• Clinical Case Manager

    CVS Health (Columbus, OH)
    …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Master's degree in Behavioral /Mental Health or related field** -Unencumbered Independent Behavioral Health clinical license in the state where they work:… more
    CVS Health (06/20/25)
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  • 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 - (Remote)

    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 - Waiver Program

    Molina Healthcare (Springfield, 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 (06/22/25)
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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 (06/05/25)
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  • Medicare Nurse Case Manager

    Medical Mutual of Ohio (OH)
    …Advantage, Medicare Supplement, and individual plans. Under limited supervision, the RN Case Manager evaluates and provides support to members, their families, ... years as a Registered Nurse with a combination of clinical and case management experience, preferably in...state licensure preferred and may be required. + Certified Case Manager (CCM) or other industry recognized certification… more
    Medical Mutual of Ohio (06/13/25)
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  • PAR - Case Manager II

    Medical Mutual of Ohio (OH)
    …RN Compact License within 60 days of date of hire. + Certified Case Manager (CCM) or other industry recognized certification preferred (required within ... years as a Registered Nurse with a combination of clinical and case management experience, preferably in...pre-employment substance abuse and nicotine testing._ **Title:** _PAR - Case Manager II_ **Location:** _Ohio_ **Requisition ID:**… more
    Medical Mutual of Ohio (05/28/25)
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  • Registered Nurse RN Behavioral Health Home…

    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 (06/05/25)
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  • RN Case Manager

    Prime Healthcare (East Liverpool, OH)
    …all 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 ... Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210531/rn- case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityEast Liverpool City Hospital LocationUS-OH-East… more
    Prime Healthcare (06/11/25)
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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 (06/13/25)
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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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  • 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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  • Care Manager RN Remote with Field Travel…

    Molina Healthcare (Bowling Green, OH)
    … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
    Molina Healthcare (06/22/25)
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  • Telephonic Care Manager (RN) : Pacific Time…

    Molina Healthcare (Cincinnati, OH)
    …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Bilingual (Spanish)** **WORK SCHEDULE:** ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
    Molina Healthcare (06/07/25)
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  • Manager , Care Management

    Humana (Columbus, OH)
    …the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business ... Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,… more
    Humana (06/19/25)
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  • Care Manager

    AmeriHealth Caritas (Dublin, OH)
    …the hospital or community health setting. + A minimum of 3 years of case management experience **preferred in behavioral health.** + Proficiency in utilizing MS ... care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about… more
    AmeriHealth Caritas (06/14/25)
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  • Care Manager

    AmeriHealth Caritas (Dublin, OH)
    **Role Overview:** The Care Manager is responsible for managing and coordinating care, services, and social determinants of health for Members with acute, chronic, ... medically complex and/or behavioral health conditions and other health needs. Serves as...Utilizes strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care and… more
    AmeriHealth Caritas (06/13/25)
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  • Care Manager

    AmeriHealth Caritas (Dublin, OH)
    **Role Overview** The Care Manager II is responsible for managing and coordinating care, services, and social determinants of health for Members with acute, chronic, ... medically complex and/or behavioral health conditions and other health needs. Serves as...Utilizes strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care and… more
    AmeriHealth Caritas (06/14/25)
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  • Care Manager - Registered Nurse

    CVS Health (Columbus, OH)
    …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… more
    CVS Health (06/22/25)
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