• Case Manager ( RN ) Ohio,…

    Molina Healthcare (Union, 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 ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (02/11/25)
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  • ( Registered Dietician) Health Management…

    Molina Healthcare (Dayton, OH)
    **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... interdisciplinary care team meetings and informal ICT collaboration. + Collaborate with RN case managers/supervisors as needed or required **Job Qualifications**… more
    Molina Healthcare (03/04/25)
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  • Registered Nurse - Case

    Crossroads Hospice & Palliative Care (New Lebanon, OH)
    As a Registered Nurse Case Manager , you will provide direct care to patients in their homes or care facilities. Your role goes beyond offering medical ... serve. Together, we can create lasting impacts that go beyond medical treatment. Registered Nurse Case Manager Qualifications: + 6 months minimum prior… more
    Crossroads Hospice & Palliative Care (03/13/25)
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  • Case Manager

    Premier Health (Dayton, OH)
    …per pay period Shift: 0830-1700 Facility: Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient assessment ... Title: Case Manager Status: Full-Time / 80...expectations through care team collaboration. Education: BSN required. Licensure: Registered Nurse with valid Ohio license. Certification:… more
    Premier Health (12/18/24)
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  • Registered Nurse Case

    BrightSpring Health Services (Troy, OH)
    Our Company Ohio Valley Hospice Overview Our Hospice Registered Nurse ( RN ) Case Managers are the heart of our organization! In this role, you will ... support your patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an optimal care experience. Take this chance to make a meaningful impact with your career today! Our… more
    BrightSpring Health Services (12/18/24)
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  • Case Manager Support

    Premier Health (Troy, OH)
    …nursing continuing education preferred. BSN required. + Current Ohio State license as a Registered Nurse required. + Three to five years of recent acute care ... Under the general supervision of the Manager of Integrated Care Management, the Care ...experience in combination with/or with knowledge of utilization and case management principles. + Interpersonal skills necessary in order… more
    Premier Health (02/06/25)
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  • Remote Program Manager , HCS - RN

    Molina Healthcare (Dayton, OH)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/04/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Dayton, OH)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/07/25)
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  • Hospice Registered Nurse

    Gentiva (Dayton, OH)
    …performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...need with dignity, grace, and love. **As a Hospice RN / RN Case Manager more
    Gentiva (02/11/25)
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  • Registered Nurse - RN

    Fresenius Medical Center (Huber Heights, OH)
    PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This ... from the Educator, Preceptor or in collaboration with another Registered Nurse . . Performs ongoing, systematic collection...+ Position functions as an onsite Patient Educator and Case Manager for patients with various shifts… more
    Fresenius Medical Center (03/04/25)
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  • Home Health Registered Nurse

    Premier Health (Dayton, OH)
    …Available- New pay Rates/Flexible Schedules Day shift, Evening and Weekend shifts available RN Case Manager - Dayton, Fairborn, Huber Height, Greenville and ... Springfield, Ohio As a Registered Nurse ( RN ) you are responsible for the delivery of home care services for patients. In the RN role, you will provide… more
    Premier Health (02/06/25)
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  • Registered Nurse

    Gentiva (Dayton, OH)
    …hospice to give people the care they need with dignity, grace, and love. **As a Hospice RN / RN Case Manager , you will:** + Reportdirectly to the ... company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse Requirements:** + Hospice heart: compassionate, kind… more
    Gentiva (01/07/25)
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  • Care Manager , Registered

    Humana (Dayton, OH)
    …more! Apply now to begin your future with a Fortune 500 Company! The Field Care Manager Nurse 2 (Care Manager Plus, Physical Health) work assignments are ... Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and requirements...your skills to make an impact** **Required Qualifications** + Registered Nurse with 2 years of experience… more
    Humana (02/22/25)
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  • RN - CA Licensure - Transition of Care…

    Molina Healthcare (Dayton, 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._ ... _Case Manager RN will work in remote setting supporting our Medicare/Medicaid...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/21/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Dayton, OH)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • Clinical Appeals Nurse ( RN ): Texas…

    Molina Healthcare (Dayton, OH)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (02/09/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Dayton, OH)
    …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 (01/25/25)
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  • Delegation Oversight Nurse (Must Reside…

    Molina Healthcare (Dayton, OH)
    …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more
    Molina Healthcare (03/06/25)
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  • Infusion OB RN - Per Diem

    Option Care Health (Dayton, OH)
    …a diverse workforce. **Job Description Summary:** Responsible for the Professional Case Management of the individual patient caseloads as assigned, by seeing ... out and documented in a timely, efficient and professional manner. The RN performs acts which require substantial specialized knowledge, judgment, and nursing skill… more
    Option Care Health (03/08/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Dayton, OH)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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