• SNF Utilization Management RN…

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse ( RN )** in the… more
    Humana (09/12/25)
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  • LTSS Service Coordinator - RN…

    Elevance Health (Toledo, OH)
    …an accommodation is granted as required by law._ The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within ... **LTSS Service Coordinator - RN Clinician (Case Manager)**...with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or… more
    Elevance Health (09/12/25)
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  • Sepsis Coordinator

    Cleveland Clinic (Garfield Heights, OH)
    …the ideal future caregiver include: + Master's Degree + Current licensure as a Registered Nurse ( RN ) + Certified Professional in Healthcare Quality (CPHQ) ... experience. As a Safety, Quality and Patient Experience (SQPE) Specialist - Sepsis Coordinator , you will play a critical role in advancing our sepsis care… more
    Cleveland Clinic (09/10/25)
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  • LTSS Service Coordinator - Clinician (LSW,…

    Elevance Health (Norwood, OH)
    **LTSS Service Coordinator - Clinician (Case Manager)** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily operate ... long term services and supports, and psychosocial needs. The **LTSS Service Coordinator -Clinician** is responsible for working under the direction/supervision of an … more
    Elevance Health (09/12/25)
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  • Care Coordinator -Care Management

    MetroHealth (Brooklyn Heights, OH)
    …Coordinates the care of selected patients. Integrates and coordinates access and utilization management , proactive patient panel management , care ... RN licensure. Three to Five years of case management or managed care experience. Ability to work independently...Minimum 5 years of clinical practice experience. Oncology Certified Nurse (OCN) or Blood & Marrow Transplant Certified … more
    MetroHealth (08/14/25)
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  • Guided Access Primary Care

    Cleveland Clinic (Cleveland, OH)
    …Social Work, Primary Care Social Work, Community Health Workers, and an RN Care Coordinator with strong Advanced Practitioner partnerships. Collaboration with ... Operations team. Eligible patients (from value-based contracts) that demonstrate high utilization of healthcare services, are at greater risk of rapidly escalating… more
    Cleveland Clinic (09/21/25)
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