- 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
- Humana (Columbus, OH)
- …optimal health. **Use your skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse ( RN ) license in state of residency, with ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic...Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… 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 (Columbus, OH)
- …live and have a current active unrestricted RN license in the state of OH Case Manager RN will work in remote and field setting supporting Medicare and ... **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must...health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina… more
- Humana (Columbus, OH)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… 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
- Sedgwick (Columbus, OH)
- …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! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Columbus, OH)
- …obtains and provides medical status updates to the customer, and assigns a Field Case Manager (FCM) for onsite visits as appropriate. Ensures that client service ... emergencies and recommends appropriate interventions. + Assigns appropriate Field Case Manager assignment and facilitates initial onsite hospital… more
- Molina Healthcare (Columbus, OH)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific… more
- Molina Healthcare (Columbus, OH)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- AmeriHealth Caritas (Dublin, OH)
- …electronic medical record and documentation programs. **Licensure:** + A current and unrestricted Registered Nurse ( RN ) or Licensed Independent Social Worker ... **Role Overview:** ;The Care Manager is responsible for managing and coordinating care,...determinants of health for members with acute, chronic, medically complex , and/or behavioral health conditions and other health needs.… more
- Prime Therapeutics (Columbus, OH)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... States without the need for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5 years of post-degree clinical… more
- Elevance Health (Columbus, OH)
- …guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on moderately complex case types that do not require the training or skill ... of a registered nurse . **How you will make an...but are not limited to: + Responsible for moderately complex cases that may require evaluation of multiple variables… more