- Somatus (Columbus, OH)
- …market-based position. Responsibilities + Works under the guidance of physicians and/or a nurse care manager. + Follow-up with health management plans and goals. ... empowering patients across the country living with chronic kidney disease to experience more days out of the hospital...offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position… more
- Sharecare (Columbus, OH)
- …and affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered… more
- CVS Health (Columbus, OH)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Highmark Health (Columbus, OH)
- …**EXPERIENCE** **Required** + 7 years in any combination of clinical, case/utilization management and/or disease /condition management experience, or provider ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a… more
- Trinity Health (Columbus, OH)
- …with at least 2 years experience in utilization review, discharge planning, case management , or disease management experience required. Nursing experience in ... **Shift:** Day Shift **Description:** Please note position is 100% remote , however colleagues who reside within a 50mile radius...resources as appropriate. Assists in the implementation of Case Management software along with the Plan's UM and QM… more
- IQVIA (Columbus, OH)
- **Flex Nurse Educator** **IQVIA - Advancing Patient Support and Education** IQVIA, the world's premier provider of commercial healthcare solutions, is seeking ... licensed healthcare professionals for the position of Flex Nurse Educator. This role supports patient care through both remote and, when required, in-field… more
- Humana (Columbus, OH)
- …CMS Hierarchical Condition Categories (HCC) and refers cases for annual follow-up care by disease management , case management , and primary care providers as ... help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation processes to ensure that medical record… more
- CVS Health (Columbus, OH)
- …with the benefit plan. + Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty Programs. ... Management Associate (CMA) role is a full-time, predominately remote telework position. Some in-state travel (5-10%) may be...for health care service delivery under the direction of nurse or medical director in the most appropriate setting… more
- Merck (Columbus, OH)
- …including cardiologists and other approved specialty physicians, physician assistants, nurse practitioners, nurses, pharmacists, and office managers. You will ... customer needs with company products according to product labeling. + Provide management with regular updates on customer needs, marketplace dynamics, and progress… more
- OhioHealth (Columbus, OH)
- …may bring. Will identify care gaps, follow up from HAI calls, assistance with disease management , scheduling appointments and working through work queues may be ... personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. This position serves as a resource...transfer, or appraise, but may be consulted by higher management in these areas. This job has no supervisory… more
- Cardinal Health (Columbus, OH)
- …the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a team of nurses providing assistance to ... and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides coaching as needed to… more
- Centene Corporation (Columbus, OH)
- …including customer service to resolve member issues. + Refers to case or disease management as appropriate. + Completes special assignments and projects ... **License/Certification:** One of the following is preferred. Licensed Practical Nurse (LPN); Licensed Master Social Work (LMSW); Certified Social Worker… more
- J&J Family of Companies (Columbus, OH)
- …MSL role is one that requires a level of competency and experience in the disease state, as an MSL, The Sr. MSL is expected to possess foundational competencies in ... their skills in agility, applying the competencies of Change Management , Time Management and Innovation. The Sr....PharmD, PhD, MD, or other advanced medical degree NP ( Nurse Practitioner), PA (Physician Assistant), with +3 years relevant… more
