Join BoldAge PACE and Make a Difference! Why work with us?
A People First Environment: We make what is important to those we serve important to us.
Make an Impact: Enhance the quality of life for seniors.
Professional Growth: Access to training and career development.
Competitive Compensation:
BE PART OF OUR MISSION!
Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.
Registered Nurse Care Manager
SUMMARY: The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare interventions, and evaluates outcomes of care of participants on an ongoing basis. In collaboration with the interdisciplinary team (IDT), develops plans of care to meet participants' needs. Delegates tasks to clinic, center, and homecare aides according to participant needs and care plans. Collaborates and communicates with the primary care provider, clinic staff, and other members of the IDT. Provides care to participants in the clinic, center, and participant homes as needed.
ESSESNTIAL DUTIES AND RESPONSIBILITIES:
Provide high quality clinical care and serves as a member of the PACE interdisciplinary team (IDT).
Provide nursing care in the center, clinic, contracted facilities, and participants' homes according to each participant's plan of care. (NJ: in accordance with the State of New Jersey Nursing Practice Act, N.J.S.A. 45:11-23 et seq., as interpreted by the New Jersey State Board of Nursing, and written job descriptions. Services provided shall be documented in the participant's medical record ).
Participate in 24/7 "on-call" process for triage of participants and their needs.
Assess, plan, and coordinate participants' home care services. Provide input to the IDT in developing home care plan interventions. The nursing care needs of the participant shall be assessed only by a registered professional nurse.
Monitor participants' acute and chronic care needs in all settings. Provide coordination and direct care as indicated to promote continued care in the community or promote optimal institutional care (Assisted Living, Nursing Home, Hospital, etc.) as needed.
Ensure timely follow-up by providers on specialist visits and will assist with obtaining specialist reports, facility documentation, and labs if needed.
Reconcile facility MARs for your assigned panel of participants monthly to ensure accuracy and medication adherence, notify provider of any discrepancies.
Notify participants of normal test results.
Complete timely and accurate nursing assessments in accordance with policies and regulatory requirements.
Implement nursing-related care plan interventions.
Teach participants, caregivers and families about self-care, medications, healthy lifestyles, infection control and safety to promote optimal health and safety.
Review and revises goals and approaches to participants' care in coordination with participant , family, caregiver and interdisciplinary team.
Works collaboratively with the interdisciplinary team (IDT) to develop and implement comprehensive plans of care for participants.
Develop and maintain positive relationships and communication with co-workers, participants and their families/significant others, and members of the community.
Participate in all interdisciplinary team meetings.
Assist the interdisciplinary team members in understanding the significant nursing, self-care and functional needs related to the participant's health problems.
Supports OT as a back up to performing the duties of Home Care Coordinator on the IDT as needed/when assigned. May perform the duties of other IDT members based on professional licensing, competencies, and experience as needed
Actively participates in utilization review meetings and quality improvement projects / meetings.
Evaluates the competence of CNAs and Home Care Aides and delegates tasks and duties to them as indicated.
Participates in family meetings, staff meetings, in-service and training and orientation programs as required.
Follows all PACE Program Policies and Procedures and Occupational Safety and Health Administration (OSHA) safety guidelines.
Protects privacy and maintains confidentiality of all company procedures and information about employees, participants and families.
Practices standard precautions and follows PACE Program Infection Control protocols.
Performs other duties as required or requested.
EXPERIENCE, EDUCATION AND CERTIFICATIONS:
Bachelor of Science in Nursing Degree preferred.
State RN License required
NJ: Licensed by the New Jersey State Board of Nursing.
BLS required (have within90 days of employment).
1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring (If applicable for the role).
Experience in home care, long-term care and /or managed care preferred.
1 year experience providing care as an RN required.
PRE-EMPLOYMENT REQUIREMENTS:
Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Match begins after one year of employment
Full-Time Days
Full-Time
$57k-76k yearly est. 17h ago
Looking for a job?
Let Zippia find it for you.
CDCA Case Manager
Newvista Behavioral Health 4.3
Columbus, OH
Job Address:
920 Thurber Dr W Columbus, OH 43215
CDCA CaseManager
$1,000 Sign On Bonus
Shift: Monday - Friday
Hours: 9:00am - 5:00pm
Perks at Work:
Healthcare:
Medical Packages with Rx - 3 Choices
Flexible Spending Accounts (FSA)
Dependent Day Care Spending Accounts
Health Spending Accounts (HSA) with a company match
Dental Care Program - 2 choices
Vision Plan
Life Insurance Options
Accidental Insurances
Paid Time Off + Paid Holidays
Employee Assistance Programs
401k with a Company Match
Paid Mileage
Monthly cell phone allowance
Education + Leadership Development
Up to $15,000 in Tuition Reimbursements
Student Loan Forgiveness Programs
HRSA / STAR PROGRAM
The Role Itself
Conducts bio-psychosocial assessments under supervision.
Provides group counseling and teaches coping mechanisms.
Identifies issues, creates goals, and develops treatment plans.
Leads group/individual sessions as necessary and attends treatment teams when required.
Prepares written reports and case summaries in accordance with program standards and professional ethics.
Ensures timely documentation meeting facility and regulatory standards.
Facilitates safe discharge plans, coordinates care with referral sources and community partners.
Possesses organizational skills, attention to detail, and maintains confidentiality.
Performs additional duties as necessary to accomplish objectives.
Assists with tele-health visits
Complete all documentation in EMR in a timely manner
Complete and submit daily reports
Education and other requirements:
High School Diploma, CDCA certification, and 40 hours of education in chemical dependency counseling/clinical methods required.
Must be 21yrs or older.
Must have a valid drivers license
Ohio Medicaid billing Number
NPI Number
License:
CDCA Certification.
Who we are
Stepping Stone was designed to help clients inside of skilled nursing facilities with medical comorbidities due to their substance use. We take a unique approach to client care and work along side the facility staff to ensure clients get the best possible outcomes.
The mission is to inspire hope and deliver holistic care to those in need of behavioral health and Substance Use Disorder services in a safe and healing environment - one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment and unique surroundings, we provide a environment that promotes rehabilitative and emotional health, and are devoted to promoting greater peace of mind on the journey of hope and healing.
$30k-43k yearly est. Auto-Apply 60d+ ago
Director Case Management / Utilization Management / CDI Location: Buckey
Knowhirematch
Buckeye Lake, OH
TITLE: Director CaseManagement / 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 CaseManagement, 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 casemanagement 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 casemanagement, utilization management, and clinical documentation integrity
•Coordinates daily activities of the CaseManagement, 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 casemanagement 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 Care Management 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 CaseManager(CSM).
•At least three (3) years of management or demonstrated leadership experience required.
•Knowledge of prospective payment systems, managed care, 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 casemanagement 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 60d+ ago
Case Manager I
SAFY 3.8
Gahanna, OH
SAFY is seeking a full time CaseManager I for our Columbus division in Ohio. As a CaseManager I, you will be responsible for the casemanagement functions of a caseload of foster youth and homes. Works closely with youth, family, foster parents and community partners by equipping the youth and foster parents with the support and resources needed.
Who We Are
At SAFY, our mission is Preserving Families & Securing Futures. For 40 years, our work has rested on a single, radical idea - children belong in families. We believe that every child and family deserve the opportunity to reach their full potential. We are a team of 500 employees across seven states providing services such as Family Preservation & Reunification, Behavioral Health, Therapeutic Foster Care, Adoption Services and Older Youth Services so the families and children we serve can build resilience and thrive.
What You'll Do
* Travel daily to provide in-home, community-based services to families and youth in caseload.
* Complete referral reviews and intake assignments. Communicate service availability to all assigned clients.
* Provide instruction, intervention, and assistance as deemed necessary through the exercise of independent judgment and knowledge or as part of the treatment team to preserve the family unit.
* Coordinate with county agency as appropriate and attend family sessions to promote successful clinical interventions with foster youth.
* Build and maintain relationships with families and external casemanagers.
* Coordinate and monitor service provisions for youth and family in the community and with school officials, courts and other appropriate parties involved with the client. This may include but is not limited to mental health, medical, educational, psychological, vocational and social services.
* Develop and ensure completion of appropriate assessments including but not limited to Individualized Treatment Plans, Psychosocial Diagnostic Assessments (PSDs), and Mental Health Services Plans according to established time frames involving all appropriate parties as required by policy and regulations of the state and/or contract.
* Timely document outcome of home visits, support sessions, safety assessments, interaction with parties involved in the youth's care and incident reports as required by policy, regulations, and contract requirements.
* Ensure foster parents, youth and casemanager needs are met during periods of staff transition.
* May require rotating on-call schedule.
* Participate in performance quality improvement process and execute any assigned tasks.
* Successful completion of all required training pertaining to job.
* Establish and maintain a positive working relationship, sensitive and responsive to the cultural differences with all levels of SAFY staff, clients, families and vendors.
* Ability to work nontraditional hours daily/weekly to fulfill position duties; may include nights and/or weekends.
* Ability to maintain confidential and sensitive information.
* Complete Quarterly Environmental Audits (F-63) for all assigned Foster Homes.
* Will conduct annual Foster Parent evaluations for Homes without youth.
* Complete Home Studies or Amendments as required and collect all paperwork needed for foster home moves and/or the addition of new household members.
o Amendments are required for all moves into or out of the foster home; when new Household members enter the home, etc.) All Home Study Amendments are approved and signed off by the Lead Licensing Specialist.
* May complete Rules Investigations of all foster homes assigned by Lead LS or TD.
* Completion of the Large Family Assessment (the state required assessment if a Foster to Adopt home has 5 or more youth).
* Collect all documentation pertaining to licensing of applicants & Foster Parents.
* Other duties or special projects as assigned.
What You Bring
We are looking for people from diverse backgrounds and experiences who are inspired by our noble mission to make a difference in the lives of the children and families in our care. You'll be right at home if you are willing to learn from successes as well as setbacks, persevere in challenges and adversity, cultivate collaborative relationships, understand and leverage diversity, advocate for equity, aspire to work inclusively, and partner to drive your work and that of your team to the next level.
Qualifications
* Bachelor's degree in the field of social work, counseling, psychology, sociology, child and family studies, or other approved related field of human services.
* LSW, LPC or License Eligible preferred.
* Two years of relevant experience with above listed degrees, experience in child welfare preferred, OR relevant experience in working with children in general.
* Must have a valid driver's license, acceptable driving record and auto insurance coverage to meet travel requirements; may require transporting youth if needed.
What We Offer
* Targeted hiring range: $44,000.00 to $53,000.00
* Compensation is commensurate with transferrable experience, education and licensure of candidate, location of the position, along with internal equity and budgeted amount for the role.
* Comprehensive benefit plan options including Medical, Dental, Vision, Disability, Life Insurance, Flexible Spending and Health Savings account options to meet your needs
* 401(k) Retirement plan with company match
* 12 paid holidays per year, generous sick & vacation time and an additional day off for your birthday
* All regular full and part time staff are eligible for quarterly and/or annual bonuses
* Tuition Reimbursement up to $5,000 each year
* CEU Reimbursement up to $1,000 each year
* On demand access to earned wages through Zayzoon
* Gain leadership skills, develop your clinical expertise, or earn CEUs with access to over 1,000 courses on our learning platform or through our talented in-house training department
* Clinical Supervision Reimbursement up to $300 per month
* Employee Assistance Program with 6 free visits per year
* Free Financial Advisor Services
* Support Services for alternative Health Insurance and benefit credit reimbursement options
* Employee and Foster Parent Referral bonus program
* Leave donation program
* Adoption Assistance
* Mileage reimbursement
* Your choice of company paid cell phone or phone stipend
SAFY is proud to be an equal employment opportunity employer and is committed to maintaining a non-discriminatory work environment. SAFY does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, gender, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, gender expression, arrest record, conviction record, or any other personal characteristic protected by applicable law. This policy covers all programs, services, policies, and procedures of SAFY, including recruiting, hiring, training, promotion, and administering all personnel actions, such as compensation, benefits, transfers, layoffs or terminations.
$44k-53k yearly 9d ago
Case Manager
New Horizons Mental Health Services 3.8
Lancaster, OH
For over 50 years, New Horizons Mental Health Services has worked to improve the health and wellbeing of individuals, families, and the community through our services.
We are currently seeking a full-time CaseManagers for multiple departments in Lancaster, Ohio.
What do we offer you?
A competitive salary, and the opportunity to work with a talented team of mental health professionals. Robust benefits, including:
· Medical
· Company paid Dental and Vision Insurance
· Company paid Life Insurance policy
· Over 3 weeks of PTO in first year
· 10 paid holidays, including your birthday
· 5 days of professional leave per year
· 403b Retirement Plan
· Generous Employer Match for Retirement Plan
· Employee Assistance Plan
· CEU/CME Reimbursement
· Eligibility for Federal Student Loan Forgiveness (PSLF)
· Paid Liability Insurance Coverage
POSITION DESCRIPTION:
DIRECT CLINICAL SERVICE: Provides on-going primary and secondary community services to Adult SMD's, serves as an advocate, liaison, mediator, broker for SMD's, provides transport for clients to services, promotes a client/driven, strength-oriented service, adheres to the agency's mission statement, policy and procedures, follows guidelines to ensure quality assurance, maintains productivity and documentation standards, keeps current licensing credentials. Develops and implements initial and revised Individual Service Plan. Communicates with other service providers to improve quality of care to client.
Manifest a commitment to and Recovery Model philosophy and standards, and foster an environment that supports recovery for persons served. Possess a working knowledge of community resources. Be sensitive to the cultural needs of the individual and/or family served.
DOCUMENTATION: Completes all appropriate case documentation and case planning information; completes all necessary reports per agency policy and protocol; appropriate documentation of collateral contacts; participates in clinical supervision.
Performs related administrative duties; attends staff meetings, supervisions, trainings, assists in program planning and evaluation. Non-billable outreach to clients not engaging.
Other duties as assigned.
Requirements
QUALIFICATIONS:
Ohio driver's license, proof of automobile liability insurance (minimum $100,000), Bachelor's degree preferred. Preference given to holders of Ohio Counselors and Social/Work Board licensure. Experience in working with adults with SMD, exhibits respect, compassion, warmth, caring and friendliness, non-judgmental of varying cultural beliefs, ability to assess, teach and model skill development techniques in home maintenance, interpersonal-social and pre-vocational interests, ability to set limits, confront behaviors and redirect.
Salary Description Starting at $16.50
NurseCaseManager - Internal (Medical Review Nurse - PN 20014026) (250009CG) Organization: HealthAgency Contact Name and Information: Gayla. A will contact you if selected for interview.Unposting Date: OngoingWork Location: Health Department Building 246 North High Street 1st Floor Columbus 43215Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: $34.96Schedule: Full-time Work Hours: Monday - Friday; 8am - 5pmClassified Indicator: ClassifiedUnion: 1199 Primary Job Skill: NursingTechnical Skills: Health Administration, Nursing, Public Health, Public Relations, Medical records Professional Skills: Analyzation, Attention to Detail, Collaboration, Consultation, Verbal Communication, Written Communication Agency OverviewNurse CaseManager- Internal (Medical Review Nurse) About Us:Our mission at the Ohio Department of Health (ODH) is advancing the health and well-being of all Ohioans. Our agency is committed to building a modern, vibrant public health system that creates the conditions where all Ohioans flourish.The Bureau of Maternal, Child, and Family Health (BMCFH)/ Complex Medical Help (CMH) is organized to support families by improving birth outcomes and the health status of women, infants, children, and youth, including children and youth with complex health care needs. Using data and proven practice, the bureau's programs support the delivery of direct services, linkages and referrals, population-based supports, program evaluation, education, monitoring and quality oversight, and policy and systems development. Job DescriptionWhat You'll Do:Are you a compassionate and detail-oriented nurse looking to make meaningful impact in the lives of children with special care needs? This role offers a dynamic blend of clinical decision-making, casemanagement, community engagement, and administrative support-ideal for nurses who thrive in both independent and collaborative environments. Duties Include: Clinical and CaseManagement: Independently assess medical applications and determine eligibility for CMH services. Authorize or deny diagnostic, treatment, and service coordination based on medical data and program guidelines. Interpret medical plans for treatment and develop appropriate care strategies. Monitor ongoing service needs and effectiveness, ensuring compliance with HIPAA and CMH policies. Coordinate complex treatment plants with other state and federal programs. Evaluate diagnoses and determine appropriate services, including medical equipment, orthotics, prosthetics, and orthodontia. Managecase data and service authorizations.Community Engagement & Education: Maintain contact with families, providers, and community partners through phone, written communication and site visits across Ohio. Provide technical assistance and orientation to providers on CMH policies, procedures and billing. Plan and participate in educational workshops, seminars, and nursing care conferences. Resolve service delivery issues and respond to sensitive inquiries professionally and confidentially. Collaborate with nursecasemanagers and other stakeholders to ensure timely and effective case processing Administrative and Liaison Support: Maintain accurate and confidential client records in accordance with national, state and CMH guidelines.Perform administrative tasks such as answering phone, managing documents and operating office equipment.Serve as a liaison to government agencies, private sector partners and other state programs UNUSUAL WORKING CONDITIONS: May require travel Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
Medical Coverage
Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
Childbirth, Adoption, and Foster Care leave
Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)
*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsPosition Qualifications: Current and valid license to practice professional nursing as Registered Nurse (i.e., R.N.) in Ohio as issued by Board of Nursing pursuant to Section 4723.03 of Revised Code and all of the following bulleted criteria: 24 mos. exp. in pediatric nursing, which included care of children with special health care needs (i.e., CSHCN) &/or casemanagement of children with multiple health care needs completion of undergraduate core program in nursing to include 1 course in community health nursing or public health nursing & 1 course in research methodologies or equivalent.1 course or 3 mos. exp. in operation of personal computer. Or Current and valid license to practice professional nursing as Registered Nurse (i.e., R.N.) in Ohio as issued by Board of Nursing pursuant to Section 4723.03 of Revised Code and all of the following bulleted criteria: 24 mos. exp. in pediatric nursing, which included care of children with special health care needs (i.e., CSHCN) &/or casemanagement of children with multiple health care needs. 24 mos. exp. in nursing, which included 3 mos. trg. or 3 mos. exp, in community health or public health nursing & 3 mos. trg. or 3 mos. exp. in data collection & analysis.1 course or 3 mos. exp. in operation of personal computer. Or Equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure. Additional Qualifications: Applications of those who meet the minimum qualifications will be further evaluated against the following criteria:Graduate or advanced degree in nursing Experience in pediatric nursing and casemanagement of children/ young adults with special health care needs Experience providing technical assistance/consultation services to a local health department or other provider of child /young adults health services (e.g., hospitals, pediatric clinics, physician's offices, other health care related professionals) Experience in public/community and/or home health nursing Experience reviewing and authorizing medical plans of treatment/requests for services (e.g., may include durable medical equipment/orthotics/prosthetics/orthodontic services/therapies) Certified NurseCaseManager/ Discharge Planner or Certified Pediatric NurseExperience in analyzing health related data to prepare reports (e.g., quality assurance/technical reports, medical reports) Experience providing education or training to various groups (e.g., medical groups, nursing staff, parents, young adults) Experience with computer software (e.g., Microsoft Office: Word, PowerPoint) All eligible applications shall be reviewed considering the following criteria: qualifications, experience, education, active disciplinary record, and work record Job Skills: NursingTechnical Skills: Health Administration, Medical Records, Nursing, Public Health, Public RelationsProfessional Skills: Analyzations, Attention to Detail, Collaboration, Consultation, Verbal Communication, Written CommunicationsEducational Transcript Requirements: Official educational transcripts are required for all post-high school educational accomplishments, coursework or degrees claimed on the application. Applicants will be required to submit an official transcript prior to receiving a formal offer of employment. Failure to provide transcripts within five (5) working days of being requested will cause the applicant to be eliminated from further consideration. Please note that a transcript is considered "official" only if it is an original copy from the educational institution and includes an institutional watermark, ink stamp or embossed stamp. Transcripts printed from the institution's website will not be accepted. ODH reserves the right to assess the academic credibility of an educational entity's award of a putative degree.If you are using education or coursework to meet the minimum qualifications for this position, an official transcript must be attached prior to submitting your application. Supplemental InformationSupplemental Information:ALL ANSWERS TO THE SUPPLEMENTAL QUESTIONS MUST BE SUPPORTED BY THE WORK EXPERIENCE/EDUCATION PROVIDED ON YOUR CIVIL SERVICE APPLICATION.Unless required by legislation, the selected candidate will begin at Pay Grade 13, Step 1 of the SEIU/1199 union Pay Range Schedule ($34.96 per hour), with an opportunity for pay increase after six months ($36.65 per hour) of satisfactory performance and then a yearly raise thereafter. APPLICATION PROCEDURES: All applicants must submit a completed Ohio Civil Service Application using the TALEO System. Paper applications will not be considered. Applicants must clearly indicate how they meet the minimum qualifications and/or position specific minimum qualifications. Applicants are also encouraged to document any experience, education and/or training related to the job duties above. An assessment of these criteria may be conducted to determine the applicants who are interviewed.STATUS OF POSTED POSITION:You can check the status of your application online by signing into your profile. Jobs you applied for will be listed. The application status is shown to the right of the position title and application submission details.BACKGROUND CHECK NOTICE:The final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.All final applicants tentatively selected for this class will be required to submit to urinalysis to test for illegal drug use prior to appointments. An applicant with a positive test shall not be offered employment.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
$35-36.7 hourly Auto-Apply 3h ago
Utilization Management Nurse
Centerwell
Columbus, OH
**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.
Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others.
**Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX
**Use your skills to make an impact**
**Role Essentials**
+ Active Unrestricted RN license
+ Possession of or ability to obtain Compact Nursing License
+ A minimum of three years clinical RN experience;
+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience
+ Demonstrates Emotional Maturity
+ Ability to work independently and within a team setting
+ Valid driver's license and/or dependable transportation necessary
+ Travel for offsite Orientation 2 to 8 weeks
+ Travel to offsite meetings up to 6 times a year as requested
+ Willing to work in multiple time zones
+ Strong written and verbal communication skills
+ Attention to detail, strong computer skills including Microsoft office products
+ Ability to work in fast paced environment
+ Ability to form positive working relationships with all internal and external customers
+ Available for On Call weekend/holiday rotation if needed
**Role Desirables**
+ Education: BSN or bachelor's degree in a related field
+ Experience with Florida Medicaid
+ Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures
+ Compact License preferred
+ Previous experience in utilization management within Insurance industry
+ Previous Medicare Advantage/Medicare/Medicaid Experience a plus
+ Current nursing experience in Hospital, SNF, LTAC, DME or Home Health.
+ Bilingual
**Additional Information**
We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more.
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.
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: 02-18-2026
**About us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
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 15d ago
Hospice Nurse - RN Case Manager
Transitions Group 3.5
Columbus, OH
Full-time Description
Our people are the difference.
Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and team members. Imagine a healthcare company that provides 24/7 access to services in the comfort of the patient's home - providing the physical, emotional, and spiritual support that allows a patient to focus on living.
At Transitions, you don't have to imagine! Apply now to join our team and experience the Transitions difference!
As a Transitions Care RN CaseManager you will plan, organize, and direct hospice care. They work closely with the interdisciplinary team to plan and direct services to meet the needs of the patient and families within their homes and communities. CaseManagers will travel locally and are responsible for the following:
Major Responsibilities
Completes an ongoing comprehensive assessment of patient and family to determine hospice needs.
Initiates the plan of care and makes necessary revisions as patient status and needs change.
Administers medications and treatments as prescribed by the physician in the physician's plan of care.
Completes, maintains, and submits accurate and relevant clinical notes regarding patient's condition and care given.
Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required.
Communicates with community health related persons to coordinate the care plan.
Teaches the patient and family/caregiver self-care techniques as appropriate.
Works in concert with the interdisciplinary group.
Participates in on-call duties as defined by the on-call policy.
Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
Fulfills obligation of requested and/or accepted case assignments.
Benefits We Offer
Competitive salary
Medical / Dental / Vision Insurance plans
Life Insurance
401(k) matching
Auto Allowance
Gas Card
Company Equipment
Paid Time Off
Free Scrub Tops
Requirements
Education and Experience
Graduate of an accredited school of Nursing.
Registered Nurse licensed in the State.
One (1) + year Hospice, home health or related organization experience preferred.
Salary Description $75,000 - $85,000 a year
$75k-85k yearly 4d ago
Triage Nurse
Columbus Oncology & Hematology
Columbus, OH
Columbus Oncology is looking for a full-time Triage Nurse to join our team!
Why work for us?
Our culture is unique. We work every day to promote a culture that is positive, supportive and patient-centered.
We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k profit-sharing plan.
You get to be part of an organization that helps improve the lives of those facing cancer by providing access to the best community-based cancer care.
What will you do?
Work four days; usually until 5PM; no nights, no weekends
Serve as a primary liaison across all disciplines to ensure comprehensive patient care
Multi-task between patient calls, provider messages, and other related duties
Acknowledge and perform provider orders in alignment with clinical standards
Implement and manage individualized care plans; assess, document, and report patient conditions in accordance with established protocols.
What will you need to be successful?
BLS Provider credentialed from the American Heart Association (AHA)
Registered Nurse credentialed from the Ohio Board of Nursing in good standing
Diploma from an accredited school/college of nursing
5+ years of relevant experience (oncology or acute care preferred)
Columbus Oncology Associates is an Equal Opportunity Employer and proudly a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
$57k-84k yearly est. Auto-Apply 60d+ ago
RN Home Health Case Manager
Healthcare Support Staffing
Columbus, OH
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Are you an experienced RN, Home Health CaseManager in the Columbus, OH area? Are you looking for a new opportunity with a prestigious healthcare company? Then this is the position for you for you!
Shift: Mon-Fri 8am-5:00pm
Daily Responsibilities:
Home care nurses play a pivotal role in the healthcare field by preventing hospitalizations and assisting clients to remain independent in their homes. Requires a high level of independence, sound clinical judgment, excellent clinical skills and the ability to work with and communicate with a range of age groups. Typical clients include pre-term infants with special needs, individuals who are post-surgical and require follow-up care such as antibiotic therapy or wound care; those with chronic conditions (CHF, diabetes) in need of additional education, laboratory work or therapy; and individuals who require long-term support for medication management. Our nurses provide clients with education, treatment, and emotional support to help individuals recover from injuries and illnesses. Good communication skills, the ability to coordinate services, make referrals to other agencies/providers, and function as a client advocate are necessary. In general a full-time RN will have a caseload of 12-15 clients. A reliable vehicle is necessary for travel in a 50 mile radius of Columbus.
Territory: Far North of Delaware, far South of Lancaster, far West of London, far East as Newark
Advantages of this Opportunity:
Competitive salary
Fun and positive work environment
Interested in being considered?
If you are interested in applying to this position, please click Apply Now or email your resume.
Heather Dumet at
hdumet@ healthcaresupport.com
Qualifications
2 yrs experience in Homecare.
Ohio RN Lic required
BCLS required.
Additional Information
$52k-80k yearly est. 2d ago
Full Time Case Manager
McKinley Hall 4.0
Springfield, OH
Job Posting: CaseManager Position Type: Full-Time About Us: McKinley Hall is a leading substance abuse treatment facility dedicated to providing compassionate care and effective treatment solutions to individuals facing addiction. We are seeking a motivated and empathetic CaseManager to join our multidisciplinary team. This role is vital in supporting clients through their recovery journey, ensuring they receive the resources and guidance necessary for lasting change. Key Responsibilities: - Conduct comprehensive assessments to develop individualized recovery plans based on clients' needs and goals. - Coordinate and facilitate access to a range of services, including medical, psychological, and social support. - Monitor client progress, maintaining accurate and detailed case records. - Provide crisis intervention and support as needed, ensuring clients feel safe and understood. - Collaborate with treatment team members to ensure holistic care and continuity of services. - Advocate for clients within the healthcare and community systems to help them access necessary resources. Qualifications: - High School Diploma, associate's degree preferred. - Previous experience in casemanagement, preferably in substance abuse or mental health settings. - Knowledge of addiction treatment and recovery resources. - Strong communication, organizational, and problem-solving skills. - Ability to work collaboratively in a team-oriented environment. - Valid driver's license and reliable transportation is a plus. Benefits: - Competitive salary - Comprehensive health benefits - Retirement plan options - Professional development opportunities - Supportive and dynamic work environment Join us at McKinley Hall and make a meaningful impact in the lives of those we serve!
$29k-36k yearly est. 50d 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 3d ago
Hospice RN/Case Manager ** $5,000 SIGN ON BONUS**
Tranquility Hospice
Delaware, OH
Job DescriptionTitle: Hospice RN/CaseManager, Marion, Delaware OH & Surrounding Counties We keep growing and need more amazing staff members! $5,000.00 SIGN ON BONUS! Be a part of a growing company that's locally owner and operated. Employment Type: Full Time
Shift: Monday-Friday 8:30 a.m. 5 p.m. (flexible) Plus On-Call Rotation
As a Tranquility Hospice Nurse, you will affect the journey, with love, dignity, and care that values life.
Being of service to others is more than a career it is a calling. We are committed to supporting our staff to fulfill their personal and professional goals. Tranquility Hospice fosters a supportive family environment with a collective philosophy that Hospice is a celebration of life.
If you are looking to make a difference and to use your experience and compassion for others in the communities, we live and serve than Join Our Team Today!
Description: RN is a member of the interdisciplinary group who works together to meet the physical, psychosocial, medical, and emotional and spiritual needs of the patients and their families. The RN role is designated to provide coordination of all aspects of care including ongoing assessment of the patient, family and caregivers needs and implementation of the interdisciplinary plan of care.
Scope of Work:
Nursing: Plan, coordinate and provide hospice care in accordance with the patient's plan of care. Coordinate hospice care by collaborating with other team members as well as with the patients/family members to ensure needs are met. Consult with the attending physician and Hospice Medical Director concerning changes in patients condition requiring order changes and/or changes in the plan of care.
Documentation: Submit complete, accurate and relevant clinical notes in a timely manner. Participate in IDG and case conferences. Ensure patient plans of care are kept current.
Communication: Provide education to patients/family members regarding the dying process, plan of care and offers guidance with healthcare decisions. Obtain a medical history from the patient and/or a family member particularly as it relates to the present condition.
The RN casemanager plans and delivers care to patients utilizing the nursing process, planning, interventions, implementation, and evaluation.
Provide supervision and education to STNAs and LPNs.
Participates in bi-weekly interdisciplinary team meetings.
Develops and organizes plan of care for patients individual needs and makes any changes and updates as patients needs change.
Provide education to patients, families, and referral sources.
Identify and utilize resources, referrals such OT, PT, Pharmacy, Medical Supplies, Durable Medical Equipment, and other consults.
Provide effective communication and shift reports thru written and verbal communication.
Technology: Use of Electronic Health Record, Email, computers, and cell phone devices
Qualifications:
Minimum of one year RN experience.
Hospice, Home Health, or Long-Term Care experience preferred but not required.
Strong leadership and organizational skills.
Effective assessment and critical thinking skills.
Knowledge of the casemanagement processes.
Valid Drivers License with reliable, insured automobile.
Must be able to communicate well, both verbally and in writing
Education:
Must be a graduate from an accredited School of Nursing.
State of Ohio License - Registered Nurse (Unincumbered)
Job Conditions:
Physical activities will include, walking, sitting, stooping, and standing.
Participates in on-call rotation based on program needs.
Travel to servicing counties.
Able to lift fifty pounds.
Benefits:
Sign on Bonus
Competitive Salary
Paid Holidays
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Mileage Reimbursement
Paid Time Off
Attendance and Incentive Programs
401K
Positive Team Environment with support for each other!
Tranquility Hospice LLC is an Equal Opportunity Employer Drug Free Workplace
Tranquility Hospice LLC / Tranquility Health Care LLC complies with applicable Federal Civil Rights Laws and does not discriminate based on race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
$52k-80k yearly est. 15d ago
RN Care Manager - Hourly- Per Diem
Acutecare Health System
Columbus, OH
Join BoldAge PACE and Make a Difference!
Why work with us?
A People First Environment: We make what is important to those we serve important to us.
Make an Impact: Enhance the quality of life for seniors.
Professional Growth: Access to training and career development.
Competitive Compensation:
BE PART OF OUR MISSION!
Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.
Registered Nurse Care Manager
SUMMARY: The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare interventions, and evaluates outcomes of care of participants on an ongoing basis. In collaboration with the interdisciplinary team (IDT), develops plans of care to meet participants' needs. Delegates tasks to clinic, center, and homecare aides according to participant needs and care plans. Collaborates and communicates with the primary care provider, clinic staff, and other members of the IDT. Provides care to participants in the clinic, center, and participant homes as needed.
ESSESNTIAL DUTIES AND RESPONSIBILITIES:
Provide high quality clinical care and serves as a member of the PACE interdisciplinary team (IDT).
Provide nursing care in the center, clinic, contracted facilities, and participants' homes according to each participant's plan of care. (NJ: in accordance with the State of New Jersey Nursing Practice Act, N.J.S.A. 45:11-23 et seq., as interpreted by the New Jersey State Board of Nursing, and written job descriptions. Services provided shall be documented in the participant's medical record).
Participate in 24/7 “on-call” process for triage of participants and their needs.
Assess, plan, and coordinate participants' home care services. Provide input to the IDT in developing home care plan interventions. The nursing care needs of the participant shall be assessed only by a registered professional nurse.
Monitor participants' acute and chronic care needs in all settings. Provide coordination and direct care as indicated to promote continued care in the community or promote optimal institutional care (Assisted Living, Nursing Home, Hospital, etc.) as needed.
Ensure timely follow-up by providers on specialist visits and will assist with obtaining specialist reports, facility documentation, and labs if needed.
Reconcile facility MARs for your assigned panel of participants monthly to ensure accuracy and medication adherence, notify provider of any discrepancies.
Notify participants of normal test results.
Complete timely and accurate nursing assessments in accordance with policies and regulatory requirements.
Implement nursing-related care plan interventions.
Teach participants, caregivers and families about self-care, medications, healthy lifestyles, infection control and safety to promote optimal health and safety.
Review and revises goals and approaches to participants' care in coordination with participant, family, caregiver and interdisciplinary team.
Works collaboratively with the interdisciplinary team (IDT) to develop and implement comprehensive plans of care for participants.
Develop and maintain positive relationships and communication with co-workers, participants and their families/significant others, and members of the community.
Participate in all interdisciplinary team meetings.
Assist the interdisciplinary team members in understanding the significant nursing, self-care and functional needs related to the participant's health problems.
Supports OT as aback up to performing the duties of Home Care Coordinator on the IDT as needed/when assigned. May perform the duties of other IDT members based on professional licensing, competencies, and experience as needed
Actively participates in utilization review meetings and quality improvement projects / meetings.
Evaluates the competence of CNAs and Home Care Aides and delegates tasks and duties to them as indicated.
Participates in family meetings, staff meetings, in-service and training and orientation programs as required.
Follows all PACE Program Policies and Procedures and Occupational Safety and Health Administration (OSHA) safety guidelines.
Protects privacy and maintains confidentiality of all company procedures and information about employees, participants and families.
Practices standard precautions and follows PACE Program Infection Control protocols.
Performs other duties as required or requested.
EXPERIENCE, EDUCATION AND CERTIFICATIONS:
Bachelor of Science in Nursing Degree preferred.
State RN License required
**NJ: Licensed by the New Jersey State Board of Nursing.
BLS required (have within90 days of employment).
1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring (If applicable for the role).
Experience in home care, long-term care and /or managed care preferred.
1 year experience providing care as an RN required.
PRE-EMPLOYMENT REQUIREMENTS:
Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
* Match begins after one year of employment
Full-Time Days
Full-Time
$57k-76k yearly est. Auto-Apply 28d ago
RN Care Manager, Grant Medical Center
Ohiohealth 4.3
Columbus, OH
**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 Care Manager works in partnership with patients, families, caregivers and providers to deliver targeted care that is organized, coordinated, cost effective and patient-centered. The Care Manager collaborates with interdisciplinary staff and stakeholders within the care continuum to promote patients' optimal health through disease prevention and management strategies. Evidence-based interventions are applied to populations for cost efficient and outcome-based care. Outcomes include disease-based quality measures, patient satisfaction metrics, access to services, and hospital/ED utilization rates.
**Responsibilities And Duties:**
**Minimum Qualifications:**
Bachelor's Degree (Required) CPR - Cardiopulmonary Resuscitation - American Red Cross, DL - Driver's License - Department of Motor Vehicles, RN - Registered Nurse - Ohio Board of Nursing
**Additional Job Description:**
RN from an accredited school of Nursing with a current unencumbered RN or APP-RN licensure in the State of Ohio. Bachelor's degree and 2-5 years recent nursing practice experience with knowledge of acute hospital, community or public health nursing concepts and resources. Computer skill and data entry. Knowledge and skill in clinical assessment and disease management.
BLS issued by American Heart Association.
Associates hired after 1/1/2020 must have their Bachelor's degree in nursing .
**Work Shift:**
Day
**Scheduled Weekly Hours :**
40
**Department**
UM Care Coord-South Central Hu
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
$63k-73k yearly est. 38d ago
RN Case Manager
Mount Carmel Health System 4.6
Westerville, OH
RN CaseManager, Full-time About the job: Our RN CaseManager in collaboration with other internal and external disciplines directs and coordinates the care of patients from admission to transfer or discharge. This is done with the intentions of cost-effective utilization of hospital resources, minimizing out of pocket expenses for patients, providing customer support to our internal and external customers, appropriate utilization of resources and patient advocacy.
What you will do:
* Identifies discharge needs, determines the appropriate level of care that the patient can transition to, coordinates planning, and problem solves continuity issues to ensure seamless continuum of patient care and prevent the patient from having to readmit to the hospital.
* Assures all appropriate clinical information is provided to outside agencies. Communicates pertinent information to the appropriate members of the patient care team both effectively and professionally. Takes responsibility to identify and eliminate barriers to effective patient stay management and promotes improvements in work processes within department, hospital, and community.
* Responsible/accountable for professional development and maintaining licensure. Takes ownership for self-education. Advocates for patient legal, social, and ethical rights while balancing patient resources and hospital financial stewardship. Refers quality issues and poor utilization of services to the appropriate sources. Coordinates/facilitates patient/family education.
What we are looking for:
* Associates degree from an accredited RN program
* Current license to practice as registered nurse in the State of Ohio
* Minimum of 3-5 years recent clinical experience in an acute care setting.
* ACM-RN or CCM accreditation preferred
Offer: CEU's through the ACMA/ Compass Training
They work Monday - Friday, 8 hour day shifts with an occasional weekend rotation.
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$54k-86k yearly est. 45d ago
Registered Nurse RN - Universal Home Health Case Manager
Otterbein Seniorlife
West Liberty, OH
Otterbein Universal Home Health is a not-for-profit, faith-based ministry that is a national leader and innovator in retirement living communities and long-term care. Otterbein Universal Home Health is seeking a Home Health (RN) CaseManager, to assist in the growth of our Home Health ministry. Otterbein Universal Home Health compliments already strong independent senior services, outpatient capabilities and clinical facilities at Otterbein.
At Otterbein, you're more than an employee, you're a Partner in Caring. Together, we work side by side toward a shared goal: delivering person-centered care that respects every resident and the choices they make.
Whether in our vibrant communities, our welcoming small house neighborhoods, Home Health, Hospice or Home Office, we provide the highest level of compassionate, quality care.
Join our team of Partners who are talented, kind, wise, funny, spirited, generous, endearing, and truly one-of-a-kind.
If you're looking for an opportunity to serve in a mission-focused ministry committed to transforming the model of elder care delivery this opportunity is for you.
Shift: Full-Time 8a-5p (No Scheduled Weekends), PRN
Responsibilities
Otterbein is seeking an enthusiastic and professional Home Health (RN) CaseManager.
This role is responsible for primary caseload.
This position provides skilled professional nursing care to patients, their families and caregivers as prescribed by the physician and in compliance with the Home Health Medicare Conditions of Participation, Ohio Home Health licensure laws and agency policies and procedures.
Qualifications
Education: Bachelor's degree in nursing preferred. Graduate of approved nursing program
Licensure/Certification: Valid Ohio Registered Nurse (RN) license
Experience: A minimum of 1-year direct patient care experience in home care
BENEFITS*
Health & Wellness
Medical Insurance with free virtual doctor visits
Vision & Dental Insurance
Pet Insurance
Life Insurance
Employee Assistance Program (EAP) for personal and professional support
Financial Security
401(k) Retirement Savings Plan with company match
Paid Time Off (PTO) that accrues immediately from day one
Paid Holidays for a healthy work-life balance
Tuition Reimbursement up to $5,250 per year for ANY field of study
Tuition Discounts through exclusive partnerships with the University of Cincinnati, University of Toledo, and Hondros College
Employee-Sponsored Crisis Fund available for those facing unforeseen challenges
Legal & Identity Theft Protection
Growth & Development
University Partnerships with University of Cincinnati, University of Toledo, and Hondros College for exclusive tuition discounts
Multiple Partner Discounts available for various products and services through Access Perks
Access to 1,000s of hours of personal and professional development material through RightNow Media @ Work
*Some benefits, including PTO and tuition reimbursement, are based on hours worked and do not apply to PRN status.
Why work for Otterbein SeniorLife:
For more than 100 years, Otterbein has provided senior housing options rooted in respect and community. We're a non-profit 501(c)(3) health and human service organization, so our values and initiatives are focused on serving our residents.
Otterbein SeniorLife consists of lifestyle communities, revolutionary small house neighborhoods, home health, and hospice care in Ohio and Indiana. We offer different lifestyle options for seniors through independent living, assisted living, skilled nursing, rehab, memory support, respite care, in-home care, and hospice services.
Apply today and begin a meaningful career as a Registered Nurse (RN) - Home Health CaseManager at Otterbein Universal Home Health!
$52k-79k yearly est. Auto-Apply 3d 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 NurseManager
Position Type: PRN
Location: Hilliard, Ohio
Our starting wage for Wellness NurseManager is: $32-$35 per hour!
Shift Schedule-
As Needed
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:
************************************************************
Or, take a look at our website: **********************************
Have questions? Want to speak to someone directly? Reach out by calling/texting your own recruiter, Kayla Moore 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 51d ago
RN Care Manager
Ohio s Hospice Inc. 3.3
Newark, OH
What You Should Know About the RN Care Manager :
serving Licking county.
This is a full-time position, 40 hours/week: 8:00A-4:30P with weekend and holiday rotation requirements.
Collaboration with colleagues required.
We provide superior care and superior services to patients at their end of life journey. Only those who have a heart for hospice will succeed.
The RN Care Manager's Essential Duties Are:
Plans and delivers care to patients utilizing the nursing process of assessment, planning, interventions, implementation, and evaluation; and effectively interacts with patients, families, and other interdisciplinary team members while maintaining standards of professional nursing.
Personal Care Specialist Qualifications:
Graduate of an accredited nursing school
RN nurse license in the state of Ohio without any board actions
Two years acute care nursing experience preferred
Certification in Hospice and Palliative Medicine (CHPN) preferred and will be made available to Ohio's Hospice employees who wish to obtain certification.
CPR Certified
Computer skills sufficient to properly document services and care.
Ability to drive during daytime, nighttime, or inclement weather.
Valid Driver's License with Safe Driving Record
State Minimum Automobile Insurance Coverage
Must be able to pass a criminal background check
Must be able to pass a 10 panel drug screen
Benefits & Perks: your health and happiness matters! We offer:
Competitive Pay
Competitive Health, Dental, and Vision Insurance
Short- & Long-Term Disability
Life Insurance
Paid Time Off
401k with 5% employer match
Tuition Reimbursement
Preparation for certification and pay incentive on Hospice certification achievement
Scrubs provided at initial onboarding
Mileage reimbursement
Organizational preceptor to assist with orientation and ongoing education
Educational programs geared toward career advancement
Career growth
Ohio's Hospice offers opportunity, advancement, and a great foundation for growth to energetic people looking to serve our mission. Those who join our team are committed to providing superior care and service so our patients and their families can celebrate life. We provide our staff members with the resources and support to contribute and make a difference in the lives of patients and families every day. Come join a group of people that are wildly passionate about taking care of our patients and each other! As a member of our team, you will have a chance to impact many lives. You may find a deeper meaning in your work or rediscover why you chose your profession in the first place. The passion you may have been missing in previous workplaces can be found at Ohio's Hospice.
Ohio's Hospice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Ohio's Hospice is proud to be platinum certified through SAGECare, which provides training and consulting on LGBT aging issues to service providers. Ohio's Hospice welcomes those in the LGBT community to join our team.
$68k-83k yearly est. Auto-Apply 15d ago
Utilization Review Case Mgr RN- Full time- Mon - Friday
Adena Health 4.8
Washington Court House, OH
RN CaseManagement / Utilization Review
Status: Full-Time
Shift: Day shift- Monday through Friday
The RN CaseManagement/Utilization Review role supports Adena's integrated CaseManagement Program, combining utilization review, discharge planning, and resource management. This position ensures patients receive care in the most appropriate setting based on clinical assessment, medical necessity, and efficient use of resources. The role collaborates with the interdisciplinary team to improve quality outcomes, manage length of stay, and reduce unnecessary costs.
Required Qualifications
Current Ohio RN license
Bachelor's Degree in Nursing (BSN)
3-5 years acute hospital nursing experience
CaseManagement Certification (CCMC) required within 3 years of hire
Preferred Qualifications
3-5 years acute hospital casemanagement experience
Utilization review experience
Knowledge of payer and regulatory guidelines
Outstanding Benefits Package:
Low-Deductible Health Plans - Quality coverage with affordable costs.
Pet Insurance - Because your furry family members deserve care too.
Public Service Loan Forgiveness (PSLF) Eligibility - Helping you work toward a debt-free future.
Work with purpose - help patients and families during their most vulnerable times
Collaborative team - be part of a multidisciplinary group that values your voice
Supportive culture - compassion, respect, and dignity drive everything we do
Ready to bring hope, healing, and support to those who need it most?
Apply today and become a trusted resource in your community.