- Highmark Health (Columbus, OH)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Columbus, OH)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Columbus, OH)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … more
- Veterans Affairs, Veterans Health Administration (Parma, OH)
- Summary The VA Northeast Ohio Healthcare System is recruiting for an Registered Nurse ( Case Manager ). The Registered Nurse ( Case Manager ) ... Cleveland, Painesville, and Sandusky. Responsibilities The duties of the Registered Nurse ( Case Manager...practice in providing care to clients with basic or complex . An ADN or Diploma in Nursing AND 1… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- Summary The VA Northeast Ohio Healthcare System is recruiting for a Registered Nurse - Nurse Manager . The Registered Nurse - Nurse Manager ... will function in Float Pool within Nursing Operations, Nursing Service. Responsibilities The Registered Nurse duties include but are not limited to: Provides… more
- Sharecare (Columbus, OH)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Molina Healthcare (Springfield, OH)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have … more
- Cleveland Clinic (Independence, OH)
- …* Graduate from an accredited school of professional nursing * Current state licensure as a Registered Nurse ( RN ) * One year of clinical experience as an ... healthcare organizations in the world. As a Home Health Registered Nurse , you will be responsible for...surrounding areas. In this role, you will provide assessments, complex nursing treatments, and education to help avoid readmissions… more
- OhioHealth (Mansfield, OH)
- …be a graduate of an accredited school of nursing. Must be currently licensed as a Registered Nurse in the State of Ohio and have a current state driver's ... or Home Health Care nursing Experience for the Community Case Manager . Work requires the ability to.... Work requires the ability to analyze and solve complex problems requiring the use of basic scientific clinical,… more
- Medical Mutual of Ohio (OH)
- …as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision, the RN Case Manager evaluates and provides support to members, ... preferred. + 3 years as a Registered Nurse with a combination of clinical and case...state licensure preferred and may be required. + Certified Case Manager (CCM) or other industry recognized certification… more
- Medical Mutual of Ohio (OH)
- …Nursing Board. Bachelor's Degree preferred. + 3 years as a Registered Nurse with a combination of clinical and case management experience, preferably in ... health care experience is a plus. **Professional Certification(s):** + Registered Nurse with current State of Ohio...within 60 days of date of hire. + Certified Case Manager (CCM) or other industry recognized… 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 ... on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to… more
- Molina Healthcare (Bowling Green, OH)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Cincinnati, OH)
- …to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Bilingual (Spanish)** **WORK SCHEDULE:**… more
- Sedgwick (Cincinnati, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **This Field Case Manager ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Elevance Health (Mason, OH)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Columbus, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! If you have at least** **1.5 years...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- AmeriHealth Caritas (Dublin, OH)
- …**Responsibilities:** The Care Manager II ( RN /LSW) provides support to complex members appropriate for care coordination and case management services in ... their optimal level of health through self-management. The Care Manager II ( RN /LSW) is responsible for engaging...from 8a to 5p EST. + Current and unrestricted Registered Nurse licensure in OH or licensed… more
- MetroHealth (Cleveland, OH)
- …through preventative health care actions and through patient advocacy. The advanced practice registered nurse may also manage complex illnesses and/or ... team.** **Delivers direct patient care consistent with the advanced practice registered nurse 's education, experience and certification, in collaboration with… more