- CVS Health (Columbus, OH)
- …locations in New Albany OH, Chandler AZ or High Point NC. Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing ... and coordinating all case management activities with members to evaluate the medical needs...Services strategies, policies and programs are comprised of network management and clinical coverage policies.What is A1A?Aetna One Advocate… more
- BrightSpring Health Services (Canton, OH)
- …support of business development & growth, achievement of key performance indicators, management of nursing performance and staff development. Responsibilities * ... and oversee all activities associated with medical contract providers* Attend/complete all manager training as applicable* Ensures on-call nursing coverage to… more
- MetroHealth (Cleveland Heights, OH)
- …problem-solving skills. Nursing certification in specialty area or in nursing management /leadership (eg, CNML, NE-BC). Current AHA certification(s) relevant ... Maintains accountability for ongoing unit operations, including practice and financial management . Ensures the quality and effectiveness of nursing practice… more
- Cleveland Clinic (Cleveland, OH)
- …teamwork that drives successful patient outcomes and experiences. As a Registered Nurse (RN) Case Manager , you will work collaboratively with inter-professional ... RN clinical experience required. Minimum of two years of recent experience in Utilization Review, Quality, or Care Management preferred. + Knowledge of acute… more
- Fresenius Medical Center (Washington Court House, OH)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Warrensville Heights, OH)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Mansfield, OH)
- …of time, and for specific additional duties, as assigned by the Program Manager . The Inpatient Services Charge Nurse ensures appropriate provision of Acute ... **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the...performing Acute treatments as needed or directed by Program manager . Assumes the provision of quality patient care to… more
- Bon Secours Mercy Health (Toledo, OH)
- …plans that promote health, prevent disease and seek early treatment. + Provides nursing case management for assigned patients. Follows guidelines for care ... Under low to moderate supervision and according to established nursing standards, performs professional nursing services in...ABILITIES:** + Must possess current license as a registered nurse in the state where practice setting is located.… more
- Fresenius Medical Center (Cleveland, OH)
- …accounting department. + Acts as the Facility Manager in the absence of the manager or at the direction of management . + Ensure nurses' progress notes are ... **PURPOSE AND SCOPE:** Works with the Facility Manager , facility staff and physician to coordinate the...basis in accordance with policies, procedures and training. Provides nursing support to patients and staff. Assists with staffing,… more
- Cleveland Clinic (Independence, OH)
- …and experience with Care Guidelines, Medical Necessity Criteria and/or other Utilization management criteria sets. + Must possess advanced interpersonal ... as assigned. **Education:** + Graduate from accredited school of Nursing with licensure as a Registered Nurse ...setting, previous work with network providers, care coordination, case management or utilization management preferred.… more
- Cleveland Clinic (Cleveland, OH)
- …using personal protective equipment as required for procedures Keywords: : RN, Registered Nurse , Case Management , Case Manager , RN Case Manager ... required. Minimum of two years of recent experience in Utilization Review, Quality, or Care Management preferred.... Manager , Critical Care RN, Critical Care Registered Nurse , ED RN, Care Management , Care … more
- CenterWell (Solon, OH)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Trinity Health (Columbus, OH)
- …Team). **Responsibilities** . Develops staffing plans based on census, productivity, utilization of casual staff and the management system. Participates ... accordance with the Mission and Guiding Behaviors; the Clinical Manager - Hospice is responsible for the oversight and...- Hospice is responsible for the oversight and program management of the Clinical component of the hospice program… more
- Trinity Health (Dublin, OH)
- …development reimbursement + Discounted tuition opportunities at the Mount Carmel College of Nursing + Mount Carmel offers DailyPay - if you're hired as an eligible ... on exceptional patient experience and evidence-based care. **About the job:** The Manager for Imaging and Interventional Services, serves as the front line leader… more
- Sedgwick (Columbus, OH)
- …PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...client locations; to provide expertise in client specific case management and utilization review requirements; and to… more
- Cleveland Clinic (Cleveland, OH)
- …available for continuous growth such as continuing education, paid certification, and nurse management . Cleveland Clinic provides what matters most: career ... respected healthcare organizations in the world. As a Registered Nurse (RN) Case Manager , you'll fill many...required. Minimum of two years of recent experience in Utilization Review, Quality, or Care Management preferred.… more
- Cleveland Clinic (Cleveland, OH)
- …and resolves problems. + Reports variances from standard practice to the Nurse Manager . + Develops educational material and provides health education ... to eliminate or reduce chronic pain. As a Registered Nurse (RN) in the Pain Management Center's...Management Center's Operating Room, you will provide clinical nursing and provide for the efficient functioning of the… more
- Cleveland Clinic (Avon, OH)
- …organization can receive for professional nursing practice. As a Registered Nurse (RN) Case Manager , you will work collaboratively with inter-professional ... RN clinical experience required. Minimum of two years of recent experience in Utilization Review, Quality, or Care Management preferred. + Knowledge of acute… more
- Bon Secours Mercy Health (Green Township, OH)
- …Moon, Bundle letters, and Conditions of Participation for DC Planning and Utilization Management , and address opportunities or potential concerns with ... and operational excellence. **Primary Function/General Purpose of Position** The Care Manager is responsible for providing coordination of care for patients to… more
- Bon Secours Mercy Health (Mason, OH)
- …Moon, Bundle letters, and Conditions of Participation for DC Planning and Utilization Management , and address opportunities or potential concerns with ... and operational excellence. **Primary Function/General Purpose of Position** The Care Manager is responsible for providing coordination of care for patients to… more