- Cardinal Health (Columbus, OH)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Elevance Health (OH)
- **Transitions of Care - RN, 100% Virtual, CareBridge ( Bilingual Spanish)** Location: This role enables associates to work virtually full-time, with the exception of ... business needs. The **Transitions of Care - RN, 100% Virtual, CareBridge ( Bilingual Spanish)** is responsible for participating in delivery of patient education and… more
- GE Appliances, a Haier company (Columbus, OH)
- …or Team Manager . + Complete consumer reviews for satisfaction before case closure. + Meet work schedule demands and obligations with compliance, integrity, and ... Tuition reimbursement Gym membership reimbursement Career growth opportunities **Position** Bilingual Spanish Inbound Customer Service Agent - Consumer Relations… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... a related field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills,… more
- CVS Health (Columbus, OH)
- …Care Management Programs to change lives in new markets across the country. The Case Manager , Licensed Practical Nurse is responsible for care coordination of ... team will review prior claims to address potential impact on current case management and eligibility status. Focus assessments and/or questionnaires are designed to… more
- Molina Healthcare (OH)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... Candidates with case management and Home-based experience are highly preferred. Bilingual candidates that speak Spanish or Chinese are encouraged to apply to… more
- Humana (Columbus, OH)
- …with health promotion, coaching and wellness + Previous managed care experience + Bilingual - English, Spanish + Certification in Case Management + Motivational ... Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and requirements...Nurse with 2 years of experience of in home case /care management + Experience working with the adult population… more
- Humana (Solon, OH)
- …Care Coordination Entity, the OhioRISE Plan, CPCs, and/or a Care Management Entity. Care Manager Plus serves as the single point of contact for care coordination. + ... Portal to minimize duplication of efforts. **Position Responsibilities:** The Field Care Manager , Behavioral Health 2 employs a variety of strategies, approaches and… more
- Humana (Columbus, OH)
- …health first** Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, Mother Baby expertise. They will assess and evaluate ... member's needs to achieve and/or maintain optimal wellness. The Field Care Manager will connect members/families with resources appropriate for their care and… more
- ABM Industries (Cincinnati, OH)
- **Overview** The Senior Project Manager - Away Team, Operations will assume ownership for contracted services at a building or campus and will lead operational and ... home for extended periods of time. **Essential Functions** The Senior Project Manager if responsible for the day-to-day operation and administrative activities at… more
- Humana (Columbus, OH)
- …working with the KY Medicaid Population. + Managed Care Experience. + Case Management Certification (CCM). + Bilingual (English/Spanish); speaking, reading, ... Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate...the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and… more
- ChenMed (Columbus, OH)
- …expanding and we need great people to join our team. The Center Clinical Manager is a leadership role responsible for ensuring that the VIP experience is optimized ... that help the center meet/exceed organizational goals. The Center Clinical Manager demonstrates thorough knowledge and proficiency in business strategies, clinical… more
- ChenMed (Columbus, OH)
- …possession and maintenance of a current, valid driver's license. + Certified Case Manager certification is preferred. Certification through the Commission for ... the time. + Spoken and written fluency in English. Bilingual a plus. + This job requires use and... Case Manager Certification (CCMC) or the American... Case Manager Certification (CCMC) or the American Association of Managed… more
- Elevance Health (Columbus, OH)
- …plan modifications and determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral to ... to reduce health risks. + Prepares reports to document case and compliance updates. + Establishes and maintains relationships...and/or BS/BA degree in a related field preferred. + Bilingual candidates preferred. + For URAC accredited areas, the… more
- Elevance Health (Independence, OH)
- …plan modifications and determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral to ... to reduce health risks. + Prepares reports to document case and compliance updates. + Establishes and maintains relationships...and/or BS/BA degree in a related field preferred. + Bilingual candidates preferred. + For URAC accredited areas, the… more
- Elevance Health (Columbus, OH)
- …community agencies and appropriate provider/network. + Refers member to catastrophic case management. **Minimum Requirements:** + Requires AS in nursing and minimum ... in applicable state(s) required. **Preferred Skills, Capabilities and Experiences:** + Bilingual strongly preferred. + Current, unrestricted, Compact RN license in… more