- Molina Healthcare (Dayton, OH)
- …active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional ... services professionals, in some or all of the following functions: utilization management , care management , care transitions, behavioral health, long-term… more
- Bon Secours Mercy Health (Springfield, OH)
- …Under the direction and supervision of the Manager , assumes responsibility for the case management of those clients assigned by the manager . This ... intervention and other duties as assigned. **Essential Functions** + Case management of clients to included assessment,...+ Provide accurate and timely documentation of services + Utilization review of assigned clients + Provide education to… more
- Deloitte (Cincinnati, OH)
- …CDIP, CCM) + Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review, ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other… more
- Elevance Health (Mason, OH)
- …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring the patient has ... about plan benefits and physicians and may assist with case management . + Collaborates with leadership in...experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination… more
- The Salvation Army (Cincinnati, OH)
- …response and emergency supervision, crisis intervention, intake and short-term case management . Responsibilities DUTIES:* Support provision of emergency ... Army.o Providing rotating 24 hour emergency response and comprehensive initial case management .o Assessment immediate needs and conduct intakes.o Coordination… more
- Elevance Health (Mason, OH)
- …on the team in preparation for advancement to the senior level. Within the case management role will within the scope of licensure assess, develop, implement ... The **Transplant Nurse II** will be responsible for providing case and/or medical management for members receiving...claims or service issues. + Assists with development of utilization /care management policies and procedures. + Within… more
- Elevance Health (Toledo, OH)
- **LTSS Service Coordinator - Clinician ( Case Manager )** **Candidates should live in one of the following counties:** Athens, Auglaize, Defiance, Gallia, Hocking, ... state(s) required. **Preferred Skills, Capabilities and Experiences:** + Strong preference for case management experience with older adults or individuals with… more
- Elevance Health (Mason, OH)
- …Qualifications:** + Internal Medicine, or Family Medicine specialties preferred. + Utilization Management or Appeals experience preferred. For candidates working ... aspects of a program. + May conduct peer-to-peer clinical case reviews with attending physicians or other ordering providers...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- ChenMed (Columbus, OH)
- …development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed ... and in collaboration with other health care professionals. Consults with the manager , physician, and medical director to ensure compliance with guidelines. This… more
- ChenMed (Maple Heights, OH)
- …development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed ... and in collaboration with other health care professionals. Consults with the manager , physician, and medical director to ensure compliance with guidelines. This… more