• Field Care Manager , Behavioral

    Humana (Solon, OH)
    …Nurse (RN). + Minimum of 2 years of post-degree clinical experience in a behavioral health setting. + Case management experience. + Must have a Child and ... Portal to minimize duplication of efforts. **Position Responsibilities:** The Field Care Manager , Behavioral Health 2 employs a variety of strategies, approaches… more
    Humana (05/09/25)
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  • Medical Case Manager (Part-Time)

    Bellefaire JCB (Cleveland, OH)
    JOB SUMMARY: The Medical Case Manager is responsible for providing medical case management and care coordination services to clients and families identified ... and Family Services (CCDCFS). Utilizing a holistic approach to case management, the Medical Case Manager...Ohio LSW or LPC required. + Competency/Skills: + Strong clinical skills including expertise in Case Management.… more
    Bellefaire JCB (05/31/25)
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  • Complex Case Manager RN - Oncology…

    Highmark Health (Columbus, OH)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (05/31/25)
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  • RN Case Manager - Wavier

    Molina Healthcare (Hamilton, OH)
    …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... members on Waiver program. This position will have a case load and manage members enrolled in this program....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
    Molina Healthcare (05/23/25)
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  • Case Manager -Sbhi

    Premier Health (Eaton, OH)
    Case Manager FACILITY: SAMARITAN BEHAVIORAL HEALTH Case Manager functions as a member of a team to assist in the planning, development, and delivery ... knowledge to coordinate services and advocate for identified clients. Case Manager acts as a resource consultant...and productivity expectations. . Provide CPST services to coordinate clinical care in the form of face to face,… more
    Premier Health (03/07/25)
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  • Psychiatric Registered Nurse RN Behavioral

    Elara Caring (Toledo, OH)
    …+ Previous experience with Homecare HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor _This is not a comprehensive ... our success in the following ways: + Assesses assigned case load of behavioral health care patients...and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and… more
    Elara Caring (04/22/25)
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  • Nurse Case Manager

    Medical Mutual of Ohio (OH)
    …within the state of Ohio. We are looking for applicants that have a strong clinical case management background. Medicare experience is a plus. Founded in 1934, ... Supplement, and individual plans. Under limited supervision, the RN Case Manager evaluates and provides support to...years as a Registered Nurse with a combination of clinical and case management experience, preferably in… more
    Medical Mutual of Ohio (05/09/25)
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  • RN Case Manager

    Prime Healthcare (East Liverpool, OH)
    …our amazing employees for making this possible! Now hiring a full time RN Case Manager ! East Liverpool City Hospital is an award-winning community hospital ... and InterQual Criteria preferred. #LI-WM1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/205579/rn- case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityEast Liverpool City Hospital LocationUS-OH-East… more
    Prime Healthcare (05/01/25)
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  • Supervisory Social Worker - Behavioral

    Veterans Affairs, Veterans Health Administration (Columbus, OH)
    …The Behavioral Health Interdisciplinary Program (BHIP) Supervisor is a clinical and administrative position that has program management and direct supervisory ... responsibilities over the clinical , training and administrative areas of two BHIP teams...administrative areas of two BHIP teams within the Outpatient Behavioral Health Division. The BHIP Supervisor is responsible for… more
    Veterans Affairs, Veterans Health Administration (05/31/25)
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  • RN Case Manager

    Prime Healthcare (East Liverpool, OH)
    …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At ... making a difference. Now hiring a full time RN Case Manager for Ohio Valley Home Health!...designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a… more
    Prime Healthcare (04/23/25)
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  • Case Manager

    Ethan Crossing (Springfield, OH)
    CDCA Case Manager Shift: M-F with a weekend rotation built in Hours: 8-4:30, 9-5 Perks at Work Healthcare: + Medical Packages with Rx - 3 Choices + Flexible ... and attends treatment teams when required. + Prepares written reports and case summaries in accordance with program standards and professional ethics. + Ensures… more
    Ethan Crossing (05/24/25)
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  • Clinical Services Manager - Service…

    National Youth Advocate Program (Columbus, OH)
    …Tuition Assistance, and **Work Anniversary Trips** ! **Position Overview** **Summary** The Clinical Services Manager assists the Director of Service Reception to ... vision, and values while providing leadership to the clinical supervisor and clinical therapists on case consultation with the development and growth of … more
    National Youth Advocate Program (05/19/25)
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  • Care Manager - Licensed Master Social…

    Molina Healthcare (OH)
    …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
    Molina Healthcare (04/12/25)
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  • Clinical Therapist

    Applewood Centers (Elyria, OH)
    …development, problem-solving, team building, and career exploration. + Care coordinating and case manager for youths enrolled in the program Responsibilities: + ... and dedicated therapist looking to make a real impact? We're seeking a qualified Clinical Therapist to join our team at the Lorain County Diversion campus. In this… more
    Applewood Centers (05/10/25)
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  • Registered Nurse Care Manager Remote…

    Molina Healthcare (Columbus, OH)
    …preferred. Proficient knowledge of MS Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume environment, possess ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (06/04/25)
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  • Care Manager , LTSS

    Molina Healthcare (Butler, OH)
    …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... members on Waiver program. This position will have a case load and manage members enrolled in this program....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
    Molina Healthcare (05/23/25)
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  • Care Manager RN - Remote

    Highmark Health (Columbus, OH)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (05/21/25)
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  • Transplant Care Nurse RN - Stem Cell, Bone Marrow…

    Highmark Health (Columbus, OH)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical , case /utilization management and/or disease/condition management experience, or… more
    Highmark Health (04/25/25)
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  • Medical Director- Medicare

    Elevance Health (Cincinnati, OH)
    …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective… more
    Elevance Health (05/20/25)
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  • Transitions of Care RN

    Elevance Health (OH)
    …an Impact** Primary duties may include, but are not limited to: + Conducts behavioral or clinical assessments to identify individual member knowledge, skills and ... behavioral needs. + Identifies and/or coordinates specific health coaching...coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for… more
    Elevance Health (06/02/25)
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