- Sharecare (Columbus, OH)
- …motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. + ... program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager… more
- Sedgwick (Columbus, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Elevance Health (Cincinnati, OH)
- …applicable states or territory of the United States required. + Previous experience in case management and telephonic and/or in person coaching with members ... Health Case Manager II** position is responsible for performing case management telephonically and/or by home visits within the scope of licensure for… more
- Elevance Health (Norwood, OH)
- …individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of ... and Experiences:** + BA/BS in Health/Nursing preferred. + Strong preference for case management experience with older adults or individuals with disabilities.… more
- CVS Health (Columbus, OH)
- …in accordance with the benefit plan. + Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty ... resolution of claims payment issues. Supports the administration of the hospital care, case management and quality management processes in compliance with… more
- Humana (Columbus, OH)
- …the start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. ... and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
- Molina Healthcare (Akron, OH)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. * Develops and implements a case management plan in collaboration with the...to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs… more
- Highmark Health (Columbus, OH)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may...as the physician member of the multidisciplinary team for case and disease management . They will advise… more
- Molina Healthcare (OH)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- ChenMed (Columbus, OH)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... education patient may need and to oversee appropriate patient discharge from case management . + Performs clinical, fall prevention, and social determination… more