Jobs
>
Cincinnati

    Jobs – Nurse Case Manager - Cincinnati, United States - Anthem

    Anthem
    Anthem Cincinnati, United States

    Found in: beBee S2 US - 2 weeks ago

    Anthem background
    Full time
    Description

    Job Description:



    The Nurse Case Manager I – Model of Care is responsible for completing CMS required DSNP activities for health risk assessment (HRA), interdisciplinary care team (ICT), and individualized care plan (ICP) and performs care management telephonically within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.


    [ads1]

    Job Responsibilities:

    • Assists in problem solving with providers, claims or service issues.
    • Coordinates internal and external resources to meet identified needs.
    • Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
    • Implements care plan by facilitating referrals as appropriate within benefits structure or through extracontractual arrangements.
    • Ensures member access to services appropriate to their health needs.
    • Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
    • Interfaces with Medical Directors and interdisciplinary team on the development of care management treatment plans.

    Job Requirements:

    • 3 or more years of RN clinical experience in hospital/acute care, i.e. ER, ICU, Med/Surg, critical care, etc.
    • Current, unrestricted RN license in the state of residence and ability to obtain multi-state licensure required.
    • Requires a BA/BS in a health-related field; 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
    • Experience using electronic documentation.
    • Telephonic Case Management a plus.
    • Experience using MS Word, Excel and Outlook.
    • Certification as a Case Manager is preferred.
    • Experience within Managed Care industry and/or with Medicare a plus.

    Job Details:


    Company: Anthem

    Vacancy Type: Full Time

    Job Location: Cincinnati, OH, US

    Application Deadline: N/A

    [ads2]

    Apply Here

    careers-

  • Phoenix Industries

    Employee in Case Management

    Found in: Orion Innovations US - 1 week ago

    Phoenix Industries Norwood, OH, United States Freelance

    The Carl Gustav Carus University Hospital and the Medical Faculty together form the Dresden University Medicine. They are committed to excellence in high-performance medicine, medical research and education, as well as health services for patients in the entire region. · We want ...

  • NewPath Child & Family Solutions

    Case Manager

    Found in: ZipRecruiter Test10S US C2 - 3 days ago

    NewPath Child & Family Solutions Cincinnati, United States

    Job Description · Job DescriptionWelcome Are you ready to begin a NewPath? · At NewPath, we do more to make a difference -more for each child, each client and our community. Our dedicated team does what it takes, day and night, to get to the heart of every case and deliver the be ...

  • NewPath Child & Family Solutions

    Case Manager

    Found in: Talent US C2 - 2 days ago

    NewPath Child & Family Solutions Cincinnati, United States

    Welcome Are you ready to begin a NewPath? · At NewPath, we do more to make a difference -more for each child, each client and our community. Our dedicated team does what it takes, day and night, to get to the heart of every case and deliver the best care. Backed by a full breadth ...

  • Best Behavioral Health

    Case Manager

    Found in: ZipRecruiter Test10S US C2 - 1 day ago

    Best Behavioral Health Cincinnati, United States

    Job Description · Job DescriptionSalary: $16-$17 · Will serve as an advocate for persons and coordinate programs of support throughout the community for the benefit of persons who suffer from mental illness. Will provide crisis intervention services as needed to reduce symptoms. ...

  • Team Behavioral Health

    Case Manager

    Found in: ZipRecruiter Test10S US C2 - 1 day ago

    Team Behavioral Health Cincinnati, United States

    Job Description · Job DescriptionSalary: 15-17 · Job description · Will serve as an advocate for persons and coordinate programs of support throughout the community for the benefit of persons who suffer from mental illness. Will provide crisis intervention services as needed to r ...

  • Pinnacle Treatment Centers KY-I LLC

    Case Manager

    Found in: ZipRecruiter Test10S US C2 - 5 days ago

    Pinnacle Treatment Centers KY-I LLC Covington, United States

    Job Description · Job DescriptionWe offer competitive salaries, full benefits package, Paid Time Off, and opportunities for professional growth. · Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives ...

  • Greater Cincinnati Behavior

    Associate Case Manager

    Found in: Lensa US P 2 C2 - 6 hours ago

    Greater Cincinnati Behavior Cincinnati, United States

    Join our the Greater Cincinnati Behavioral Health Services (GCBHS) team GCBHS is looking for Associate Case Manager candidates to help individuals in our Outpatient Behavioral Health Clinic in Cincinnati. We have flexible work hours to accommodate college students Full-time and p ...

  • Continuum Medical Staffing

    RN Case Manager

    Found in: ZipRecruiter Standard US C2 - 3 days ago

    Continuum Medical Staffing Cincinnati, United States

    Job Description · Job DescriptionRN Case Manager needed to support managed care provider for onsite position in Cincinatti, OH. May be willing to take an RN seeking to transition into Case Management if coming from an acute care setting. '...Provides concurrent and retrospective ...

  • Greater Cincinnati Behavioral Health Services

    Senior Case Manager

    Found in: ZipRecruiter Test10S US C2 - 3 days ago

    Greater Cincinnati Behavioral Health Services Cincinnati, United States

    Job Description · Job DescriptionGCBHS has immediate openings for Senior Case Managers to help adults who are experiencing severe and persistent mental illness and who live in the community. Join our mission to help individuals with mental illness and addictions to lead healthy a ...

  • Greater Cincinnati Behavioral Health Services

    Associate Case Manager

    Found in: ZipRecruiter Test10S US C2 - 3 days ago

    Greater Cincinnati Behavioral Health Services Cincinnati, United States

    Job Description · Job DescriptionJoin our the Greater Cincinnati Behavioral Health Services (GCBHS) team GCBHS is looking for Associate Case Manager candidates to help individuals in our Outpatient Behavioral Health Clinic in Cincinnati. We have flexible work hours to accommodate ...

  • Best Behavioral Health

    Case Manager Lead

    Found in: ZipRecruiter Test10S US C2 - 5 days ago

    Best Behavioral Health Cincinnati, United States

    Job Description · Job DescriptionSalary: $17.00-$21.00 · Best Behavioral Health is looking for a case manager lead who will serve as a liaison with other service staff. This is a great starting point for a Case Manager with 2-3 years of experience looking for career advancement o ...

  • O'Connor Acciani & Levy, Co., LPA

    Paralegal Case Manager

    Found in: ZipRecruiter Standard US C2 - 2 days ago

    O'Connor Acciani & Levy, Co., LPA Cincinnati, United States

    Job Description · Job DescriptionParalegal · Medium-sized downtown law firm seeks entry-level paralegals with organizational and people skills. Must have excellent academic record and be able to work independently. · Responsibilities: · Review and draft written summary of medical ...

  • CHNK Behavioral Health

    Targeted Case Manager

    Found in: ZipRecruiter Test10S US C2 - 5 days ago

    CHNK Behavioral Health Covington, United States

    Job Description · Job DescriptionSalary: · Targeted Case Manager · $2,500 signing bonus available. · CHNK Behavioral Health is a Sanctuary Institute certified trauma informed care organization and has certification from the Human Rights Campaign's "All Children All Families" ini ...

  • Ohio Valley Goodwill Industries Rehabilitation Center, Inc.

    Veterans Employment Case Manager

    Found in: ZipRecruiter Test10S US C2 - 5 days ago

    Ohio Valley Goodwill Industries Rehabilitation Center, Inc. Cincinnati, United States

    Job Description · Job DescriptionGoodwill is a leading non-profit organization dedicated to providing comprehensive support and resources to homeless veterans. Our mission is to empower veterans in need, assisting them in achieving stability, employment, and independence. We beli ...

  • Amatus Health

    Case Manager-CDCA preferred

    Found in: ZipRecruiter Test10S US C2 - 5 days ago

    Amatus Health Cincinnati, United States

    Job Description · Job DescriptionTruHealing Cincinnati is seeking a Case Manager to work alongside the clinical team and ensure life-skills improvement and long-term sobriety for patients with SUD and Mental Health Diagnoses. · We Require: · 2+ years of experience working in the ...

  • NewPath Child & Family Solutions

    Case Manager- Residential Program

    Found in: ZipRecruiter Test10S US C2 - 1 day ago

    NewPath Child & Family Solutions Cincinnati, United States

    Job Description · Job DescriptionWelcome Are you ready to begin a NewPath? · At NewPath, we do more to make a difference -more for each child, each client and our community. Our dedicated team does what it takes, day and night, to get to the heart of every case and deliver the be ...

  • Ramey-Estep / Re-group

    Mental Health Targeted Case Manager

    Found in: Lensa US P 2 C2 - 6 hours ago

    Ramey-Estep / Re-group Newport, United States

    Function:This position is responsible for the case management of up to 25 clients; for creating and ensuring the implementation of individualized care plans to address significant areas of each client's life. Targeted Case Managers (TCM) link families to needed resources, coordin ...

  • Res-Care, Inc.

    registered nurse case manager prn- hospice

    Found in: Careerbuilder One Red US C2 - 5 days ago

    Res-Care, Inc. Cincinnati, OH , USA, United States

    Our Company · Ohio Valley Hospice · Overview · Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization In this role, you will support your patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and ...

  • The Methodist Home of Kentucky, Inc.

    Case Manager Home Supervision/Home Incarceration

    Found in: Lensa US P 2 C2 - 6 hours ago

    The Methodist Home of Kentucky, Inc. Covington, United States

    Mission Statement: We serve Christ by providing for the physical, emotional, educational, and spiritual needs of children and families.Change a life, every single day. The Kentucky United Methodist Children's Homes (KyUMH) is seeking passionate, mission driven individuals interes ...

  • MRG Exams

    Independent Medical Evaluators

    Found in: SonicJobs Direct Apply US - 1 day ago

    MRG Exams Cincinnati, United States Full time

    Job Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, Psychologists, Psychiatrists. · Location: Ohio (Southern Ohio Preferred) · Company Overview: · MRG Exams is a leading provider of Independent Medical Evaluations (IME) and ...