• RN Care Manager

    OhioHealth (Columbus, OH)
    …Association, CCM - Certified Case Management Nurse - Commission for Case Manager Certification (CCMC), RN - Registered Nurse - Ohio Board of ... our careers and in our communities. **Job Description Summary:** The Care Manager works in partnership with patients, families, caregivers and providers to deliver… more
    OhioHealth (09/27/25)
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  • Case Manager - PRN

    Select Medical (Dublin, OH)
    …**OhioHealth-** **Neuro Transitional Center** **Joint venture with Select Medical** **Position:** Case Manager PRN **Location: Dublin, Ohio** **Schedule:** Per ... Diem + We are seeking a Case Manager with rehabilitation experience for an...Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred)… more
    Select Medical (08/02/25)
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  • Case Manager / PRN, Per Diem

    Select Medical (Beachwood, OH)
    **Overview** **Hospital Name:** **Cleveland Clinic with Select Medical** **Position:** Case Manager **Location:** Beachwood, OH **Schedule:** PRN, Per Diem Our ... team of over 44,000 committed to providing exceptional patient care **Responsibilities** The Case Manager is responsible for the coordination of health care… more
    Select Medical (09/20/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Cleveland, OH)
    …and at least 2 years of managed care experienced in utilization management * Registered Nurse ( RN ) ONLY if required by state contract, regulation or ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (09/26/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Cincinnati, OH)
    **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
    Elevance Health (09/11/25)
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  • Transitions of Care - RN , 100% Virtual,…

    Elevance Health (OH)
    …with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + Previous ... **Transitions of Care - RN , 100% Virtual, CareBridge** Location: This role enables...agencies and appropriate provider/network. + Refers member to catastrophic case management. **Minimum Requirements:** Requires AS in nursing and… more
    Elevance Health (10/01/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Akron, OH)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Manager , Healthcare Services

    Molina Healthcare (OH)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (09/27/25)
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  • Care Manager

    AmeriHealth Caritas (Dublin, OH)
    …electronic medical record and documentation programs. **Licensure:** + A current and unrestricted Registered Nurse ( RN ) or Licensed Independent Social Worker ... **Role Overview:** ;The Care Manager is responsible for managing and coordinating care,...electronic care management platforms where applicable. + Monitor appropriate utilization and coordinate services with other payer sources, make… more
    AmeriHealth Caritas (10/02/25)
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  • Disease Management Nurse - Remote

    Sharecare (Columbus, OH)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (09/13/25)
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