• Complex Case Manager

    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
    Highmark Health (05/15/25)
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  • Case Manager , Registered

    CVS Health (New Albany, OH)
    …convenient and more compassionate. And we do it all with heart, each and every day. This Case Manager , Registered Nurse position is with My Care of Ohio ... as you coordinate the care of your members. + Nurse Case Manager is responsible...Union Counties, Ohio + Must have active and unrestricted Registered Nurse ( RN ) Licensure in… more
    CVS Health (04/18/25)
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  • Case Manager , Registered

    CVS Health (Columbus, OH)
    …on key questions and conversation. **Required Qualifications** - Must have active and unrestricted Registered Nurse ( RN ) licensure in the state of Ohio - ... _._ We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This opportunity… more
    CVS Health (03/29/25)
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  • Case Manager , Registered

    CVS Health (Columbus, OH)
    …with heart, each and every day. **Position Summary** _- Must reside in_ **_Ohio_** The Nurse Case Manager is responsible for telephonically and/or face to ... face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical...on key questions and conversation. **Required Qualifications** - Active Registered Nurse ( RN ) License -… more
    CVS Health (05/15/25)
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  • Care Manager , Registered

    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
    Sharecare (04/26/25)
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  • Care Manager ( RN ) (Must Reside…

    Molina Healthcare (Columbus, OH)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Preferred languages (Korean/English) To all… more
    Molina Healthcare (04/11/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Columbus, OH)
    **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
    Elevance Health (05/15/25)
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  • Field Case Manager

    Sedgwick (Dublin, OH)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (05/17/25)
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  • Case Manager , Licensed Practical…

    CVS Health (Columbus, OH)
    …Care Management Programs to change lives in new markets across the country. The Case Manager , Licensed Practical Nurse is responsible for care coordination ... Care Management and present with a wide range of complex health and social challenges. With compassionate attention and...nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the… more
    CVS Health (05/22/25)
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  • Transplant Care Nurse RN - Stem…

    Highmark Health (Columbus, OH)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (04/25/25)
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  • RN Medical Claim Review Nurse

    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
    Molina Healthcare (05/21/25)
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