- Humana (Columbus, OH)
- … team on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain TRICARE contractual ... and tactical goals to focus on consistent execution of Care Management processes and ensure teams meet...valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/ management… more
- UC Health (Cincinnati, OH)
- …clinical effectiveness, discharge planning, care coordination, and clinical resource management . The Case Manager interacts with Medical, Nursing and ... neighbors. UC Health is an EEO employer. The Case Manager utilizes advanced nursing skills and knowledge of resource...management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum… more
- Elevance Health (Mason, OH)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope of licensure for members with complex ... **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates...Conducts assessments to identify individual needs and a specific care management plan to address objectives and… more
- AmeriHealth Caritas (Dublin, OH)
- …members to improve the Member's health status, compliance with treatment plans and promote self- management . The Care Manager is also responsible for the ... **Role Overview:** The Care Manager is responsible for managing...and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. + Monitor… more
- AmeriHealth Caritas (Dublin, OH)
- …and case management services in achieving their optimal level of health through self- management . The Care Manager II (RN/LSW) is responsible for engaging ... services. Discover more about us at www.amerihealthcaritas.com . **Responsibilities:** The Care Manager II (RN/LSW) provides support to complex members… more
- Humana (Solon, OH)
- …to a Care Coordination Entity, the OhioRISE Plan, CPCs, and/or a Care Management Entity. Care Manager Plus serves as the single point of contact for ... Care Coordination Entity, the OhioRISE Plan, and/or a Care Management Entity, or who choose to...to minimize duplication of efforts. **Position Responsibilities:** The Field Care Manager , Behavioral Health 2 employs a… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is responsible for providing coordination of care ... continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative...Functions** + Identifies and prioritizes patients in need of care management services, using a holistic approach… more
- Bon Secours Mercy Health (Green Township, OH)
- …where associates want to work and help communities thrive. **Job Summary:** The RN Care Manager is responsible for providing coordination of care for ... continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative...** + Identifies and prioritizes patients in need of care management services, using a holistic approach… more
- Sunrise Senior Living (Dublin, OH)
- …part of.** **COMMUNITY NAME** Sunrise of Dublin **Job ID** 2025-229767 **JOB OVERVIEW** The Care Manager /"Designated Care Manager " is responsible for ... living/long term care and reminiscence neighborhoods. The Care Manager provides hands on care...timely, courteous, and professional manner. + Assist with continence management and dispose of all continence products properly to… more
- BrightSpring Health Services (Ironton, OH)
- …benefits + Mileage reimbursement + Phone stipend + PTO + 401K Responsibilities The Foster Care Case Manager works under the supervision of the Program Manager ... of job duties and possess excellent documentation and time management skills. StepStone prides itself on providing quality services...and training and supervision of foster families. The Foster Care Case Manager assists the Program … more
- Humana (Columbus, OH)
- …(ie the Ohio RISE Plan, and/or a CME, or who choose to receive their care management from the MCO). Care Manager serves as the single point of contact ... Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's...Nurse with 2 years of experience of in home case/ care management + Experience working with the… more
- Sharecare (Columbus, OH)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality ... Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- CVS Health (Columbus, OH)
- …compassionate. And 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) ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized ... experience for the member. + Meticulous documentation of care management activity in the member's electronic… more
- 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, ... issues, gaps in care and barriers to care . The Care Manager II...and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable + Monitor… more
- Humana (Columbus, OH)
- …help us put health first** Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, Mother Baby expertise. They will assess and ... needs to achieve and/or maintain optimal wellness. The Field Care Manager will connect members/families with resources...and/or a CME, or who choose to receive their care management from the MCO). + Serves… more
- Molina Healthcare (Bowling Green, OH)
- …plan. We are looking for candidates with a RN licensure and previous care management experience. The candidate must have organizational skills, be ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or… more
- Highmark Health (Columbus, OH)
- …inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with ... established industry and corporate standards and are within the care manager 's professional discipline. + Function in...state, federal laws and regulatory compliance. + Implement all care management reviews according to accepted and… more
- Sunrise Senior Living (Cuyahoga Falls, OH)
- …Sunrise of Cuyahoga Falls **Job ID** 2025-228203 **JOB OVERVIEW** The LPN Medication Care Manager is responsible for providing the highest degree of quality ... to supervisor. + Count all narcotics with another Medication Care Manager (MCM) or Lead Care...the Individualized Service Plans (ISP). + Transcribe orders. **Risk Management and General Safety** + Partner with community team… more
- Molina Healthcare (Cincinnati, OH)
- …Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management , disease management , managed care or medical or… more
- Molina Healthcare (Columbus, OH)
- …We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence ... Term Services & Supports. + 1-3 years in case management , disease management , managed care ...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more