- 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 ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...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 who lives in OHIO and must be licensed for the state of OHIO. This position will ... member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have … 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 ... counties). 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 ... are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Case Management...office such as: Word, Excel, and outlook) + Certified Case Manager (CCM) **Education** + Associates degree… more
- Elevance Health (Columbus, OH)
- **Position specific details: This is a field-based role where the case manager will be visiting with members in homes and/or facilities up to 40% of the time. ... throughout Ohio are welcome to apply.** The **Behavioral Health Case Manager II - Ohio** is responsible...but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate… more
- Humana (Columbus, OH)
- …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for assigned beneficiaries… 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
- 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
- CVS Health (Columbus, OH)
- …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution… more