- 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
- Highmark Health (Columbus, OH)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… 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
- 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
- AccentCare, Inc. (Circleville, OH)
- Overview RN / Registered Nurse , Home Health Location:...of care we're building together. Be the Best RN Case Manager You Can Be If you meet ... Circleville, OH Position: RN Case Manager , Home Health Job ID: #AC-PCS Position Type: Full-Time...Purpose helping patients stay in their homes as a Registered Nurse Home Health Case Manager… more
- AccentCare, Inc. (Circleville, OH)
- Overview RN / Registered Nurse ,...Health Location: Circleville, Ohio Position: RN Case Manager Job ID: 2025-71820 Position Type: Full-Time Remote ... Pickaway counties Find Your Passion and Purpose as an Registered Nurse , Home Health Case Manager... care we're building together. Be the Best RN Case Manager You Can Be If… more
- CenterWell (Columbus, OH)
- …in Nursing + 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
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state ... of OH Case Manager RN will work in remote and field...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… 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 **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… 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)
- …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **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
- 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
- Molina Healthcare (Columbus, OH)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
- Adecco US, Inc. (Columbus, OH)
- Adecco is currently assisting a National Pharmaceutical client, recruiting for a Nurse Case Manager I with a unrestrictive Ohio license Looking in Cincinnati ... upon experience, education, geographic location and other factors. The case manager utilizes a collaborative process of assessment, planning, facilitation, and… more
- AmeriHealth Caritas (Dublin, OH)
- … care organization, is desired. ; **Licensure:** + A current and unrestricted Registered Nurse ( RN ) or Licensed Independent Social Worker (LISW) in ... **Role Overview:** The Care Manager supports maternity members through...and set individual health goals. ; **Work Arrangement:** + Remote - Associate must be located in Ohio.; ;… 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)
- …**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
- Veterans Affairs, Veterans Health Administration (Delaware, OH)
- …subtle abnormal signs and symptoms and/or changes in patients' condition and notifies the RN Care Manager (RNCM); promptly seeks the assistance of the ... and terminal health problems, with minimal supervision of a registered nurse /provider. Performs the functions of the...RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care … more
- Trinity Health (Columbus, OH)
- …additional specialties as assigned (eg, Neurology, Gastroenterology, Pulmonology) Location: Fully Remote Hours of office: Monday through Friday starting as early as ... additional specialties as assigned (eg, Neurology, Gastroenterology, Pulmonology) + Location: Fully Remote + Hours of office: Monday through Friday 8am - 5pm **What… more
- Trinity Health (Columbus, OH)
- …as well as changes in CPT, ICD-10 and HCPCS coding. + Communicates with manager and liaison team to ensure all assigned sites and colleagues are supported for ... recognition programs. + Tuition/professional development reimbursement starting on day one. + RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.… more