• RN Case Manager

    Cleveland Clinic (Cleveland, OH)
    …Precautions using personal protective equipment as required for procedures Keywords: : RN, Registered Nurse, Case Management , Case Manager , RN Case ... approved entity + Two years of recent experience in utilization review, quality or care management +...Manager , Registered Nurse Case Manager , Critical Care RN, Critical Care Registered Nurse, ED… more
    Cleveland Clinic (07/26/25)
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  • Case Manager , Licensed Practical…

    CVS Health (Columbus, OH)
    … Management Programs to change lives in new markets across the country. The Case Manager , Licensed Practical Nurse is responsible for care coordination of our ... review prior claims to address potential impact on current case management and eligibility status. Focus assessments...timelines. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … more
    CVS Health (07/15/25)
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  • Case Manager -Sbhi

    Premier Health (Eaton, OH)
    Case Manager FACILITY: SAMARITAN BEHAVIORAL HEALTH Case Manager functions as a member of a team to assist in the planning, development, and delivery of ... knowledge to coordinate services and advocate for identified clients. Case Manager acts as a resource consultant...administration and reporting of outcome measures and documentation of utilization management of clinical care. . Demonstrate… more
    Premier Health (06/05/25)
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  • Anti-Human Trafficking Case Manager

    The Salvation Army (Cincinnati, OH)
    …emergencies. FUNCTION: This position is responsible for providing long-term comprehensive case management , and occasional rotating 24 hour emergency response ... (after hours and weekend shift coverage approximately once a month) and comprehensive case management . + Assessment immediate needs. + Coordination with the… more
    The Salvation Army (05/24/25)
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  • LTSS Service Coordinator - Clinician ( Case…

    Elevance Health (Canton, OH)
    **LTSS Service Coordinator - Clinician ( Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily ... state(s) required. **Preferred Skills, Capabilities and Experiences:** + Strong preference for case management experience with older adults or individuals with… more
    Elevance Health (07/15/25)
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  • Director of Case Management

    Select Medical (Cleveland, OH)
    …Name:** Cleveland Clinic Rehabilitation Hospital - Fairhill **Position:** Director of Case Management **Location:** Cleveland, OH **Hours:** 40 hours/week ... to providing exceptional patient care **Responsibilities** **Position Summary** The Director of Case Manager is responsible for the coordination of health care… more
    Select Medical (07/18/25)
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  • RN Case Manager

    Cleveland Clinic (Cleveland, OH)
    …care at one of the top healthcare organizations in the nation. As an RN Case Manager , you will collaborate with inter-professional teams across the continuum of ... an approved entity + Two years of recent experience in utilization review, quality or care management + Knowledge of acute care and accreditation requirements +… more
    Cleveland Clinic (06/25/25)
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  • Licensed Social Worker (LSW) - Case…

    Bon Secours Mercy Health (Fairfield, OH)
    …preferred in VA) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from ... mandated by CMS and Conditions of Participation for discharge planning and utilization management . Addresses opportunities or potential concerns with leadership.… more
    Bon Secours Mercy Health (05/06/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Columbus, OH)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... , identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of...clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS**… more
    Highmark Health (07/12/25)
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  • Care Manager RN (Delaware)

    Highmark Health (Columbus, OH)
    …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... , identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of...is part of the compact **Preferred** + Certification in Utilization Management or a related field **SKILLS**… more
    Highmark Health (07/08/25)
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