• 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 a care plan, encouraging behavior… more
    Highmark Health (12/18/25)
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  • Case Manager RN

    CVS Health (Columbus, OH)
    …more compassionate. And we do it all with heart, each and every day. **Position Summary** This RN Case Manager role is 100% remote and the employee can live ... be required in the event of clinical audits. The RN Case Manager is responsible...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
    CVS Health (12/31/25)
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  • Case Manager , Registered

    CVS Health (Columbus, OH)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (01/04/26)
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  • Case Manager Registered

    CVS Health (Columbus, OH)
    …convenient and more compassionate. And we do it all with heart, each and every day. **This Case Manager RN position is 100% remote and the employee can live ... EST (1-2 times per quarter).** Typical training hours are Monday-Friday 8-4:30 EST. Nurse Care Manager is responsible for telephonically and/or face to face… more
    CVS Health (01/03/26)
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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 (01/07/26)
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  • Acute Care Manager , Complex Care…

    ChenMed (Columbus, OH)
    …rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible for achieving positive patient outcomes and ... well as, their home environments. The Nurse Case Manager 1 ( RN ) role...Refers cases to social worker (Hospital and ChenMed/JenCare/Dedicated) for complex psychosocial and economic needs. + Refers cases where… more
    ChenMed (12/31/25)
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  • Care Manager RN (Fide-SNP)

    Molina Healthcare (Delaware, OH)
    For this position we are seeking a ( RN ) Registered Nurse who must... RN license in the state of OH Case Manager RN will work in ... or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must...navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina… more
    Molina Healthcare (12/17/25)
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  • Care Manager , Telephonic RN

    Humana (Columbus, OH)
    …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with **no** disciplinary action ... schedules, which limits day-to-day flexibility **.** + All our RN Care Managers are work at home associates, working... Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
    Humana (01/13/26)
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  • Bilingual RN Care Manager - Remote,…

    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
    Humana (01/08/26)
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  • Field Case Manager -Sign-On Bonus…

    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 (01/07/26)
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  • Medical Review Nurse ( RN )- Remote

    Molina Healthcare (Columbus, OH)
    …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
    Molina Healthcare (01/09/26)
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  • Supervisor, Healthcare Services

    Molina Healthcare (Columbus, OH)
    JOB DESCRIPTION For this position we are seeking a ( RN ) Registered Nurse or Licensed Social Worker who lives in OHIO and must be licensed for the state of ... r equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational...active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health… more
    Molina Healthcare (01/07/26)
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  • Behavioral Health Care Manager I

    Elevance Health (Columbus, OH)
    Behavioral Health Care Manager I- Behavioral Health Care Manager I **Locations:** The selected candidate must reside within a reasonable commuting distance of ... an accommodation is granted as required by law. The **Behavioral Health Care Manager I** is responsible for managing psychiatric and substance abuse or substance… more
    Elevance Health (01/10/26)
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  • Radiology Clinical Account Manager

    Hologic (Columbus, OH)
    …+ Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are strongly ... Radiology Clinical Account Manager - Columbus, OH Columbus, OH, United States...National Accounts to optimize customer experience. + Educate through case coverage, in-services and office calls to drive account… more
    Hologic (01/14/26)
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  • Medical Management Clinician

    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
    Elevance Health (01/09/26)
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