• Complex Case Manager

    Highmark Health (Columbus, OH)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... more
    Highmark Health (01/30/25)
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  • Care Manager II - Bright Start Maternity

    AmeriHealth Caritas (Columbus, OH)
    …meeting goals and resolving problems. Coordinates care and services with the Account manager , Complex RN Case Manager , and member, family members as ... more
    AmeriHealth Caritas (03/04/25)
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  • Manager , Utilization Management…

    Humana (Columbus, OH)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... more
    Humana (03/12/25)
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  • Care Manager , Registered

    Sharecare (Columbus, OH)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... more
    Sharecare (02/17/25)
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  • Case Manager , RN

    CAI (Columbus, OH)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... more
    CAI (02/01/25)
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  • Case Manager ( RN ) Ohio,…

    Molina Healthcare (Columbus, OH)
    REGISTERED NURSE , must reside and be willing to travel in FRANKLIN COUNTY OHIO area, including but not limited to: Franklin, Delaware, Pickaway, Madison, and ... more
    Molina Healthcare (02/09/25)
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  • Case Manager RN - Field…

    CVS Health (Westerville, OH)
    …schedule, paid holidays, and flexibility as you coordinate the care of your members. Nurse Case Manager is responsible for telephonically and/or face to ... more
    CVS Health (02/12/25)
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  • RN Field Case Manager

    Sedgwick (Columbus, OH)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **Looking for** **experienced** **Workers Comp ... more
    Sedgwick (03/12/25)
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  • RN - CA Licensure - Transition of Care…

    Molina Healthcare (Columbus, OH)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of CA._ ... more
    Molina Healthcare (01/21/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Columbus, OH)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... more
    Molina Healthcare (01/25/25)
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  • Nurse Case Mgr II

    Elevance Health (Columbus, OH)
    ** Nurse Case Manager II** **Office Location:** Atlanta/Columbus, GA; Indianapolis, IN; Cincinnati/Columbus/ Mason, Seven Hills, OH; Houston/Grand Prairie, ... more
    Elevance Health (03/07/25)
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  • Telephonic Nurse Case Mgr II

    Elevance Health (Columbus, OH)
    **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... more
    Elevance Health (03/11/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Columbus, OH)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... more
    Humana (03/12/25)
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  • Senior Clinical Investigative Consultant Meritain…

    CVS Health (Columbus, OH)
    …preemptive measures to prevent further fraudulent billing practices/schemes and manage complex investigations into suspected fraud, waste, and abuse (FWA). + Conduct ... more
    CVS Health (02/15/25)
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