• Registered Nurse , Case

    Crossroads Hospice & Palliative Care (Batavia, OH)
    As a Registered Nurse Case Manager , you will provide direct care to patients in their homes or care facilities. Your role goes beyond offering medical ... serve. Together, we can create lasting impacts that go beyond medical treatment. Registered Nurse Case Manager Qualifications: + 6 months minimum prior… more
    Crossroads Hospice & Palliative Care (08/15/25)
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  • RN Case Manager - Waiver Program

    Molina Healthcare (Cincinnati, OH)
    **JOB DESCRIPTION** For this position we are seeking a (RN) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (09/07/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Cincinnati, OH)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
    Molina Healthcare (08/15/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Cincinnati, 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. **PREFERRED EDUCATION:**… more
    Molina Healthcare (09/06/25)
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  • Post Acute Manager , Complex Care (LPN)

    ChenMed (Cincinnati, OH)
    …to join our team. The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse ... and maximizing their healthy time at home. The Register Nurse (RN) Community Care Nurse will serve...may need and to oversee appropriate patient discharge from case management. + Performs clinical and Social determination of… more
    ChenMed (08/30/25)
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  • Supervisor, Care Management

    Molina Healthcare (Cincinnati, OH)
    …and assigns cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the ... for contact are per ToC protocols. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational Nurse more
    Molina Healthcare (08/27/25)
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  • Medical Claim Review LVN/LPN (CA LVN Required)

    Molina Healthcare (Cincinnati, OH)
    …Licensed Vocational Nurse (LVN) license in good standing. **Preferred Education** Registered Nurse . Bachelor's Degree in Nursing or Health Related Field ... Certified Clinical Coder, Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
    Molina Healthcare (09/12/25)
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  • Medical Management Clinician

    Elevance Health (Mason, OH)
    …complex case types that do not require the training or skill of a registered nurse . **How you will make an impact.** Primary duties may include, but are ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (09/10/25)
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