• RAC Case Manager

    OhioHealth (Columbus, OH)
    …set of organizational skills, medical chart review and analysis, knowledge of claims appeal process and ability to apply (Interqual, Milliman) practice management ... in development, implementation, refinement and reporting of the RAC case management and appeals program. It is accountable for...for RAC audits and appeals in response to a claims denial from the RAC. He/She works collaboratively with… more
    OhioHealth (08/29/25)
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  • Field Case Manager -Sign-On Bonus

    Sedgwick (Cincinnati, OH)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus **This Field Case Manager will cover ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
    Sedgwick (06/20/25)
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  • Nurse Case Manager I

    Elevance Health (Cincinnati, OH)
    **Nurse Case Manager I** **Location- Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... by law. **Work Shift:** 8AM -5PM (CST) The **Nurse Case Manager I** is responsible for performing...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** Requires BA/BS in… more
    Elevance Health (08/26/25)
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  • 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...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
    Sedgwick (08/27/25)
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  • LTSS Service Coordinator - RN Clinician (RN…

    Elevance Health (Norwood, OH)
    **LTSS Service Coordinator - RN Clinician ( Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily ... Service Coordinator-RN Clinician** is responsible for overall management of member's case within the scope of licensure, develops, monitors, evaluates, and revises… more
    Elevance Health (08/14/25)
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  • Nurse Case Manager II

    Elevance Health (Cincinnati, OH)
    **Nurse Case Manager II** **Work Schedule: M-F 9am-530pm one late evening a week 1130am-8pm** **Locations:** This role enables associates to work virtually ... accommodation is granted as required by law. The **Nurse Case Manager ** II is responsible for care...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
    Elevance Health (08/27/25)
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  • Workers' Compensation Manager

    Flynn Restaurant Group (Independence, OH)
    …Flynn Fitness Group) is seeking an experienced and strategic Workers' Compensation Manager to lead the administration of its national workers' compensation program. ... of Analysts/Supervisors and manages all aspects of workers' compensation claims handling, litigation strategy, third-party administrator (TPA) relationships, and… more
    Flynn Restaurant Group (08/31/25)
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  • Commercial Manager - Pacific

    CDM Smith (Akron, OH)
    …to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS ... **Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams… more
    CDM Smith (08/13/25)
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  • Pharmacy Manager

    Walgreens (Newark, OH)
    …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more
    Walgreens (08/28/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Columbus, OH)
    …data is also reported quarterly to client. . Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty ... Adecco is hiring immediately for a **Field Reimbursement Manager ** with a local client. **Hybrid (must reside within 45 minutes of a major airport in the following… more
    Adecco US, Inc. (08/23/25)
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