- 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
- 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
- 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...limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or… more
- 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 (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 (Cincinnati, OH)
- **Telephonic Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of required ... different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management… more
- 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
- 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
- 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
- Deloitte (Dayton, OH)
- Pharmacy Benefit Manager /Health & Group Benefits Senior Consultant Human CapitalOur Human Capital practice is at the forefront of transforming the nature of work. As ... as general health and group benefits skills. Key Responsibilities + Lead project manager for specific projects or key workstream lead on larger projects. + Evaluate… more