- Humana (Columbus, OH)
- … team on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain TRICARE contractual ... and tactical goals to focus on consistent execution of Care Management processes and ensure teams meet...valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/ management… more
- Elevance Health (Columbus, OH)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope of licensure for members with complex ... **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates...Conducts assessments to identify individual needs and a specific care management plan to address objectives and… more
- AmeriHealth Caritas (Dublin, OH)
- …members to improve the Member's health status, compliance with treatment plans and promote self- management . The Care Manager is also responsible for the ... **Role Overview:** The Care Manager is responsible for managing...and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. + Monitor… more
- AmeriHealth Caritas (Dublin, OH)
- …and case management services in achieving their optimal level of health through self- management . The Care Manager II (RN/LSW) is responsible for engaging ... services. Discover more about us at www.amerihealthcaritas.com . **Responsibilities:** The Care Manager II (RN/LSW) provides support to complex members… more
- Sunrise Senior Living (Dublin, OH)
- …part of.** **COMMUNITY NAME** Sunrise of Dublin **Job ID** 2025-229767 **JOB OVERVIEW** The Care Manager /"Designated Care Manager " is responsible for ... living/long term care and reminiscence neighborhoods. The Care Manager provides hands on care...timely, courteous, and professional manner. + Assist with continence management and dispose of all continence products properly to… more
- Humana (Columbus, OH)
- …(ie the Ohio RISE Plan, and/or a CME, or who choose to receive their care management from the MCO). Care Manager serves as the single point of contact ... Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's...Nurse with 2 years of experience of in home case/ care management + Experience working with the… more
- Sharecare (Columbus, OH)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality ... Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- CVS Health (Columbus, OH)
- …day. **Job Purpose and Summary** As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key ... and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview** The Care Manager II is responsible for managing and coordinating care , services, and social determinants of health for Members with acute, ... issues, gaps in care and barriers to care . The Care Manager II...and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable + Monitor… more
- Humana (Columbus, OH)
- …help us put health first** Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, Mother Baby expertise. They will assess and ... needs to achieve and/or maintain optimal wellness. The Field Care Manager will connect members/families with resources...and/or a CME, or who choose to receive their care management from the MCO). + Serves… more
- Molina Healthcare (Columbus, OH)
- …plan. We are looking for candidates with a RN licensure and previous care management experience. The candidate must have organizational skills, be ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or… more
- Highmark Health (Columbus, OH)
- …inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with ... established industry and corporate standards and are within the care manager 's professional discipline. + Function in...state, federal laws and regulatory compliance. + Implement all care management reviews according to accepted and… more
- Molina Healthcare (Columbus, OH)
- …Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management , disease management , managed care or medical or… more
- Centene Corporation (Columbus, OH)
- …on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to ... to address member's unmet needs + Identifies problems/barriers to care and provide appropriate care management...Identifies problems/barriers to care and provide appropriate care management interventions + Coordinates as appropriate… more
- Guardian Life (Columbus, OH)
- …is a full tme, remote-based position. **Position Summary** Guardian's Annuity New Business CARE team seeks a dynamic and knowledgeable individual to join our team as ... an **Annuity Relationship Manager ** . We are looking for someone with exceptional...internal and external partners. As a member of our CARE Team, you are part of a dynamic group… more
- Trinity Health (Columbus, OH)
- …leaders that plan, organize, staff, direct, and ensure collaborative multidisciplinary patient care delivery. The Nurse Manager provides coaching, direction, and ... 22 states, 94 hospitals, and 133,000 colleagues nationwide. We know that exceptional patient care starts with taking care of our colleagues, so we invest in… more
- Sevita (Columbus, OH)
- …and families, join our mission-driven team and experience a career well lived. **Foster Care Case Manager ** Everybody needs a job but only extraordinary people ... **a part of the Sevita family** **,** provides Residential and Treatment Foster Care services to youth who may be facing out-of-home placements, transitioning back… more
- Option Care Health (Columbus, OH)
- …sales team to ensure appropriate focus on priority growth targets identified by management / analytics. Helps Account Executives, Care Transition Specialists and ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...and referral growth. Plays an active role in account management and business development efforts with team, engaging customers… more
- Intermountain Health (Columbus, OH)
- **Job Description:** The Manager of Project Management provides leadership to a team of project managers and ensures projects and initiatives are implemented ... role promotes best practices and works to deliver project management value to the organization by providing leadership with...within a reasonable commuting distance to an Intermountain Health care site are preferred. Currently, we are not hiring… more
- OhioHealth (Columbus, OH)
- …(TPA), ensuring seamless coordination and resolution of leave-related and disability management inquires. The manager will develop policies, team operations ... everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...careers and in our communities. **Job Description Summary:** The Manager , Leave Benefits is responsible for overseeing and managing… more