case Manager (CCM) or other industry recognized… more
- 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
- Sharecare (Columbus, OH)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
- Humana (Columbus, OH)
- …of post-degree clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate...to troubleshoot and resolve basic technical difficulties in a remote environment. + This role is considered patient facing… more
- Takeda Pharmaceuticals (Columbus, OH)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
- Medical Mutual of Ohio (OH)
- …+ **Medical /clinical background highly desirable.** **Professional Certification(s)** + ** Registered Nurse preferred** + **Certified Professional Coder (CPC) ... and assist in the review of provider agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In Office Assessment program… more