- Sharecare (Columbus, OH)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Highmark Health (Columbus, OH)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Bon Secours Mercy Health (Springfield, OH)
- …**Summary of Primary Function** In the capacity of a Registered Nurse ( RN ), the Ambulatory Care Manager will provide clinical care management ... develop and implement a plan of care to ensure medically appropriate cost-effective care . This is primarily a remote /work at home position, but hire should… more
- CVS Health (Columbus, OH)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Intermountain Health (Columbus, OH)
- …measures. **Job Essentials** + Work collaboratively with Select Health's HEDIS Manager , Quality Consultants, and Data Analyst + Responsible for performing accurate ... software on an assigned laptop + Reviewer will perform remote or offsite medical record reviews with charts collected...when and where the member received are and verify care was received. + Reviewer must pass a medical… more
- Molina Healthcare (Delaware, OH)
- For this position we are seeking a ( RN ) Registered Nurse who must live... RN license in the state of OH Case Manager RN will work in remote ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- CenterWell (Columbus, OH)
- …in Nursing + 3 - 5 years of clinical acute care experience + **Licensed Registered Nurse ( RN )** in the (appropriate state) with no disciplinary action + ... health first** We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science...in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2.… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state ... of OH Case Manager RN will work in remote and field...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Humana (Columbus, OH)
- …care and wellbeing. The RN , Field Care Manager Nurse 2 works...+ **Must reside in the state of Ohio.** + Registered Nurse ( RN ) in the ... first** Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2...next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Molina Healthcare (Columbus, OH)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and home health...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- 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 ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… more
- Highmark Health (Columbus, OH)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- BrightSpring Health Services (Columbus, OH)
- …assigned Qualifications + Must have related nursing management/supervisory experience + Licensed Registered Nurse required + Valid driver's license from state of ... Home Health, Hospice, Residential and Private Duty. If your passion is outstanding patient care coupled with a desire to help others live their best life, then come… more
- Molina Healthcare (Columbus, OH)
- …education and experience. r equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... deadlines. Excellent organizational, problem-solving and critical-thinking skills. Preferred Qualifications + Registered Nurse ( RN ). License must be active… more
- Molina Healthcare (Columbus, OH)
- …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... **Job Description** This position will offer remote work flexibility, but the individual hired for...Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and… more
- Molina Healthcare (Columbus, OH)
- …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
- AmeriHealth Caritas (Dublin, OH)
- … care organization, is desired. ; **Licensure:** + A current and unrestricted Registered Nurse ( RN ) or Licensed Independent Social Worker (LISW) in ... **Role Overview:** The Care Manager supports maternity members through...and set individual health goals. ; **Work Arrangement:** + Remote - Associate must be located in Ohio.; ;… more
- Sharecare (Columbus, OH)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Molina Healthcare (Columbus, OH)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
- Humana (Columbus, OH)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more