- Molina Healthcare (Bowling Green, OH)
- …be supporting our Ohio state plan. We are looking for candidates with a RN licensure and previous care management experience. The candidate must have ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Sharecare (Columbus, OH)
- …**Monday July 21st, 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
- 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
- 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
- Gentiva (Maumee, OH)
- …atmosphere of generous support and rewarding career growth. **Overview** We are looking for a ** Remote RN ** ** Care Manager for our AIM (Advanced Illness ... professionals to provide and coordinate high-quality end of life care . **Ohio State RN Licensure Required** **Candidate...+ 2 years of prior skilled Registered Nurse experience + Active acute unencumbered state RN… 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
- 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
- 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
- Centene Corporation (Columbus, OH)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… 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
- Cleveland Clinic (Independence, OH)
- …duties may be substituted for educational achievements. + Current state licensure as a Registered Nurse ( RN + Manage the department beyond the normal ... a strategic, dedicated and experienced leader to serve as RN Manager of Clinical Operations. As a...am - 5:00 pm 3 days on-site, 2 days remote ** Prefer Home Care Experience** **Travel:** will… 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
- BrightSpring Health Services (Canton, 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
- Cleveland Clinic (Cleveland, OH)
- …include: + Graduate from an accredited School of Nursing + Current licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) Certification through the ... as a primary point of contact, you will provide remote nursing care to a variety of...+ Five years of Telephone Triage experience as a RN in a Medical/Surgical, Primary Care , Pediatric,… more
- Molina Healthcare (OH)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing, ... implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources and training within the health plan and… more
- AmeriHealth Caritas (Dublin, OH)
- …administrative services. Discover more about us at www.amerihealthcaritas.com . **Responsibilities:** The Care Manager II ( RN /LSW) provides support to ... achieving their optimal level of health through self-management. The Care Manager II ( RN /LSW) is...from 8a to 5p EST. + Current and unrestricted Registered Nurse licensure in OH or licensed… 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
- Humana (Columbus, OH)
- …are currently living in Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare ... on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain TRICARE contractual standards,… more