- CVS Health (Columbus, OH)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN Case Manager , Mount Carmel East** **Position Purpose:** The **RN Case Manager ** ... Associates degree from an accredited RN program + Current license to practice as registered nurse in the State of Ohio + Minimum of 3-5 years recent clinical… more
- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. **Position Purpose:** The RN Case Manager MCHP is responsible for the coordination of the ... the member's family and other resources as appropriate. Assists in the implementation of Case Management software along with the Plan's UM and QM Program and the… more
- OhioHealth (Columbus, OH)
- …CCM - Certified Case Management Nurse - Commission for Case Manager Certification (CCMC), RN - Registered Nurse - Ohio Board of Nursing ... our careers and in our communities. **Job Description Summary:** The Care Manager works in partnership with patients, families, caregivers and providers to deliver… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse (RN) license in the (appropriate… more
- Sharecare (Columbus, OH)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in… more
- Gentiva (Columbus, OH)
- …EEO employer + We maintain a drug-free workplace Related Job Titles hospice RN jobs, case manager nurse , end-of-life care RN, home health RN, compassionate ... **What You'll Do as a Hospice RN / RN Case Manager :** + Be the primary point...Salary Range \u2013 $76,000 to $88,000 ReqID: 2025-129262 Category: Registered Nurse Position Type: Full-Time Company: Heartland… more
- Option Care Health (Columbus, OH)
- …scheduling, performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse (RN) or licensed Pharmacist in the state ... gathering preadmission information, collaborating with internal (intake) and external ( case managers, discharge planners) partners to ensure quality of service… more
- Humana (Columbus, OH)
- …skills to make an impact** **Required Qualifications** + Associate's degree + Licensed Registered Nurse (RN) in the (appropriate Compact state) with no ... community and help us put health first** The Care Manager , Telephonic Nurse 2 within the Clinical...adult acute care + Managed care experience + Certified Case Manager (CCM) **Additional Information** + Work… more
- Humana (Columbus, OH)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse (RN), holding an active and unrestricted license + ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...refers cases for annual follow-up care by disease management, case management, and primary care providers as appropriate for… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** **RN Case Manager , ED** The RN Case Manager in collaboration with other internal and external ... every other weekend rotation. **Minimum Requirements:** . Education: RN Case Manager : Graduate from a school of.... Licensure / Certification: Current license to practice as registered nurse in the State of Ohio… more
- Sharecare (Columbus, OH)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...during the training period will be evaluated on a case by case basis and must be… more
- Molina Healthcare (Columbus, OH)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted in ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
- ChenMed (Columbus, OH)
- …rapidly expanding and we need great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our ... a related clinical field preferred + A valid, active Registered Nurse (RN) license in State of... case management experience highly desired + Certified Case Manager certification is preferred. Certification through… more
- Molina Healthcare (Columbus, OH)
- For this position we are seeking a Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will support our MMP (Medicaid ... or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active...individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with… more
- Humana (Columbus, OH)
- …members/families with resources appropriate for their care and wellbeing. The RN, Field Care Manager Nurse 2 works in a CM **OR** CM Plus capacity **based ... Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, Mother Baby expertise. They...+ **Must reside in the state of Ohio.** + Registered Nurse (RN) in the state of… more
- Humana (Columbus, OH)
- …intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse (RN) license with no disciplinary action. + **Hold an ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Humana (Columbus, OH)
- …care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse (RN)** with; + Must have clinical experience in: ... and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
- Molina Healthcare (Columbus, OH)
- …behavioral health, or equivalent combination of relevant education and experience. + Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed ... to navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),… more
- Insight Global (Gahanna, OH)
- …Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements Active Registered Nurse (RN) license Minimum 3 years ... Job Description A leading hospice provider is seeking a full-time Clinical Manager to oversee all clinical operations for its hospice program. The Clinical … more