We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.
Summary:
The Clinical Manager supervises and manages the activities of Respiratory Care Therapists and Technicians, coordinates respiratory services with nursing units and physicians, and is responsible for productivity and quality control reviews. He/she assists in the assessment of patient's respiratory care needs in conjunction with the patient care evaluation and categorization systems. He/she also supervises the activities of affiliated respiratory care students. This position also assists with computer operations and performs other miscellaneous duties as needed.
Responsibilities And Duties:
1. 50%
Operations and Personnel Management a. Maintains daily department operations including status of staff and staff workload and serves as a resource guide for patient care. b. Assists Manager with budgetary / fiscal management c. Participates in recruitment, selection and retention of personnel d. Ensures appropriate orientation, training and competency validation of personnel. e. Participates in staff performance reviews and disciplinary action. 2.
35%
Patient Care a. Assists Manager in accountability for ongoing delivery of patient care and assures documentation of care resides in the medical record. Coordinates Respiratory Care in collaboration with other healthcare disciplines. b. Participates in collection of data from various sources to initiate continuous process improvement. Actively participates in CPIT and root cause analysis. 3.
15%
Miscellaneous a. Works on projects, policy and procedure development and assists with product evaluation, b. Assists / monitors daily charges in conjunction with the System Coordinator c. Supervises and coordinates activities of affiliating Respiratory Care students with the Clinical Coordinator. d. Provides quality control and trouble shooting of patient care devices. The major duties, responsibilities and listed above are not intended to be all-inclusive of the duties, responsibilities and to be performed by employees in this job. Employee is expected to all perform other duties as requested by supervisor.
Minimum Qualifications:
Bachelor's Degree (Required) NBRC - National Board of Respiratory Care - The National Board for Respiratory Care
Additional Job Description:
Associate Degree or equivalent from 2 year college or technical school; or 6 month - 1 year related Experience and/or training; or equivalent combination of and Experience . NBRC Registry, active Ohio license. Knowledge of Respiratory Care technology and a strong background in Respiratory Care 3 years clinical knowledge. Projected learning period (managerial) is 1 year.
Work Shift:
Night
Scheduled Weekly Hours :
40
Department
Pulmonary Services
Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry
Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
$57k-71k yearly est. 2d ago
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Behavioral Health - Care Manager II
Elevance Health
Columbus, OH
Location: Virtual: This role enables associate to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Behavioral Health - CareManager II is responsible for managing psychiatric or autism facility-based and outpatient professional treatment health benefits through telephonic or written review.
How you will make an impact:
* Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.
* Refers cases to Peer Reviewers as appropriate.
* Performs psychiatric and autism assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.
* Will serve as a resource to other BH CareManagers.
* Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives.
Minimum Requirements:
* Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
* Current active unrestricted license such as LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT RN or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision.
* Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required.
* Prior managedcare experience required.
Preferred Skills, Capabilities, and Experiences:
* BCBA and LBA is STRONGLY PREFERRED
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $68,400 to $123,100.
Locations: (note: only include the actual jurisdiction(s) where the job is posted)
California, Illinois
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed/Certified Behavioral Health Role
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates 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 once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$68.4k-123.1k yearly 10d ago
Behavioral Health Care Manager II
Carebridge 3.8
Columbus, OH
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Work Shift Hours: Monday through Friday, 8AM - 5PM (EST) business hours with some weekends based upon organizational/business needs.
The Behavioral Health CareManager II is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.
How you will make an impact:
* Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.
* Refers cases to Peer Reviewers as appropriate.
* Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.
* Will serve as a resource to other BH CareManagers.
* Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives.
Minimum Requirements:
* Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
* Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
* Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision.
* Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required.
* Prior managedcare experience required.
Preferred Skills, Capabilities, and Experiences:
* Behavioral Health and/or substance abuse experience strongly preferred.
* Previous managedcare experience preferred.
* MCG and ASAM experience strongly preferred.
* Ohio Medicaid utilization management experience preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates 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 once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$58k-76k yearly est. Auto-Apply 60d+ ago
Practice Manager - Polaris
Banfield Pet Hospital 3.8
Columbus, OH
Veterinary Practice Manager at Banfield Pet Hospital Practice Managers play a pivotal role in our hospitals. Your medical practice management skills will be put to use to drive business results, and your people leadership skills will come into play as you develop associates and foster an engaging team environment. Along with a team of knowledgeable pet health care experts, you'll ensure that clients and patients have a positive experience when they visit the hospital. Through a professional relationship with other stakeholders, including the veterinary medical team, field leadership, our corporate headquarters and PetSmart associates (if applicable), you'll be helping optimize the growth of both businesses. And since we are committed to your growth, you'll be able to take advantage of a variety of educational opportunities and resources that support your career path.
Job Description Summary: In partnership with the chief of staff, the Practice Manager plays a vital role in the hospital, managing day-to-day operations so the medical team can devote their time to delivering the highest quality veterinary care.
Employment Type: Full-Time
Required Education/Licenses: Bachelor's degree in business or related discipline preferred, or the equivalent combination of education, training and experience that provides the required knowledge, skills and abilities.
Required Experience: Three years related experience required (health care, veterinary profession, service industry, etc.), including direct supervisory experience (includes hiring, associate development, etc.).
A Day in the Life of a Banfield Practice Manager
The position of Practice Manager requires a fair amount of versatility. Duties involve everything from interviewing, hiring and developing associates, to evaluating the hospital's processes, progress and productivity. Our Practice Managers also train associates on how to educate clients about our Optimum Wellness Plans , preventive care, pet health needs and hospital services. You will also be responsible for:
+ Educating associates on Banfield guidelines/practices
+ Budgeting and planning for the hospital
+ Dealing with daily operations
+ Scheduling associates, coordinating time off and managing continuing education needs
Commitment Beyond Qualifications
The foundation of our culture and approach to business is known as The Five Principles. They include Quality, Responsibility, Mutuality, Efficiency and Freedom. These are special values we all share at Banfield and hope to integrate into our daily decisions and processes at work. Additionally, our Practice Managers have:
+ Strong organizational, communication and interpersonal skills
+ A knack for problem solving
+ Conflict management experience
+ Leadership and analytical know-how
Caring for Those Who Care: Benefits for a Banfield Practice Manager
We have the resources and programs to help you stay fit, ensure the wellness of your family and pets, and offer a workplace where your professional development is important too.
Personal Health, Savings, and Wellness Benefits
We offer a competitive benefits package with components such as 401(k) participation, paid time off and Optimum Wellness Plans for your pets. In addition, medical, vision, dental, life and disability insurance is offered to associates (based on eligibility).
Potential as Big as Your Passion
We help our Practice Managers take charge of their professional development with the continuing education you'll want to excel in your career. We also offer a collection of programs geared toward improving competencies by providing:
+ Connections to learning experiences
+ Networking opportunities
+ Ways to give back to your community through volunteerism
A Support Structure That Helps You Thrive
As a practice manager you, along with the Chief of Staff, will serve as the leaders within the hospital, but you'll have the support of field leaders, medical leaders and our corporate headquarters behind you to help you excel. Our collaborative team environment helps us inspire the delivery of pet health care in hospitals, communities and the veterinary medicine field in general.
Start your Banfield Career as a Practice Manager
Learn more about the impact you can make as part of a Banfield hospital team and see how we support the wellness of our people and profession.
BENEFITS & COMPENSATION
+ Salary range for this role is $63,822.10 - $85,187.47. Specific pay rates are dependent on experience, skill level, and education of the candidate, as well as geographic location. Pay rates for salaried positions may differ based on schedule worked.
+ Banfield offers an industry competitive benefits package and continues to invest in and evolve benefits programs that meet the health, wellness, and financial needs of our associates. Our benefits package includes:
+ Medical, Dental, Vision
+ Basic Life (company paid) & Supplemental Life
+ Short- and Long-Term Disability (company paid)
+ Flexible Spending Accounts
+ Commuter Benefits*
+ Legal Plan*
+ Health Savings Account with company funding
+ 401(k) with generous company match*
+ Paid Time Off & Holidays*
+ Paid Parental Leave
+ Student Debt Program (for FT DVMs)
+ Continuing Education allowance for eligible positions*
+ Free Optimum Wellness Plans for your pets' preventive and general care*
*Benefits eligibility is based on employment status. FT associates are eligible for all benefits programs (Student Debt Program available for FT DVMs only); PT associates are eligible for those benefits highlighted with an asterisk*.
WE ARE A DRUG-FREE, SMOKE-FREE, EQUAL OPPORTUNITY EMPLOYER.Banfield Pet Hospital strongly supports and values the uniqueness of all individuals and promotes a work environment where diversity is embraced. Banfield Pet Hospital is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, genetic information, status as a protected veteran, or status as a qualified individual with disability. Banfield Pet Hospital complies with all applicable federal, state and local laws governing nondiscrimination in employment in every Banfield location. #FT
$63.8k-85.2k yearly 60d+ ago
Patient Care Manager and Dual RN
Unitedhealth Group Inc. 4.6
Columbus, OH
Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
In the Patient CareManager RN Hybrid role, you are responsible for the supervision and coordination of clinical services and provide and direct provisions of nursing care to patients in their homes as prescribed by the physician. You will coordinate and supervise an interdisciplinary team of staff to assure the continuity of high-quality care to home health patients assigned to your team's area in accordance with the physician-prescribed plan of care, and all applicable state and federal laws and regulations.
Primary Responsibilities:
* Directly/indirectly supervises home health aides and LPNs, provides instruction, and assigns tasks
* Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
* Completes comprehensive assessments (OASIS), medication reconciliation, and initial/comprehensive nursing evaluation visits.
* Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits
* Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
* Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders
* Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate
* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current unrestricted RN licensure in state of practice
* Current CPR certification requirements
* Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Home care experience
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
#LHCJobs
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
$71.2k-127.2k yearly 7d ago
Manager of Practice Transformation
CVS Health 4.6
Columbus, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
The Manager of Practice Transformation plays a critical role in supporting the highest standards of practice performance and quality within our organization's network of healthcare providers.
The primary focus is to identify areas for quality improvement, partner with provider practices to implement quality strategies that improve quality and cost of care, member, and clinician experience, and drive positive outcomes in the delivery of patient care.
Responsibilities include:Provider Engagement: Establish and maintain engagement with large provider groups that have a membership of 1,000 or greater.
Performance Analysis: Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment.
This includes clinical quality indicators, patient and provider satisfaction ratings and operational efficiency measures.
Identify areas of improvement and develop data-driven strategies to improve provider performance and financial rewards.
Provider Education and Practice Transformation: Collaborate with cross-functional teams to assess practice operations against industry best practices in primary care.
Design and deliver training programs, workshops, and educational materials for primary care and specialty providers and their staff in key operational domains to achieve improved health outcomes.
Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience and patient-centered care to enhance provider skills and knowledge.
Performance Improvement Initiatives: Lead initiatives aimed at improving provider performance.
Develop and implement performance improvement plans, monitor progress, and evaluate the effectiveness of interventions in collaboration with practice partners.
Quality Assurance: Conduct regular audits, reviews, and assessments of provider practices, documentation, and compliance.
Provide feedback and recommendations for improvement.
Stakeholder Collaboration: Collaborate closely with internal teams, including clinical and operational leadership, value-based care, quality management teams and provider relations teams to align provider performance objectives with organizational goals.
Foster effective working relationships with providers, offering guidance, feedback, and support to facilitate their success.
Data Management and Reporting: Utilize data management systems and analytics tools to collect, analyze, and report provider performance data.
Prepare comprehensive reports, dashboards, and presentations for senior leadership, highlighting key performance indicators, trends, and improvement opportunities.
Industry Knowledge and Research: Stay abreast of industry trends, best practices, and regulatory changes related to provider performance and healthcare quality.
Support population health and health equity initiatives to improve care gap closure rates and health outcomes.
Conduct research and benchmarking activities to identify innovative approaches and opportunities for improvement.
Location/TravelThis is a work-from-home position, but does require travel to visit providers offices throughout the state of Ohio approximately 35% of the time.
Candidate may live anywhere in the state of OH.
Requirements:5+ years of experience in healthcare quality improvement, provider relations, or a related role.
In-depth knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics.
Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities.
Excellent communication, presentation and interpersonal skills to collaborate with and effectively influence provider groups and executives, team members, and stakeholders at all levels.
3+ years experience in designing and delivering training programs or educational initiatives.
Proficiency in data management and analysis tools, such as Excel or data visualization software.
Familiarity with electronic health record systems and healthcare information technology.
Detail-oriented, organized, and able to manage multiple projects simultaneously.
Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.
Secure home network required and familiar with Microsoft Office products and VPN.
Preferred Requirements:Registered Nurse in state of OHMental Health related coding experience, or Sales background Certified Six Sigma Green BeltCertified Professional in Healthcare Quality (CPHQ) or equivalent Certified NCQA PCMH Content ExpertEducation:Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$54,300.
00 - $119,340.
00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$54.3k-119.3k yearly 10d ago
Director Case Management / Utilization Management / CDI Location: Buckey
Knowhirematch
Buckeye Lake, OH
TITLE: Director Case Management / Utilization Management / CDI Now is your chance to join a Forbes magazine top 100 hospital where career growth and opportunity await you. They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for quality talent who share the same values.
They're nestled in a beautiful rural setting but close enough to the big city to enjoy that too!
If that sounds like the change you are looking for, please read on…
What you'll be doing:
•Responsible for developing, planning, evaluating, and coordinating comprehensive patient care across the continuum, to enhance quality patient care while simultaneously promoting cost-effective resource utilization.
Provides director-level oversight of Inpatient and ED Case Management, Utilization Management and Clinical Documentation Integrity programs, ensuring alignment with organizational goals and regulatory requirements.
Monitors patient care, including utilization, quality assurance, discharge planning, continuity of care, and case management activities, and ensures that these functions are integrated into overall hospital operations.
Coordinate and monitors activities with appropriate members of the health care team to promote efficient use of hospital resources, facilitate timely discharges, prevent and control infections, promote quality patient care, and reduce risk and liability.
Collaborates closely with coders and revenue cycle teams to optimize clinical documentation and support accurate coding, reimbursement, and compliance initiatives.
•Responsible for identifying tracking mechanisms in order to evaluate and achieve optimal financial outcomes, to enhance quality patient care, and promote cost-effective resource utilization.
•Uses data to drive decisions, plan, and implement performance improvement strategies for case management, utilization management, and clinical documentation integrity
•Coordinates daily activities of the Case Management, UM, and CDI Department in order to promote quality patient care, efficient use of hospital resources, facilitate timely and adequate discharges, and reduce risk and liability.
•Investigates and initiates follow-up on utilization denials, contract negotiations, and external regulatory agencies' requirements.
•Directs operations of our Physician Advisor Program, including analysis of performance through reporting and committee involvement and oversight.
•Actively serves on hospital committees and teams and facilitates opportunities for employees to do the same.
•Develops, performs, and improves personal and departmental knowledge of computer software and reporting functions.
•Organizes and oversees the maintenance of denial and appeal activity. Follows up with physicians and others when indicated.
•Prepares or coordinates the preparation of periodic and special reports required by various agencies, insurance contracts, and for hospital committees.
•Analyzes and trends data results in order to incorporate efforts and information results with existing systems to optimize the efficiency of operational systems through strategic quality leadership.
•Facilitates growth and development of the case management program, utilization management ( including physician advisor program and clinical documentation integrity (CDI), in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities, as needed.
•Develop new resources where gaps exist in the system as identified through research and data analysis to meet and enhance the quality/efficiency of comprehensive patient care and/or basic human needs for the community.
•Interact with Corporate Consulting and Business office on issues such as contracting, billing, reimbursement, denials, and physician reports cards, and collaboratively initiate improvements related to these areas.
•Maintains hospital compliance with the Quality Improvement Organization (QIO) and CMS guidelines.
•Maintains professional knowledge by participating in educational seminars and opportunities.
•Participates in Population Health work at an organizational level, including active involvement with the System-Wide CareManagement Team and Value-Based Care Delivery.
Additional info:
•Position will report to a Manager that is well respected in the organization. Position is open as the person is retiring.
They use EPIC(EMR) and the facility has a lot of technology. Person would be over about 50-60 people between CM/UM/CDI. Great team to work with.
•If you're a passionate Pharmacist and seeking a rewarding career in a collaborative healthcare setting, this is the opportunity you've been waiting for.
Join us in east central Ohio, and become part of our exceptional team dedicated to delivering high-quality care to our community. Apply now and embark on a fulfilling career journey with us.
Requirements
What they're looking for:
•Master's degree in nursing, Healthcare Administration, or Business Administration required.
•Current Ohio RN licensure (or active multi-state licensure).
•Certified Case Manager(CSM).
•At least three (3) years of management or demonstrated leadership experience required.
•Knowledge of prospective payment systems, managedcare, infection control surveillance, patient care, disease processes, discharge planning, and continuum of services offered within Genesis and externally. Knowledge of coding, mid-revenue cycle, CDI, physician advisor and payor relations.
•Ability to perform data analysis and to utilize computer systems to record and communicate information to other services.
•The ability to lead collaboration with other leaders in the organization, especially about the delivery of high-quality, timely, and right site of care.
•Excellent leadership, verbal and organizational skills to order to steer the case management process.
Benefits
Hours and compensation potential:
•The position is full time.
•The range starts at $62.50hr($130K)-$75hr($156K) depends on years of experience.
•Full benefits package being offered.
$130k yearly Auto-Apply 39d ago
Client Care Manager
Thekey LLC
Upper Arlington, OH
For nearly 20 years, TheKey has helped clients achieve successful long-term aging at home with comprehensive, concierge-based care. Ensuring the dignity, safety, and independence of its clients, TheKey is committed to changing how the world lives and ages at home. Employee-teams get the training, resources, and support they need to deliver an exceptional care experience for clients and their families. Founded in Silicon Valley, TheKey has grown from a single location to service coverage throughout North America enabling clients to live life on their own terms, in their own homes.
Position Summary
The Client CareManager is responsible for converting potential clients to clients and then ensuring that The Key delivers a quality care experience to those clients. The Client CareManager is responsible for developing a care plan for each client which includes physical, emotional, and social well-being for our clients, often creating life-enriching opportunities and allowing as much independence as possible to be retained. The Client CareManager is responsible to ensure we are the provider of choice. The Client CareManager should partner with community resources and referral partners, always ensuring our reputation of quality care is maintained. The Client CareManager is also integral to ensuring smooth operations and client satisfaction, supporting long-term retention of cases, and working in partnership with colleagues in the immediate team environment and the larger The Key community.
Minimum Qualifications
* 3-5 years of experience in health care, elder care, social work, or related industry
* Excellent customer service and conflict resolution skills.
* Computer proficiency and ability to document timely and accurate notes in systems related to client visits.
* Current driver's license and proof of auto insurance.
Preferred
* Bachelor's degree in gerontology, health care, social work, or related profession from an accredited university is preferred.
Benefits for full time employees
* Medical/Dental/Vision Insurance
* TouchCare VirtualCare
* Life Insurance
* Health Savings Account
* Flexible Spending Account
* 401(k) Matching
* Employee Assistance Program
* PTO Plan for Non-Exempt Employees
* Flexible PTO Plan for Exempt Employees
* Holidays and Floating Holidays
* Pet Insurance
TheKey is an equal opportunity employer. TheKey prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, age, national origin, disability status, protected veteran status, or any other characteristic protected by law.
California Residents Only:
In accordance with Article 2 of the California Health and Safety Code - California Community Care Facilities Act, TheKey requires timely and accurate positive fingerprint identification of California based applicants as a condition of employment. If an applicant has been convicted of a non-exemptible crime, and in compliance with all applicable state and local laws, their conditional offer will be rescinded.
#LI-TK
$32k-62k yearly est. Auto-Apply 14d ago
Client Care Manager
Thekey
Upper Arlington, OH
For nearly 20 years, TheKey has helped clients achieve successful long-term aging at home with comprehensive, concierge-based care. Ensuring the dignity, safety, and independence of its clients, TheKey is committed to changing how the world lives and ages at home. Employee-teams get the training, resources, and support they need to deliver an exceptional care experience for clients and their families. Founded in Silicon Valley, TheKey has grown from a single location to service coverage throughout North America enabling clients to live life on their own terms, in their own homes.
Position Summary
The Client CareManager is responsible for converting potential clients to clients and then ensuring that The Key delivers a quality care experience to those clients. The Client CareManager is responsible for developing a care plan for each client which includes physical, emotional, and social well-being for our clients, often creating life-enriching opportunities and allowing as much independence as possible to be retained. The Client CareManager is responsible to ensure we are the provider of choice. The Client CareManager should partner with community resources and referral partners, always ensuring our reputation of quality care is maintained. The Client CareManager is also integral to ensuring smooth operations and client satisfaction, supporting long-term retention of cases, and working in partnership with colleagues in the immediate team environment and the larger The Key community.
Minimum Qualifications
3-5 years of experience in health care, elder care, social work, or related industry
Excellent customer service and conflict resolution skills.
Computer proficiency and ability to document timely and accurate notes in systems related to client visits.
Current driver's license and proof of auto insurance.
Preferred
Bachelor's degree in gerontology, health care, social work, or related profession from an accredited university is preferred.
Benefits for full time employees
Medical/Dental/Vision Insurance
TouchCare VirtualCare
Life Insurance
Health Savings Account
Flexible Spending Account
401(k) Matching
Employee Assistance Program
PTO Plan for Non-Exempt Employees
Flexible PTO Plan for Exempt Employees
Holidays and Floating Holidays
Pet Insurance
TheKey is an equal opportunity employer. TheKey prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, age, national origin, disability status, protected veteran status, or any other characteristic protected by law.
California Residents Only:
In accordance with Article 2 of the California Health and Safety Code - California Community Care Facilities Act, TheKey requires timely and accurate positive fingerprint identification of California based applicants as a condition of employment. If an applicant has been convicted of a non-exemptible crime, and in compliance with all applicable state and local laws, their conditional offer will be rescinded.
#LI-TK
$32k-62k yearly est. Auto-Apply 16d ago
Managed Care Resource
Ensign Services 4.0
Columbus, OH
About the Company ESI currently serves over 350 health care operations that employ over 48,000 employees across 14 states. These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center” - a team of accounting, legal, human resources, benefits, compliance, payroll, construction, training and information technology resources. Service Center human resources employees are dedicated subject matter consultants who guide and advise field personnel. This structure allows on-site leaders and caregivers to focus on day-to-day issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. About the Opportunity The ManagedCare Consultant supports the Skilled Nursing Facility leaders in managedcare contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the healthcare industry. The Consultant will provide guidance regarding development of managedcare relationships and rate negotiation, ensuring timeliness and rate appropriateness.
Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals.
Essential Functions and Responsibilities
Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census.
Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers.
Identify, develop and maintain an effective relationship with contracted health plans and managedcare regulatory agencies.
Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas.
Assist in analysis and coordination of amendments, reimbursement, and language changes.
Assess resource utilization, cost management and negotiate effectively.
Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement.
Understands the competitive pricing levels in the local market and improves the company's cost position through unit costs strategies.
Strategizes for facility census growth and retention.
Teach, Train and Instruct facility level personnel on how to operationalize the contract.
Interact with facility personnel on utilization, clinical results and managedcare census.
Qualifications:
Knowledge of managedcare contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis.
Must be knowledgeable about the managedcare environment, including capitation, PPO, HMO, IPA, ACO and POS.
Knowledge of CPT-4, HCPCS, Revenue and ICD coding.
Expert in Skilled Nursing Managedcare plans.
Experience in successful operationalizing managedcare contracts in the skilled nursing environment.
Knowledge of contracts and contractual interpretations for payment and benefit issues.
Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting.
Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising.
Ability to deal with responsibility with confidential matters. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail.
Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
Excellent verbal and written communication skills, as well as excellent critical thinking skills.
Computer savvy (Contract Logix, MS Word, MS Outlook & Excel).
Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment.
Present in facilities on a weekly basis, (currently as deemed appropriate).
Desired Qualifications
Must live in Ohio, preferably in the Columbus area.
Preference for bachelor's degree in business administration, management or health care administration.
Willing to travel up to 80% of the time (as deemed appropriate)
Highly desire at least 2 years' experience with ManagedCare contracting.
Additional Information Wage Rate: Depending on Experience Position Type: Full-time, exempt employee Benefits: Medical, dental, vision, life & AD&D insurance plans, 401(k) with matching contribution, vacation, sick and holiday pay Location: Candidate must reside in the Columbus, Ohio area. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required.
$69k-92k yearly est. 60d+ ago
Infusion Services Nurse Manager
Columbus Arthritis Center
Columbus, OH
The Columbus Arthritis Center is seeking a compassionate and motivated Infusion Services Nurse Manager to lead our team at the Dublin Road location. This full-time, weekday position offers the opportunity to oversee a busy outpatient infusion department, mentor a talented team, and make a lasting impact on patient care, all in a collaborative, physician-owned practice that values work-life balance and professional growth.
About the Role
The Infusion Services Nurse Manager provides daily leadership and oversight for the infusion department, ensuring safe, efficient, and compassionate care. You'll guide infusion nurses, charge nurses, and support staff while collaborating closely with physicians, the Clinical Director of Infusion Services, and the Practice Administrator.
What You'll Do
Lead, mentor, and evaluate infusion staff to maintain high-quality care
Oversee staffing, scheduling, and patient flow
Foster teamwork, staff retention, and professional growth
Resolve escalated patient concerns with professionalism and empathy
Ensure compliance with OSHA, HIPAA, NICA, and CLIA standards
Monitor quality metrics and implement process improvements
Serve as a clinical resource for infusion therapy
Why You'll Love Working Here
Supportive, team-focused culture
Monday-Friday daytime hours with no weekends or holidays
Collaborative leadership and growth opportunities
Physician-owned, patient-centered practice
Reporting Structure
Reports to the Practice Administrator and collaborates with the Clinical Director of Infusion Services and physician leadership.
About Columbus Arthritis Center
The Columbus Arthritis Center is one of the largest independent rheumatology practices in Ohio, offering compassionate and comprehensive care for patients with arthritis and autoimmune diseases. Our team of physicians, nurse practitioners, and clinical professionals combines expertise with empathy to help patients live fuller, healthier lives.
$68k-102k yearly est. 48d ago
Developmental Disabilities Nurse Manager
Viaquest 4.2
Columbus, OH
RN Supervisor- ICF Program
A Great Opportunity / Full Time/ Central, Ohio (Assigned areas of Columbus, Pataskala, Mansfield ) $75,000~$80,000 per year
We provide quality support and services to individuals with developmental disabilities in our Intermediate Care Facilities (ICF).
Apply today and make a difference in the lives of the clients we serve!
Responsibilities may include:
Provide guidance and oversight for IDD nurses as assigned.
Coordination of all health and medical services provided to the individuals served
Oversight of administration of prescribed medications and medical treatments per physician order.
Communication with team members, physicians, and others as needed.
Oversee proper administration of any medications and/or treatments given by employees, as applicable (delegated nursing).
Monitor all documentation systems in the service site to ensure accuracy, thoroughness, and timeliness.
Monitor documentation of medications/treatments administered by direct care staff, as applicable.
Assist the Regional and Program Directors in maintaining consistency in the provision of supports and services to the individuals.
Requirements for this position include:
Graduate of an accredited nursing program.
RN license.
Experience working with individuals with developmental disabilities.
Willingness to travel throughout assigned service area.
Ability to make sound judgments when given guidance and priorities.
What ViaQuest can offer you:
Paid training.
Benefit package for full-time employees (including medical, vision, dental, disability and life insurance and a 401k).
Employee discount program.
Paid-time off.
Employee referral bonus program.
Earn up to $300 bonus per month
About ViaQuest Residential Services
To learn more about ViaQuest Residential Services please visit
*********************************************************************
From Our Employees To You
**********************************************************
Would you like to refer someone else to this job and earn a bonus? Participate in our referral program!
**************************************************************
Do you have questions?
Email us at ***********************
$75k-80k yearly Easy Apply 2d ago
Assistant Director of Nursing (ADON)
Mission Health 3.8
Columbus, OH
Oswego Health and Rehab in Oswego, KS is looking to hire a full-time Assistant Director of Nursing (ADON) to join our team. Are you looking for a career with a health care company that will value you? Do you want to be part of a dynamic and caring clinical team? If so, please read on. Make a difference every day as an: ASSISTANT DIRECTOR OF NURSING
This Assistant Director of Nursing position earns a competitive salary of $36 to $40/hr. We also provide comprehensive benefits, including medical, dental, vision, short- and long-term disability, a flexible spending account (FSA), a 401(k) plan, paid time off (PTO), life insurance, continuing education unit (CEU) reimbursement, and daily pay options. If this sounds like the right opportunity in health care for you, apply today!
RESPONSIBILITIES & QUALIFICATIONS
Assistance in the management of the day-to-day clinical operations of the community.
Maintain compliance with all applicable laws and regulations.
Ensure continuity and consistency in delivery and quality of resident services.
Assist in training and development of staff, development and implementation of programs to enhance resident satisfaction.
Establish a climate necessary for continuous improvement.
Experience & Qualifications
Current Kansas Registered Nurse (RN) license.
Current certification in adult CPR.
3 years of experience, preferably as an Assistant DON or RN Unit Manager in geriatric nursing preferred.
Medicare and Medicaid knowledge preferred.
LTC Management Experience with excellent clinical evaluation skills.
2+ years of experience as an RN; one year in long-term care preferred.
Thorough knowledge of state and federal regulations regarding long term care.
Are you trustworthy and respectful of others? Is being dependable, professional, and a team player at the heart of all you do? Do you enjoy serving and caring for seniors? Can you easily establish a good rapport with others and communicate effectively? If yes, you might just be perfect for this rehabilitation nursing position!
ARE YOU READY TO JOIN OUR TEAM?
If you feel that you would be right for this rehabilitation nursing job, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!
$36-40 hourly 19d ago
Care Manager, Nurse 2
Centerwell
Columbus, OH
**Become a part of our caring community and help us put health first** We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a CareManager, Telephonic Nurse 2. In this pivotal role, you will play a crucial part in our Patient Management Program, focusing on individuals with specialized and complex health conditions, including autoimmune disorders, pulmonary diseases, neuromuscular disorders, infectious diseases, cancer(s), and other rare ailments.
As a CareManager, Telephonic Nurse your primary responsibility will be to assess and evaluate the conditions of our members, with a particular emphasis on medication therapy, through telephonic interactions to ensure they achieve and maintain optimal wellness. Additionally, you will develop and implement comprehensive care plans, monitor patient progress through regular assessments, and utilize advanced telecommunication systems to provide medication education. The ideal candidate will demonstrate strong clinical expertise, exceptional communication skills, and the ability to work independently while adhering to established protocols and guidelines. This position offers the opportunity to make a significant impact on the lives of patients with serious and rare health conditions within a supportive and professional environment.
**Use your skills to make an impact**
This position is a call center based environment. There is a set schedule that is provided daily with inbound and outbound tasks to perform.
+ This position is for 10am-6:30pm EST **three days** a week M-F, and **two days** a week hours of 11:30am-8pm EST.
+ There will be a Friday late night requirement on a rotation of 11:30am-8pm.
+ There will be a Saturday rotation hours of 8:30am-12:30pm EST.
+ Overtime is required on an as needed basis.
+ There is a Holiday rotation that will be worked. Workable holidays for the pharmacy include Martin Luther King Day, Memorial Day, Juneteenth, 4th of July, Labor Day, The day after Thanksgiving, and New Years Day.
**Required Qualifications**
+ Must have Completed Bachelor's Degree in Nursing
+ 3 - 5 years of clinical acute care experience
+ Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
+ **Must live in OH, KY, FL, AZ, TX.**
+ Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
**Preferred Qualifications**
+ Experience with caremanagement, patient education for adult care, auto dialer experience
+ Bilingual English/Spanish
+ Auto Dialer Experience
**Additional Information**
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
$71.1k-97.8k yearly 22d ago
Care Manager
Campbell Place 4.4
Bellefontaine, OH
About LakeHouse Senior Living:
LakeHouse Senior Living, proudly part of the Discovery Senior Living family of operating companies, managescare- and lifestyle-focused senior living communities in Indiana, Illinois, Wisconsin, Pennsylvania, Ohio and Michigan. Our company, which was built on our “Pillars of Excellence,” employs thousands of vital Team Members and is committed to providing a positive work environment and culture that recognizes their value in providing excellent care for our residents.
LakeHouse Senior Living is hiring PRN CareManagers for our community, Campbell Place.
The Care Giver's role includes providing hands-on care and physical and emotional support to each resident while maintaining a safe and comfortable home-like environment.
Schedule: PRN and full-time shifts available! 1st & 3rd shifts available
Responsibilities:
Maintaining cleanliness of resident's room and work areas
Helping residents maintain independence, promoting dignity and physical safety of each resident
Participating and assisting residents with activities of daily living (i.e. bathing, dressing, toileting, grooming, ambulation, transferring, eating) as instructed
Engaging residents in life skills and other life enrichment activities
Position Requirements
Certified Nurse's Aid certification preferred
High School diploma/GED
Must be 18 years of age
Previous experience working with seniors preferred
Ability to communicate effectively with Residents, management, and co-workers
Superior customer service skills
Ability to handle multiple priorities
Must demonstrate good judgment, problem-solving, and decision-making skills
Benefits:
In addition to a rewarding career and competitive salary, LakeHouse offers a comprehensive benefits package.
Eligible team members are offered a comprehensive benefits package including medical, dental, vision, life and disability insurances, paid time off, and paid holidays. Team members are eligible to participate in our outstanding 401(k) plan with company match our Employee Assistance Program and accident insurance policies.
Thank you for your interest in LakeHouse Senior Living careers. If you have any questions about the position you are applying for, please contact the community directly.
EOE D/V
#IND JOB CODE: 1003489
$58k-78k yearly est. 60d+ ago
Nurse Manager
Acadia Healthcare Inc. 4.0
Columbus, OH
The Ohio Hospital for Psychiatry is hiring a Nurse Manager! Shift: Day Schedule: Full Time Pay Range: $45 to $49 per hour (dependent on years of experience) Sign On Bonus: $7,500 Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment center for adults and seniors suffering from mental health disorders and addictions.
* Anticipates and effectively manage changes in census and acuity and allocates nursing resources based on measurement of patient acuity/care needed
* Role models expectations related to customer service and demonstrates a sense of urgency related to the importance of patient safety
* Accountable for the standard of care at the facility, providing consultations and expertise in the delivery of care to patient.
* Serve as a clinical and service resource to nursing staff and other staff as assigned.
* Manage the activities of staff, coordinating safe and appropriate care between departments and disciplines.
* Manage and evaluate work activities of nursing, technical, clerical, service or maintenance staff for the unit, work group and other facility staff as directed.
* Analyze information/situation to choose the best solution(s) to solve problems.
* Responsible for recruitment, hiring and training of new staff.
* Identify the educational needs of others and develop educational or training programs.
* Assist with the development and implementation of organizational policies and procedures for the facility.
* Prepare reports to inform management of the status and implementation of programs, services and quality initiatives of the unit.
* Perform administrative or managerial functions such as planning budgets and authorizing expenditures.
* Provide direct care as needed.
OTHER FUNCTIONS:
* Perform other functions and tasks as assigned.
OTHER FUNCTIONS:
* Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
* BSN or higher strongly preferred
* Current registered nursing license in State of facility required
* Three years as a registered nurse strongly preferred
* Two years of registered nursing experience required
* Two years of prior experience as a registered nursing with patient population of the facility is preferred.
* One year of prior experience with the population required
* Prior experience as a house supervisor strongly preferred
* One year of charge RN or other administrative experience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
* Current RN license as required by state.
* CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
* First aid may be required based on state or facility.
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
AHRN
#LI-OHP
#LI-SW2
$45-49 hourly 26d ago
Care Manager, Telephonic Nurse
Humana 4.8
Columbus, OH
**Become a part of our caring community and help us put health first** The CareManager, Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Associate will be expected to participate in weekend rotation a minimum of one hour each on Saturday and Sunday once every 17 weeks.
Work schedule can be between 8am-6:30pm EST.
The CareManager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures
The CareManager Telephonic Nurse employs a variety of strategies, approaches and techniques to assess, intervene, and resolve Access to Care (ATC) barriers related to immediate medical services. The nurse will facilitate verified eligible Humana benefits to a provider and/or member while effectively documenting through assessments and/or evaluations while maintaining compliance with CMS regulations. The CareManager Telephonic Nurse must also assess for member physical, environmental, and psycho-social health issues and intervene appropriately.
**Use your skills to make an impact**
**Required Qualifications**
+ Minimum of an Associate's degree in Nursing
+ Licensed Registered Nurse (RN) with no disciplinary action
+ Must have a valid Compact RN license in the state where they reside. **Candidates must reside in a Compact state (excluding CA, IL, MI, NY, OR, AK, DC (District of Columbia), HI, NV, MA, MN, and PR).**
+ 3 years or more of clinical acute care experience
+ Comprehensive knowledge of all Microsoft programs including but not limited to Word, Outlook, PowerPoint, SharePoint, OneNote and Excel
**Preferred Qualifications**
+ Bachelor's degree - BSN
+ Experience with case management, discharge planning, and patient education for adult acute care
+ Managedcare experience
+ Previous Medicare/Medicaid experience
+ Bilingual English/Spanish
**Additional Information**
+ Associate will be expected to participate in weekend rotation a minimum of one hour each on Saturday and Sunday once every 17 weeks.
+ Work schedule can be between 8am-6:30pm EST.
**Work At Home / Internet Statement:**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**SSN Alert Statement:** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-04-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$71.1k-97.8k yearly Easy Apply 14d ago
Assistant Director of Nursing - ADON - RN
Altercare Integrated Health Services 3.9
Newark, OH
Assistant Director of Nursing - Registered Nurse Altercare Newark South Newark, Ohio $10,000 Bonus Hiring an exceptional Nurse Manager to join our team as an Assistant Director of Nursing. This RN will have the professional skills necessary to plan, organize and deliver nursing care in accordance with current state and federal regulations. Company Goals at Altercare: Customer and Employee Satisfaction and Quality. We offer our ADON a dynamic team oriented work environment and exceptional benefits. Assistant Director of Nursing Benefits
Flexible scheduling
Competitive wage with Shift Differentials and years of experience pay
Premium Pay Program earns the highest possible wage by working a planned schedule
Leadership and Promotional Opportunities
Professional Clinical Training
More Benefits
Instant Access to Earned Wages
PTO for all Full Time employees
Affordable Health Insurance for Full Time
Dental and Vision Insurance options for Full Time and Part Time
401K Retirement Plan
Uniform Allowance for Full Time and Part Time
Wellness Program
Educational Assistance Programs
COVID-19 Vaccination Opportunity
Assistant Director of Nursing RN Job Requirement RN Graduate of an accredited school of nursing. Current Registered Nurse licensure in Ohio. 2 years SNF experience
Inclusion Statement Altercare is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, age or veteran status. Altercare is also committed to compliance with fair employment practices regarding citizenship and immigration status. ADON apply today and join a winning team. We have received the North Coast 99 Award as one of the top 99 Best places to work for the 22nd consecutive year. #INDNA2020
$73k-84k yearly est. 60d+ ago
Nurse Manager $32-$35 (PRN)
Carriage Court Senior Living
Hilliard, OH
“After spending 14 years in healthcare, I finally found my home with Arrow Senior Living. It's home-like environment is not just for the residents but for the team members as well. From day one you embrace the core values, and you see how they impact residents' quality of life. Arrow is a great company to grow with-it promotes within and the employee appreciation, incentives, and benefits are just a bonus on top of making residents and team members smile. I have become lifelong friends with this team, and I can happily say I love my job and enjoy coming to work.”
-Arrow Team Member
Position-Wellness Nurse Manager
Position Type: PRN
Location: Hilliard, Ohio
Our starting wage for Wellness Nurse Manager is: $32-$35 per hour!
Shift Schedule-
PRN
On Call Rotation: One Saturday or Sunday shift per month
Come join our team at Carriage Court Senior Living located at 3570 Heritage Club Dr. Hilliard, Ohio 43026!
We are looking for someone (like you):
● To be a Superior Supervisor: In the absence of department heads, this position is in charge of the building. Be active in the department, assisting and leading the Wellness team and other departments in ensuring quick, reliable, and person-centered care is provided.
● To be a Force on the Floor: A good leader sets a good example: Be available to help with call lights, requests for assistance from the team, and demonstrate a sense of urgency that puts the needs, great or small, of a resident first.
● To be a Diligent Documenter: Resident assessments, medical records, and internal documents should be completed accurately and efficiently, and filed correctly.
● To be a Compassionate Caregiver: Exemplify the core values at the heart of Arrow, ensuring each interaction with a resident is professional, caring, and ends with the resident feeling safe and cared for.
What are we looking for?
● You must have current Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in good standing within state of employment
● You will have thorough working knowledge of current care standards and regulations
● You will have comprehensive working knowledge of current medication regulation and law
● You will have knowledge of the requirements for providing care and supervision appropriate to the residents.
● You may have experience in hands-on care of memory impaired residents is preferred, but not required.
● You may have experience with an Electronic Medical Record (EMR) as it is preferred, but not required.
● You can read, write, understand and communicate in English with our Residents!
● You will have a positive and energetic attitude who will LOVE our Residents!
● You must be active as this role requires standing, walking, bending, kneeling, and stooping all day.
● You must have the ability to frequently lift and/or move items up to 50 pounds and perform two-person transfers.
● You must be able to assist residents with sitting, standing and walking, as well as assisting persons after a fall.
● You must be criminally cleared.
Employment Benefits (We value our benefits):
● Company Match 401(k) with 100% match up to the first 3% and fully vested upon enrollment
● Medical, Dental, Vision insurance (1st of the month following 60 days of employment-Full Time)
● Disability insurance (Full Time)
● Employee assistance program
● Weekly Employee Recognition Program
● Life insurance (Full Time)
● Paid time off (Full Time employees accrue up to 115 hours each year and Part Time accrue up to 30 hours each year)
● Tuition Reimbursement (after 90 days for FT AND PT employees)
● Employee Referral Program (FT, PT, and PRN)
● Complimentary meal each shift (FT, PT, and PRN)
● Daily Pay Option
● Direct Deposit
● Did we mention that we PROMOTE FROM WITHIN?
Do you want to see how much fun we are at Carriage Court Senior Living? Please visit us via Facebook:
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Or, take a look at our website: **********************************
Have questions? Want to speak to someone directly? Reach out by calling/texting your own recruiter, Sophie Rich at ************.
Click here to hear about Arrow's Core Values!
About the company
Arrow Senior Living manages a collection of senior living communities that offer varying levels of care including independent living, assisted living, and memory care in 25 properties currently in 5 states (Missouri, Iowa, Illinois, Ohio, Indiana) and employs nearly 1,400 employees!
Arrow Senior Living YouTube-Click Here
Arrow Senior Living serves and employs individuals of all faiths, regardless of race, color, gender, sexual orientation, national origin, age or handicap, except as limited by state and federal law.
Keywords: hiring immediately, assisted living, nursing home, LPN, Licensed Practical Nurse, wellness, RN, registered nurse, wellness nurse
$32-35 hourly Auto-Apply 20d ago
Clinical Manager *$2,500 SOB*
Day One Integrative Services 3.8
Marion, OH
• Represent Day One in court, when necessary
• Participate in interviews for new staff.
• Provide leadership to the Counseling Team (staff and interns) through clinical supervision and reviews,
consultation, training and support to ensure contract compliance and program quality.
• Evaluate individual and overall team performance on a regular and ongoing basis; use collected data and
information to make needed improvements including adjustments as needed to counselors' caseloads and work
assignments to maximize quality of care, and staff productivity.
• Ensure that participant and program goals are met in accordance with policies and procedures.
• Actively monitor assigned supervisees' performance goals and professional development in accordance with
agency expectations.
• Conduct performance evaluations for counseling team; proactively identify and resolve performance issues.
Recommend employees as appropriate for recognition or professional development.
• Actively monitor accuracy and completeness of data and Counseling Services databases in accordance with agency
rules and expectations.
• Produces program performance reports in accordance with agency rules.
• Ensure supervisees' timesheets, expenses, leave requests, etc. are complete, accurate, and in compliance with
agency policies, procedures, and practices.
• Support and comply with the values, policies, and practices of Day One Recovery.
• Abide by the agency's confidentiality policies and HIPPA rules.
• Provide occasional support or consultations as needed to promote referral services with other Day One programs or to
external agencies.
• Perform other duties and special projects as assigned by the Executive Director.
Minimum Qualifications:
The applicant must show proof of holding and must continue to maintain valid permits, licenses and certifications as may be required for this, or demonstrably similar, position as recognized by the Ohio Department of Mental Health and Addiction
Services or as otherwise specified by the Ohio Revised Code or applicable Administrative Codes.
The applicant must have a valid Driver's License. Applicant must have the ability to deal with and solve problems involving
several variables in somewhat unfamiliar settings and topics.
All the above duties and responsibilities are essential job functions subject to reasonable accommodation. All job requirements
listed indicate the minimum level of knowledge, skills, and/or ability as deemed necessary to perform the job proficiently.
This job description is not to be construed as an exhaustive statement list of duties, responsibilities, or requirements. Employees may be required to perform any other job-related tasks as required by their supervisor, subject to reasonable accommodation.
Education:
Master's Degree in human service and a minimum of five years full-time experience preferred. At minimum, LCDCIII required.
Day One is an Equal Opportunity Employer; applicants will receive consideration for employment without regard to race, religion, color, sex, sexual orientation, and national origin, disability, age or Vietnam-era status.