- 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)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Columbus, OH)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- Public Consulting Group (Columbus, OH)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Public Consulting Group (Columbus, OH)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- Help at Home (Cleveland, OH)
- …a Help at Home company, is the one of nation's leading providers of high-quality care and support solutions. Our goal is to enable the highest level of personal ... clients.We are committed to delivering a gold standard in care through our well-trained staff who keep our clients...and comfortable in their homes and communities. **The Clinical Manager is responsible for:** + Ensuring that in-home patient… 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
- Molina Healthcare (Cleveland, OH)
- …care providers. **JOB QUALIFICATIONS** **Required Education** Active, unrestricted RN License. **Required Experience** 5+ years' experience in managed healthcare, ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing,… more
- Humana (Solon, OH)
- …Clinical Social Worker (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse ( RN ). + Minimum of 2 years of ... Coordination Entity, the OhioRISE Plan, CPCs, and/or a Care Management Entity. Care Manager ...(Spanish, Somali or other). **Additional Information** + **Workstyle:** Combination remote work at home and onsite member facing. +… more
- Highmark Health (Columbus, OH)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Elevance Health (Columbus, OH)
- **Transitions of Care RN - 100% Virtual** **Location** : Virtual: This role enables associates to work virtually full-time, with the exception of required ... weekends and holidays per business needs. The **Transitions of Care RN - 100% Virtual** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Humana (Columbus, OH)
- …programs and more! Apply now to begin your future with a Fortune 500 Company! The Field Care Manager Nurse 2 ( Care Manager Plus, Physical Health) ... Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's...your skills to make an impact** **Required Qualifications** + Registered Nurse with 2 years of experience… 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
- 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
- Sedgwick (Cincinnati, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this ... time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **** _As… more
- CenterWell (Marion, OH)
- …**Position Type** : On-site **Branch Location** : Marion, OH **This is not a remote or work-from-home position. This position requires you to sit on-site at our ... Marion, OH branch location.** The ** RN Branch Director** is accountable for managing the day-to-day...to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient… more
- Humana (Columbus, OH)
- …of post-degree clinical experience in behavioral health **OR** + Active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will...to troubleshoot and resolve basic technical difficulties in a remote environment. + Experience working with Severe and Persistent… more
- Medical Mutual of Ohio (OH)
- …Home health care experience is a plus. **Professional Certification(s):** + Registered Nurse with current State of Ohio unrestricted license. Multiple state ... Medicare Supplement, and individual plans. Under limited supervision, the RN Case Manager evaluates and provides support...Board. Bachelor's Degree preferred. + 3 years as a Registered Nurse with a combination of clinical… more
- Medtronic (Columbus, OH)
- …of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse ( RN ) + Registered Dietitian (RD) + Physician ... in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of...education and training of the company's products to Health Care Professionals and patients. CTMs serve as the face… more
- Cleveland Clinic (Warrensville Heights, OH)
- …and interpersonal skills, strong analytical and organization skills. + Current state licensure as Registered Nurse ( RN ). + Basic Life Support (BLS) through ... where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. This community-based teaching hospital… more