• RN Case Manager

    Cleveland Clinic (Cleveland, OH)
    …using personal protective equipment as required for procedures Keywords: : RN, Registered Nurse, Case Management, Case Manager , RN Case Manager ... one of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across the continuum of care… more
    Cleveland Clinic (07/26/25)
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  • Telephonic Nurse Case Manager II

    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 ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
    Elevance Health (08/09/25)
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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 ... of an RN, with overall responsibility for the member's case . As required by applicable state law and contract,...RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN. +… more
    Elevance Health (07/15/25)
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  • RN Case Manager

    Cleveland Clinic (Euclid, OH)
    …an excellent medical facility, but also a home away from home. RN Case Managers work collaboratively with inter-professional teams across the continuum of care to ... Heart Association (AHA). + Three years of recent RN clinical experience. Preferred qualifications for the ideal future caregiver...or AHA). + Two years of recent experience in utilization review, quality or care management. + Knowledge of… more
    Cleveland Clinic (08/01/25)
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  • RN Case Manager

    Cleveland Clinic (Mayfield Heights, OH)
    …receive endless support and appreciation, and build a rewarding career. RN Case Managers work collaboratively with inter-professional teams across the continuum of ... Heart Association (AHA). + Three years of recent RN clinical experience. + CTM, ACM, CCM or AHA Certification...caregiver include + Two years of recent experience in utilization review, quality or care management + Knowledge of… more
    Cleveland Clinic (07/31/25)
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  • Lead Product Manager - Clinical

    Humana (Columbus, OH)
    …us put health first** We're looking for a strategic and forward-thinking Lead Product Manager to shape and deliver impactful clinical solutions for our members ... vision and strategy to execution and optimization. As a Lead Product Manager , you will work across multidisciplinary teams including design, engineering, clinical more
    Humana (08/08/25)
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  • Licensed Social Worker (LSW) - Case

    Bon Secours Mercy Health (Fairfield, OH)
    …as a Social Worker in state of practice (required, preferred in VA) Accredited Case Manager Certification (ACM) from American Case Management Association or ... Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. About Us As a faith-based...Case Manager (CCM) from Commission for Case Manager Certification (preferred) **Education** Bachelor of… more
    Bon Secours Mercy Health (08/08/25)
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  • Manager Clinical Services

    CommonSpirit Health at Home (Cincinnati, OH)
    …to embody our mission of delivering hope and healing to those we serve. As a Manager , Clinical Services you will contribute to the delivery of high quality care ... care follows a physician's approved plan of treatment. The Manager , Clinical Services facilitates the completion of...decisions. + ** Clinical Education:** Act as a Clinical Educator when needed. + **EMR Utilization :**… more
    CommonSpirit Health at Home (08/10/25)
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  • Nurse Case Manger II

    Elevance Health (Mason, OH)
    **Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... for employment, unless an accommodation is granted as required by law._ The **Nurse Case Manager II** will be responsible for care management within the scope… more
    Elevance Health (08/08/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Cleveland, OH)
    Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional ... Hearings as may be required. + Serves as a clinical resource for Utilization Management, Chief Medical...+ Serves as a clinical resource for Utilization Management, Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals.… more
    Molina Healthcare (08/02/25)
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