• Complex Case Manager

    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
    Highmark Health (06/13/24)
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  • Case Manager RN

    CVS Health (Columbus, OH)
    …solutions to make health care more personal, convenient and affordable. Position Summary: This Case Manager RN position is a fully remote position. ... There is no travel expected with this position. 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
    CVS Health (06/04/24)
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  • Case Manager RN (Franklin,…

    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 (06/09/24)
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  • Case Manager Long-term Care…

    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
    Highmark Health (06/08/24)
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  • Behavioral Health Case Manager II

    Elevance Health (Columbus, OH)
    …each way of one of our Elevance Health PulsePoint locations. The Behavioral Health Case Manager II position is primarily member facing and involves complete ... clinical assessment. Also, they will be responsible for performing case management telephonically and/or by home visits within the...you will make an impact:** + Responds to more complex cases and account specific requests. + Uses appropriate… more
    Elevance Health (06/08/24)
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  • Utilization Management Nurse Consultant

    CVS Health (Columbus, OH)
    …office locations in New Albany OH, Chandler AZ or High Point NC. Precertification Nurse Case Manager is responsible for telephonically assessing, planning, ... implementing and coordinating all case management activities with members to evaluate the medical...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
    CVS Health (05/16/24)
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  • Clinical Strategy and Practice Lead, Pharmacy Home…

    CenterWell (Columbus, OH)
    …on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal ... and keep records of criteria for admission to service, case assignments, and case management. + Represent...Graduate of an accredited school of nursing and current RN state license in good standing OR a graduate… more
    CenterWell (05/08/24)
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