- Elevance Health (Columbus, OH)
- ** Telephonic NICU Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... different states; therefore, Multi-State Licensure will be required.** The ** Telephonic NICU Nurse Case Manager II** is...Capabilities, Skills and Experiences:** + Certification as a Case Manager . + Managed Care experience. + Ability… more
- Elevance Health (Cincinnati, OH)
- ** Telephonic Nurse Case Manager I** **Sign...will be required.** The ** Telephonic Nurse Case Manager I** is responsible for performing care ... within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating … more
- Sharecare (Columbus, OH)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst...or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,… more
- Intermountain Health (Columbus, OH)
- …of Triage and Transitions RNs** **Responsible for evaluating outcomes of transitional care management services and telephonic triage services provided by RN ... patients and employees by developing and interpreting policies and protocols for telephonic triage, transitions of care , and other population health… more
- Elevance Health (Cincinnati, OH)
- …law._ This role's primary focus is ABA utilization management The ** Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management ... + Supports quality improvement activities. + May assist with implementation of cost of care initiatives. + May attend meetings to review UM and/or CM process and… more
- CVS Health (Columbus, OH)
- …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) ... on managing chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans,… more
- Molina Healthcare (OH)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Centene Corporation (Maumee, OH)
- …benefits including a fresh perspective on workplace flexibility. **Centene is hiring a Care Manager (RN) for our Buckeye Health Plan, supporting the MyCare ... or specialists to ensure member has timely access to needed care or services + May perform telephonic , digital, home and/or other site outreach to assess member… more
- Molina Healthcare (Dayton, OH)
- …must live be licensed for the state of OHIO. This role will provide telephonic complete field visits when needed with member. Excellent computer skills and attention ... Proficiency with Windows, Microsoft Office (Word, Excel, Outlook, Teams required). Knowledge of Care Management. TRAVEL in the field to do member visits in the… more
- National Youth Advocate Program (Cincinnati, OH)
- …+ Why Work with Us? Exciting Benefits and Opportunities at NYAP! The Case Manager I for La Jornada is responsible for the completion and submission of timely ... compliant with ORR Policy and NYAP's CQI Team. Case Manager I is required to maintain a flexible, organized...members, friends of family to vet sponsor's ability to care for the minor(s). + Act as UC case… more
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