- OhioHealth (Columbus, OH)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, Case Managers, staff nurses and other members of the care team). ... responsibilities for scheduling staff, daily assigning of cases, and assisting the manager with direct supervision of the social work staff and masters level… more
- CVS Health (Columbus, OH)
- …treatment/services. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, ... such as ambulatory care or outpatient clinic/facility. + Active and unrestricted Independent Behavioral Health clinical license in the state of Ohio. ( Ex… more
- CVS Health (Columbus, OH)
- …that empowers individuals to achieve better health outcomes. As a Behavioral Health Case Manager , you'll use your clinical expertise to support members ... Coordinate services across behavioral , physical, and psychosocial domains. + Apply clinical guidelines and case management best practices to ensure quality,… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, ... case management throughout the continuum of care. The case manager will offer guidance, support, and...beneficiary's capacity for self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care.… more
- Highmark Health (Columbus, OH)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Molina Healthcare (Columbus, OH)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... members on Waiver program. This position will have a case load and manage members enrolled in this program....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Molina Healthcare (Columbus, OH)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or… more
- Molina Healthcare (Columbus, OH)
- …and ability to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina employees: If you are ... a candidate with a MA RN licensure. Candidates with case management and home health are highly preferred. Bilingual...determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness… more
- 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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Elevance Health (Marion, OH)
- **LTSS Service Coordinator ( Case Manager )** **Hiring near Cambridge, Colerain, Chillicothe, Coschocton, Hillsboro, Ironton, Mansfield, Marion, Mount Orab, Mount ... competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.… more
- Elevance Health (Columbus, OH)
- **Field Nurse - Nurse Case Manager Senior** **Work location:** This field-based role located in the Columbus, OH area enables associates to primarily operate in ... 9am to 5:30pm EST The **Field Nurse - Nurse Case Manager Senior** is responsible for care...+ Coordinate referrals to local and statewide resources including behavioral health, housing, transportation, and food assistance. + Partner… more
- National Youth Advocate Program (Columbus, OH)
- …Tuition Assistance, and **Work Anniversary Trips** ! **Position Overview** **Summary** The Clinical Services Manager assists the Director of Service Reception to ... vision, and values while providing leadership to the clinical supervisor and clinical therapists on case consultation with the development and growth of … more
- Molina Healthcare (Columbus, OH)
- … Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
- Molina Healthcare (Columbus, OH)
- …to navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **Required Qualifications** + At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of… more
- Molina Healthcare (Columbus, OH)
- …must 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 ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Delaware, OH)
- …waiver services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active Licensed Social Worker, or ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- Molina Healthcare (Delaware, OH)
- …must 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 ... and ability to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina employees: If you are… more
- Molina Healthcare (Columbus, OH)
- …directly with individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with populations that ... members on Waiver program. This position will have a case load and manage members enrolled in this program....accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS)… more
- Molina Healthcare (Upper Arlington, OH)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... members on Waiver program. This position will have a case load and manage members enrolled in this program....accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS)… more
- Highmark Health (Columbus, OH)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
