• Case Manager RN

    CVS Health (Columbus, OH)
    …Working schedule is Monday-Friday; will work between 8am-8pm EST. CVS Accountable Care Field Case Manager uses collaborative process of assessment, planning, ... manager for a selected member population. The RN Case Manager is responsible...or field care management experience required. A Registered Nurse that must hold an unrestricted… more
    CVS Health (01/16/25)
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  • Case Manager RN

    CVS Health (Lewis Center, 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
    CVS Health (01/17/25)
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  • Case Manager , Ltss ( RN )

    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 ... + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field ...services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina… more
    Molina Healthcare (01/18/25)
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  • Field Care Manager , Behavioral…

    Humana (Columbus, OH)
    …Clinical Social Worker (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse ( RN ). + Minimum of 2 years of ... Caring, Curious and Committed? If so, apply today! The Field Care Manager , Behavioral Health 2 work...Experience working with Medicare, Medicaid and dual-eligible populations. + Field Case Management Experience. + Health Plan… more
    Humana (11/19/24)
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  • RN Auditor, Clinical Services - Utilization…

    Molina Healthcare (Columbus, OH)
    For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO or KENTUCY and must be licensed for the state they reside Clinical Auditor RN ... to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or… more
    Molina Healthcare (01/24/25)
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  • Behavioral Health Case Manager II…

    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 ... throughout Ohio are welcome to apply.** The **Behavioral Health Case Manager II - Ohio** is responsible...in social work counseling or a related behavioral health field or a degree in nursing, and minimum of… more
    Elevance Health (01/04/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Columbus, OH)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (01/07/25)
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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 ... 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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  • Sr Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Columbus, OH)
    …will improve the lives of patients with life-threatening illnesses worldwide. The **Sr.** ** Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a ... patients receive the necessary treatments without unnecessary delays. This is a field -based role supporting the **Cincinnati, OH area** ; candidates must be able… more
    Gilead Sciences, Inc. (12/21/24)
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  • Senior Manager , PV Operations

    Takeda Pharmaceuticals (Columbus, OH)
    …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
    Takeda Pharmaceuticals (01/10/25)
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