- 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
- Brookdale Senior Living (Grove City, OH)
- …family navigate a complex healthcare system. Prior experience as a care manager , case manager , care navigator supporting chronic disease management, ... in managing our resident's chronic health conditions. With the RN Care Manager , we leverage technology and...living, skilled nursing or home care settings a plus. RN / Registered Nurse Licensure… more
- CVS Health (Columbus, OH)
- … will be the primary care manager for a selected member population. The RN Case Manager is responsible for both telephonically and in person assessing, ... activities with members across the continuum of care. The RN Case Manager utilizes advanced...English/Spanish Chronic Disease care management CCM Certification **Education** Active Registered Nurse ( RN ) license; a… more
- CVS Health (Columbus, OH)
- …deliver solutions to make health care more personal, convenient and affordable. **Position Summary:** This RN Case Manager role is part of Aetna One Advocacy ... is delivered today. We are health care innovators. The RN Case Manager is responsible...based on key questions and conversation. **Required:** - A Registered Nurse that must hold an unrestricted… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse that lives and licensed in the state of OH, supporting our MMP ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- CVS Health (Columbus, OH)
- …solutions to make health care more personal, convenient and affordable. **Position Summary:** **This Case Manager RN position is a fully remote position. ... **There is no travel expected with this position.** The RN Case Manager is responsible...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Columbus, OH)
- …schedule, paid holidays, and flexibility as you coordinate the care of your members. + Nurse Case Manager /Clinical Case Manager is responsible ... county. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This… 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
- CVS Health (Columbus, 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 ... Union. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This… more
- Elevance Health (Columbus, OH)
- …contracts, member benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is ... business hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case ...and to promote effective use of resources for more complex medical transplant issues. + Ensures medically appropriate, high… more
- Sedgwick (Columbus, OH)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **This Case Manager must live in Ohio ... 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)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety... RN Care Managers. Day In The Life RN SNP Care Manager - YouTube (https://www.youtube.com/watch?v=0jjvY9dTpCg)… more
- Evolent (Columbus, OH)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- CenterWell (Columbus, OH)
- …+ Bachelor's Degree + 3-5 years of clinical acute care experience + Licensed Registered Nurse ( RN ) in the appropriate state with no disciplinary ... community and help us put health first** The Care Manager , Telephonic Nurse 2 , in a...IN, FL or AZ **Preferred Qualifications:** + Experience with case management, discharge planning and patient education for adult… more
- 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 ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- J&J Family of Companies (Columbus, OH)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
- Gilead Sciences, Inc. (Columbus, OH)
- …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
- Elevance Health (Columbus, OH)
- …The Med Mgmt Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. May make recommendations on… more