• 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 (10/28/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Ambulatory Care…

    Bon Secours Mercy Health (Springfield, OH)
    …excellence. **Summary of Primary Function** In the capacity of a Registered Nurse ( RN ), the Ambulatory Care Manager will provide clinical care ... + Identify, enroll and manage patients in program for Transitions of Care/ Complex Case Management/Chronic Disease Management. + Develop and implement care… more
    Bon Secours Mercy Health (10/04/25)
    - Save Job - Related Jobs - Block Source
  • 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 (10/15/25)
    - Save Job - Related Jobs - Block Source
  • 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 (10/08/25)
    - Save Job - Related Jobs - Block Source
  • RN Case Manager field care…

    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...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
    Molina Healthcare (10/29/25)
    - Save Job - Related Jobs - Block Source
  • RN Care Manager - Community Well

    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 (10/31/25)
    - Save Job - Related Jobs - Block Source
  • Care Manager RN - Community Well

    Molina Healthcare (Columbus, OH)
    …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 ... **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must...health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina… more
    Molina Healthcare (09/10/25)
    - Save Job - Related Jobs - Block Source
  • RN Care Manager - Waiver Program

    Molina Healthcare (Columbus, OH)
    …and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... For this position we are seeking a Registered Nurse who lives in OHIO...individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with… more
    Molina Healthcare (10/31/25)
    - Save Job - Related Jobs - Block Source
  • Telephonic Nurse Case Manager

    Humana (Columbus, OH)
    **Become 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 ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
    Humana (10/23/25)
    - Save Job - Related Jobs - Block Source
  • RN Medical Claim Review Nurse 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 (10/19/25)
    - Save Job - Related Jobs - Block Source
  • Field Nurse - Nurse Case

    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 ... to 5:30pm EST The **Field Nurse - Nurse Case Manager Senior** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
    Elevance Health (10/29/25)
    - Save Job - Related Jobs - Block Source
  • Telephonic Case Manager

    Sedgwick (Columbus, OH)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
    Sedgwick (10/22/25)
    - Save Job - Related Jobs - Block Source
  • 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 (08/27/25)
    - Save Job - Related Jobs - Block Source
  • Intensive Community Manager

    ChenMed (Columbus, OH)
    …people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works with our highest complexity patients, their ... a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in... case management experience highly desired + Certified Case Manager certification is preferred. Certification through… more
    ChenMed (10/10/25)
    - Save Job - Related Jobs - Block Source
  • Medical Claim Review Nurse ( RN )

    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 (09/06/25)
    - Save Job - Related Jobs - Block Source
  • Lead Trainer - Clinical Services (Remote in GA)

    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 ... knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's… more
    Molina Healthcare (10/30/25)
    - Save Job - Related Jobs - Block Source
  • Supervisor, Healthcare Services; Care Management…

    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 (10/30/25)
    - Save Job - Related Jobs - Block Source
  • 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 (10/15/25)
    - Save Job - Related Jobs - Block Source
  • Staff Vice President (VP), Special Investigations…

    Elevance Health (Columbus, OH)
    …or NHCAA, RN or JD certification preferred. + Experience in complex , high dollar white collar and/or healthcare investigations strongly preferred. + Experience ... teams across the national SIU. + Functions within the SIU include investigations, case intake and assignment, and data analysis. + Hires, trains, coaches, counsels,… more
    Elevance Health (10/29/25)
    - Save Job - Related Jobs - Block Source