- 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
- CVS Health (Columbus, OH)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Columbus, OH)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … more
- Somatus (Columbus, OH)
- …settings. + 2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates to maintain current, ... well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member...and physicians. This position will be working closely with complex renal patients in their home, dialysis center, by… more
- 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
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have … more
- 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
- Elevance Health (Columbus, OH)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Columbus, OH)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Dublin, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign on Bonus Eligible **This Field Case Manager ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Columbus, OH)
- …a 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
- 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
- AmeriHealth Caritas (Dublin, OH)
- …www.amerihealthcaritas.com . **Responsibilities:** The Care Manager provides support to complex members appropriate for care coordination and case management ... their optimal level of health through self-management. The Care Manager II ( RN /LSW) is responsible for engaging...goals. + Assess members to determine care coordination and case management needs for all referred members. + Completes… 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, chronic, ... medically complex and/or behavioral health conditions and other health needs....gaps in care and barriers to care. The Care Manager II develops a plan of care through shared… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** The Care Manager is responsible for managing and coordinating care, services, and social determinants of health for Members with acute, chronic, ... medically complex and/or behavioral health conditions and other health needs....gaps in care and barriers to care. The Care Manager develops a plan of care through shared decision… more