- Humana (Columbus, OH)
- …require interpretation and independent determination of the appropriate courses of action. + The Care Manager , Telephonic Nurse 2 employs a variety ... Defense SkillBridge Internship or Hiring our Heroes Military Spouse Fellowship. The Care Manager , Registered Nurse , RN, Intern will utilize Humana's Medicaid… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... Taking care of people is at the heart of...to the next round, recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
- Sharecare, Inc. (Columbus, OH)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ... and delivery of Sharecare's Advocacy program by providing high quality telephonic /digital Case Management and/or condition management in a virtual call center… more
- Elevance Health (Columbus, OH)
- Nurse Utilization / Medical Management I - Medicaid...or CENTRAL** time zones. This is a Virtual / Telephonic position. **Work Hours** : Monday - Friday, 8am ... - 5pm. EAST COAST WORK HOURS. The ** Nurse Medical Management l** is responsible to collaborate with...of resources. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions,… more
- Humana (Columbus, OH)
- …proudly serve. Are you Caring, Curious and Committed? If so, apply today!The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently ... Coordination Entity, the OhioRISE Plan, CPCs, and/or a Care Management Entity. Care Manager ...health issues. Identifies and resolves barriers that hinder effective care . + Performs telephonic and face to… more
- Centene Corporation (Columbus, OH)
- …with appropriate providers or specialists to ensure member has timely access to needed care or services + May perform telephonic , digital, home and/or other site ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- CVS Health (Columbus, OH)
- …solutions to make health care more personal, convenient and affordable. This Case Manager RN position is 100% remote and the employee can live in any state. ... when the member has met discharge criteria. The Case Manager RN role requires a nurse that...RN License or Multi state licensure - Certified Case Manager (CCM) - Managed Care experience -… more
- Highmark Health (Columbus, OH)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides telephonic case management services to members with mental health/substance use and ... physical health, and social determinants of health needs to establish member driven care plans and mutually agreeable short and long-term goals. They support members… more