- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Sharecare (Columbus, OH)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… 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 ... Type:** Full time **Shift:** Day Shift **Description:** Please note position is 100% remote , however colleagues who reside within a 50mile radius of Columbus, Ohio… more
- CVS Health (Columbus, OH)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Columbus, OH)
- …care and wellbeing. The RN , Field Care Manager Nurse 2 works...+ **Must reside in the state of Ohio.** + Registered Nurse ( RN ) in the ... first** Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2...next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- BrightSpring Health Services (Columbus, OH)
- …assigned Qualifications + Must have related nursing management/supervisory experience + Licensed Registered Nurse required + Valid driver's license from state of ... Home Health, Hospice, Residential and Private Duty. If your passion is outstanding patient care coupled with a desire to help others live their best life, then come… 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 ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
- CenterWell (Columbus, OH)
- …(REQUIRED) + 3 - 5 years of clinical acute care experience + Licensed Registered Nurse ( RN ) in the (appropriate state) with no disciplinary action + ... health first** We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science...in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2.… 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: ... community and help us put health first** The Telephonic Care Manager (Autism Care Navigator)...Extensive analytical skills + Bilingual a plus **Work at Home/ Remote Requirements** : To ensure Home or Hybrid Home/Office… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 within the Clinical Access Grievance Team ... an impact** **Required Qualifications** + Associate's degree + Licensed Registered Nurse ( RN ) in the...education for adult acute care + Managed care experience + Certified Case Manager (CCM)… 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 ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Humana (Columbus, OH)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- Highmark Health (Columbus, OH)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… 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 ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … more
- Molina Healthcare (Columbus, OH)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
- Humana (Columbus, OH)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure...as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab,… more
- Sedgwick (Columbus, OH)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Sedgwick (Columbus, OH)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and are looking ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Medtronic (Columbus, OH)
- …of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse ( RN ) + Registered Dietitian (RD) + Physician ... products to ensure appropriate therapy settings and continuation of care . The DCE works closely with the Clinical Territory.... The DCE works closely with the Clinical Territory Manager under the direction of the Clinical District … more
- Intermountain Health (Columbus, OH)
- …and organizational policies, procedures, and protocols. At times, functions in the role of Care Manager as a working supervisor to support the team. Responsible ... **Job Description:** The Trinsic Care Management Supervisor will be responsible for providing...field from accredited institution. Degree will be verified. + RN or Social Work license + 1 year of… more