- Sedgwick (Columbus, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager This person must live in Ohio in order ... partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to… more
- Elevance Health (Mason, OH)
- ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management within… more
- CVS Health (OH)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Humana (Columbus, OH)
- …degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a ...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- CenterWell (Columbus, OH)
- …appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell...hotspot, DSL or satellite) **Preferred Qualifications** + Experience with case management, discharge planning and patient education for adult… more
- CVS Health (OH)
- …each and every day. **Preference to RN's with Compact Licensure** **Position Summary:** This RN Case Manager role is 100% remote and the employee can live in any ... less than 5% may be required in the event of clinical audits. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning,… more
- Elevance Health (OH)
- …depression, and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager I** Must Have An Active, Current Clinical Licensure.** ... Friday, 8:00 am to 5:00 pm** The **Behavioral Health Case Manager I** is responsible for performing.... **Preferred Skills, Capabilities and Experiences:** + Experience in case management and telephonic and/or in person… more
- Elevance Health (Toledo, OH)
- **LTSS Service Coordinator - RN Clinician ( Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily ... Service Coordinator-RN Clinician** is responsible for overall management of member's case within the scope of licensure, develops, monitors, evaluates, and revises… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- Sharecare (Columbus, OH)
- …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 members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- ChenMed (Cincinnati, OH)
- …in community case management experience highly desired + Certified Case Manager certification is preferred. Certification through the Commission for ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in-house, at facility, and telephonic visits to patients at high-risk for hospital admission... Case Manager Certification (CCMC) or the American… more
- Molina Healthcare (OH)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs...Social Worker (LCSW), Advanced Practice Social Worker (APSW), **Certified Case Manager (CCM),** Certified in Health Education… more
- Molina Healthcare (Cleveland, OH)
- …of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the member, caregiver,...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Elevance Health (Columbus, OH)
- **Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental ... **some weekends based upon organizational/business needs.** The **Behavioral Health Care Manager II** is responsible for managing psychiatric and substance abuse or… more
- RELX INC (Dayton, OH)
- …model creators for each individual legal use case . About the Role As a Telephonic Client Manager you will manage, protect, and grow revenue through the sale ... of LexisNexis products, services, and content. You will initiate contact with and sell to both prospects and existing customers. You will be responsible for assessing their needs and creating a pipeline of new business opportunities and retention.… more
- Sharecare (Columbus, OH)
- …and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- Elevance Health (Norwood, OH)
- **LTSS Service Coordinator - Clinician ( Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily ... the direction/supervision of an RN, with overall responsibility for the member's case . As required by applicable state law and contract, the Clinician contributes… more
- Elevance Health (Columbus, OH)
- **LTSS Concierge Coordinator ( Case Manager )** **Hiring statewide across Ohio** **This position is primarily virtual but may require you to work in the field ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Molina Healthcare (Akron, OH)
- …Equal Opportunity Employer (EOE) M/F/D/V. \#PJHPO Key Words: Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, CHW, ... community or at a PCP office. Additionally, you will also work on telephonic population health initiatives such as supporting Medicaid members that have a waiver,… more