- Molina Healthcare (Cleveland, OH)
- …NCQA accreditation 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… more
- Medtronic (Cincinnati, OH)
- …needed in the district, and occasionally to other districts at the discretion of Clinical Manager The above statements are intended to describe the general ... in given timeframe + Ensures personal understanding of all quality policy/system items that are personally applicable + Completes...weekends and after hours and at the discretion of Clinical Specialist Manager + Travels to cover… more
- Bon Secours Mercy Health (Youngstown, OH)
- …member of the health care team in cooperation with and under the direction of a clinical manager or designee as defined by the relevant Standards and Scope of ... Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are… more
- Bon Secours Mercy Health (Springfield, OH)
- …member of the health care team in cooperation with and under the direction of a clinical manager or designee as defined by the relevant Standards and Scope of ... Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are… more
- Teleflex (Cleveland, OH)
- …and customers. * Develop and implement a proactive plan that involves sales and/or clinical support with the Regional Sales Manager and team members, to achieve ... Sr. Clinical Sales Specialist- Cardiology & Radiology - Cleveland...place a strategic emphasis on complex coronary and peripheral interventions , vascular access, bone access, specialty biologic treatments and… 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 ... total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible… more
- ChenMed (Columbus, OH)
- …indicators. + Fosters growth and effectiveness of Pharmacy work teams to meet quality and clinical care standards/ + Assists Pharmacy leadership in ensuring ... rapidly expanding and we need great people to join our team. The Clinical Pharmacist specializing in Population Health is a skilled and proactive professional who… more
- Highmark Health (Columbus, OH)
- …referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates ... and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management… more
- Public Consulting Group (Columbus, OH)
- …* Document all care activity via case management software system * Promotes quality and cost-effective interventions and outcomes * Assesses and addresses ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes +… more
- Highmark Health (Columbus, OH)
- …to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an ... performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members… more
- Bon Secours Mercy Health (Lima, OH)
- …excellence. **Primary Function/General Purpose of Position** The Social Worker Care Manager is responsible for providing appropriate interventions and discharge ... Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are… more
- Veterans Affairs, Veterans Health Administration (Youngstown, OH)
- …is actively recruiting for a Social Worker to act as a Collaborative Care Manager within Primary Care Mental Health Integration (PCMHI). PCMHI is a component of the ... the delivery of measurement based care, panel management, and program quality assurance/improvement. Completes patient outreach and engagement in treatment. Patient… more
- Sharecare (Columbus, OH)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Medical Mutual of Ohio (OH)
- …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, Medical ... provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured… more
- Select Medical (Columbus, OH)
- …planning process. The primary job functions in Case Management include: Clinical Interventions /Discharge and Care Planning Management; Fiscal Management; and ... with Select Medical & OhioHealth **Columbus, OH** **RN Case Manager ** **(RN or MSW)** **$5,000 Sign-On Bonus** **Benefits of...case loads + Impact on patient's recovery process and quality of life + High success rate of patients… more
- Select Medical (Avon, OH)
- …planning process. The primary job functions in Case Management include: + Clinical Interventions /Discharge Planning + CarePlanning Management + Fiscal Management ... venture with Select Medical & Hospital Avon, OH **Case Manager (RN or MSW)** **Benefits of becoming a Case...case loads + Impact on patient's recovery process and quality of life + High success rate of patients… more
- Molina Healthcare (OH)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Completes clinical assessments of members per regulated timelines and determines who may qualify… more
- Molina Healthcare (Butler, OH)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Molina Healthcare (OH)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Public Consulting Group (Columbus, OH)
- …complete accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes + Assesses and ... informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working...management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of… more