- Medical Mutual of Ohio (OH)
- … Medicare Supplement, and individual plans. Under limited supervision, the RN Case Manager evaluates and provides support to members, their families, and ... license. Multiple state licensure preferred and may be required. + Certified Case Manager (CCM) or other industry recognized certification preferred (required… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** **RN Case Manager , Part-time (Day shift)** **Why Mount Carmel?** With five hospitals ... opportunities at the Mount Carmel College of Nursing **About the job:** The **RN Case Manager ** directs and coordinates the care of patients from admission to… more
- 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 ... Bachelor's Degree preferred. + 3 years as a Registered Nurse with a combination of clinical and case...pre-employment substance abuse and nicotine testing._ **Title:** _PAR - Case Manager II_ **Location:** _Ohio_ **Requisition ID:**… more
- CVS Health (Columbus, OH)
- …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) care team, ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- Molina Healthcare (Springfield, OH)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... For this position we are seeking a (RN) Registered Nurse who lives in OHIO and must be licensed...of OHIO. This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position… more
- Trinity Health (Westerville, OH)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Case Manager , Full-time **Why Mount Carmel?** With five hospitals ... opportunities at the Mount Carmel College of Nursing **About the job:** Our RN Case Manager in collaboration with other internal and external disciplines directs… more
- Bon Secours Mercy Health (Lorain, OH)
- …worker, care coordinators, therapists, and nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility ... include discharge planning and coordination. Leads rehab team meetings when covering for case manager to discuss appropriateness of program and progress of… more
- Molina Healthcare (OH)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- ChenMed (Columbus, OH)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be… more
- Humana (Columbus, OH)
- …candidates that are currently living in Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of ... community and help us put health first** Reports directly to the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical &… more
- Humana (Columbus, OH)
- …members/families with resources appropriate for their care and wellbeing. The RN, Field Care Manager Nurse 2 works in a CM **OR** CM Plus capacity **based ... Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, Mother Baby expertise. They...Case Management Certification (CCM). + Experience working with Medicare , Medicaid or dual-eligible populations. + Field Case… more
- Humana (Solon, OH)
- …+ Case Management Certification (CCM). + Experience working with Medicare , Medicaid and dual-eligible populations. + Field Case Management Experience. ... OhioRISE Plan, CPCs, and/or a Care Management Entity. Care Manager Plus serves as the single point of contact...Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse (RN). + Minimum of 2 years of post-degree… more
- Humana (Columbus, OH)
- …more! Apply now to begin your future with a Fortune 500 Company! The Field Care Manager Nurse 2 (Care Manager Plus, Physical Health) work assignments are ... Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and requirements...skills to make an impact** **Required Qualifications** + Registered Nurse with 2 years of experience of in home… more