- Highmark Health (Columbus, OH)
- …who have been newly diagnosed with Cancer and/or need assistance with a complex Oncology treatment plan and coordination of care. They will possess the knowledge ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… 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
- CVS Health (Columbus, OH)
- …nights, no weekends, no holidays As part of the care coordination team, the CVS Accountable Care RN Case Manager will be the primary care manager for a ... selected member population. The RN Case Manager is responsible for telephonically assessing,...in MST, PST, OR Arizona time zones + A Registered Nurse that must hold an unrestricted… 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 ... 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)
- …deliver solutions to make health care more personal, convenient and affordable. Position Summary:This RN Case Manager role is 100% remote and the employee ... be required in the event of clinical audits. 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
- Highmark Health (Columbus, OH)
- …to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. + Collaborate with the member's health care ... health, hospice, public health, or assisted living **OR** + Registered Nurse or Licensed Practical Nurse...clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social… more
- Elevance Health (Columbus, OH)
- …4:00 pm-12:30 am EST with 15% shift differential.** Please be aware this Behavioral Health Case Manager II position is for our Crisis Line and works from home ... of our Elevance Health PulsePoint locations. The Behavioral Health Case Manager II position is primarily member...you will make an impact:** + Responds to more complex cases and account specific requests. + Uses appropriate… more
- Elevance Health (Columbus, OH)
- …Pulse Point office **Shift:** Monday - Friday; 8:00am - 5:00pm The **Behavioral Health Case Manager I** is responsible for performing case management ... social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder...equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope… more
- Sedgwick (Columbus, OH)
- …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 with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Humana (Columbus, OH)
- …environment + Proficiency in MS Office applications **Preferred Qualifications** + Registered Nurse - Licensed as Individual state or multi-state licensure ... health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or… more