• Nurse Case Manager

    Medical Mutual of Ohio (OH)
    …RN Compact License within 60 days of date of hire. + Certified Case Manager (CCM) or other industry recognized certification preferred (required within ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....Bachelor's Degree preferred. + 3 years as a Registered Nurse with a combination of clinical and case more
    Medical Mutual of Ohio (05/28/25)
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  • Case Manager , Registered…

    CVS Health (Columbus, OH)
    …are comprised of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, ... post-acute care, hospice, palliative care, cardiac, home health with Medicare members. - 2 years case management,...interpersonal skills. - Ability to work independently. - Certified Case Manager is preferred. - Additional national… more
    CVS Health (07/18/25)
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  • RN Case Manager - Wavier

    Molina Healthcare (Cincinnati, OH)
    …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... For this position we are seeking a (RN) Registered Nurse who lives in OHIO and must be licensed...of OHIO. This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position… more
    Molina Healthcare (05/23/25)
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  • RN Case Manager

    Trinity Health (Westerville, OH)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Case Manager , Full-time **Why Mount Carmel?** With five hospitals ... opportunities at the Mount Carmel College of Nursing **About the job:** Our RN Case Manager in collaboration with other internal and external disciplines directs… more
    Trinity Health (05/21/25)
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  • Registered Nurse (RN) - Admissions…

    Bon Secours Mercy Health (Lorain, OH)
    …worker, care coordinators, therapists, and nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility ... include discharge planning and coordination. Leads rehab team meetings when covering for case manager to discuss appropriateness of program and progress of… more
    Bon Secours Mercy Health (07/22/25)
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  • Registered Nurse (RN) - Admissions…

    Bon Secours Mercy Health (Lorain, OH)
    …worker, care coordinators, therapists, and nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility ... include discharge planning and coordination. Leads rehab team meetings when covering for case manager to discuss appropriateness of program and progress of… more
    Bon Secours Mercy Health (05/19/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (OH)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of UTAH or have a compact license._ _This position… more
    Molina Healthcare (07/20/25)
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  • Nurse Practitioner

    ChenMed (Columbus, OH)
    …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be… more
    ChenMed (05/31/25)
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  • Care Manager RN, Physical Health

    Humana (Columbus, OH)
    …more! Apply now to begin your future with a Fortune 500 Company! The Field Care Manager Nurse 2 (Care Manager Plus, Physical Health) work assignments are ... Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and requirements...skills to make an impact** **Required Qualifications** + Registered Nurse with 2 years of experience of in home… more
    Humana (07/19/25)
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  • Care Manager (RN)

    Centene Corporation (Maumee, OH)
    …including a fresh perspective on workplace flexibility. **Centene is hiring a Care Manager (RN) for our Buckeye Health Plan, supporting the MyCare Ohio MMP ( ... Medicare -Medicaid Plan) Duals Program.** **This is a hybrid position,...specifically Lucas, Wood, and Ottawa counties.** **The role involves case management in both facility and field settings, including… more
    Centene Corporation (07/19/25)
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