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RN Care Manager - Exempt
Boldage Pace
Nurse manager job in 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
Medical/Dental
Generous PTO
401K with Match*
Life Insurance
Tuition Reimbursement
Flexible Spending Account
Employee Assistance Program
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.
Performs the duties of Home Care Coordinator on the IDT as needed / 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 (must have within 90 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.
Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen.
Required immunizations
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, Monday-Friday
Full time, days, Monday-Friday
$57k-76k yearly est. Auto-Apply 2d ago
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Staff RN - Infusion (Casual) - Marion
Ohiohealth 4.3
Nurse manager job in Marion, 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:
This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team. He/She is accountable for the practice of nursing as defined by the Ohio Board of Nursing.
Responsibilities And Duties:
30% Assessment/Diagnosis
Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual.
30% Outcomes Identification/Planning
Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs.
20% Implementation/Evaluation
Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data.
10% Leadership
Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance.
10% Operations
The major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job. Associate is expected to all perform other duties as requested by supervisor.
Minimum Qualifications:
Bachelor's Degree: Nursing (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing
Additional Job Description:
RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0
Work Shift:
Day
Scheduled Weekly Hours :
As Needed
Department
Infusion Center
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
$45k-75k yearly est. 3d ago
Personal Injury Attorney / Practice Manager
Smith Schabo Law
Nurse manager job in Columbus, OH
At *Smith Schabo Law*, our philosophy is simple; we put our clients first. We are dedicated to providing the highest caliber of legal representation, treating every client with respect, compassion, and integrity. Our firm is committed to fighting injustice and righting the wrongs suffered by those harmed by individuals, corporations, or public entities.
Our personal injury and trial lawyers have a proven track record of results, having successfully recovered millions of dollars for clients through dedicated advocacy and exceptional legal skill.
*Position Overview*
Smith Schabo Law is seeking an experienced and motivated Personal Injury Attorney / Practice Manager to join our growing legal team. This unique role combines client-facing legal representation with practice management responsibilities, offering the opportunity to both litigate cases and oversee the efficient operations of a dynamic personal injury practice.
The ideal candidate will have experience in plaintiff's personal injury law, be bilingual in English and Spanish, and possess strong leadership, organizational, and communication skills.
*Responsibilities*
*Legal Representation*
* Represent clients in personal injury cases, ensuring their rights are protected throughout the legal process
* Conduct comprehensive legal research and case analysis using tools such as LexisNexis to support strategy and advocacy
* Draft legal documents, including pleadings, motions, and settlement agreements with precision and clarity
* Negotiate settlements and manage litigation matters, advocating for clients' best interests in every phase of the case
* Maintain accurate case files and documentation to ensure compliance with ethical and legal standards
*Practice Management*
* Oversee day-to-day operations of the law practice, ensuring efficiency and organization across all active cases
* Utilize and maintain the firm's Clio practice management system to track case progress, deadlines, and client communications
* Develop and improve operational processes to optimize productivity and client satisfaction
* Collaborate with staff to manage scheduling, workflow, and client intake
* Assist in business development and client relationship management to help grow the firm's presence in the community
*Requirements*
* Juris Doctor (JD) degree from an accredited law school
* Active license to practice law in Ohio
* Minimum 3 years of experience in plaintiff's personal injury law
* Demonstrated experience in litigation with strong negotiation skills
* Exceptional writing and communication abilities for legal drafting and client interaction
* Proven ability to manage multiple priorities, cases, and staff effectively
* Proficiency in Clio and Microsoft Office Suite; familiarity with LexisNexis preferred
* Strong leadership, organizational, and time management skills with a focus on accuracy and client service
*Benefits*
* Health insurance
* Simple IRA with match
* Paid time off
* Opportunity for professional growth within a results-driven, client-first law firm
*Why Join Smith Schabo Law*
At Smith Schabo Law, you'll join a passionate team of professionals committed to seeking justice and delivering meaningful outcome*s* for clients. We value integrity, collaboration, and client care, and we're looking for an attorney who shares our dedication to excellence both in and out of the courtroom.
Pay: $80,000.00 - $120,000.00 per year
Benefits:
* Health insurance
* Retirement plan
Work Location: In person
$80k-120k yearly 60d+ ago
Staff RN - Observation Unit - Marion
Ohiohealth 4.3
Nurse manager job in Marion, 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:
Three 12-hour shifts per week, night shift.
Night shift differential is paid.
This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team. He/She is accountable for the practice of nursing as defined by the Ohio Board of Nursing.
Responsibilities And Duties:
Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%).
Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%).
Operations (10%).
As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.
The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time.
Minimum Qualifications:
BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing
Additional Job Description:
RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0
Work Shift:
Night
Scheduled Weekly Hours :
36
Department
Observation Unit 1
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
$45k-75k yearly est. 3d ago
Registered Nurse - Home Care - Mt. Carmel
Trinity Health at Home 4.0
Nurse manager job in Columbus, OH
*Employment Type:* Full time *Shift:* *Description:* As a Home Care Registered Nurse (RN) at Mount Carmel Home Care, you'll deliver one-on-one, high-quality care to patients in the comfort of their homes. Using advanced technology and your clinical expertise, you'll assess, plan and manage individualized care that promotes healing and independence. Why Join Us?
Start Here… Grow Here... Stay Here!
At our core, we believe in building careers, not just jobs. Many of our team members stay with us for the long haul-and for good reason. Our culture is built on support, growth, and opportunity.
What You Can Expect:
* *Consistent, Reliable Workloads*
Enjoy steady assignments with guaranteed hours-no surprises.
* *Competitive Pay & Low-Cost Benefits*
Get exceptional coverage and real savings that make a difference.
* *Supportive Leadership*
Our management team is here to help you succeed every step of the way.
* *Career Growth Opportunities*
Every leader on our team started in a field role-your path to leadership starts here.
* *Epic EMR System*
Streamlined documentation and communication for better care and less stress.
* *Fast Hiring Process*
Quick interviews and job offers-because your time matters.
* *Meaningful Work*
Deliver one-on-one care that truly impacts lives.
* *Zero On-Call Requirements*
Focus on your work without the stress of being on call.
*Minimum Qualifications*
* Graduate of an accredited nursing program
* Active RN license in the State of Ohio
* Minimum of one (1) year of professional nursing experience
*Benefits Highlights*
* Medical, dental and vision insurance starting Day One
* Short- and long-term disability coverage
* 403(b) retirement plan with employer match
* Generous paid time off + 7 paid holidays
* Tuition reimbursement up to $5,250/year
* Comprehensive onboarding and orientation
*About Mount Carmel Home Care*
Mount Carmel Home Care is a member of [Trinity Health At Home]( a national home care, hospice and palliative care organization serving communities throughout eleven states. As a faith-based, not-for-profit agency, Mount Carmel Home Care serves patients and families in the comfort of home, offering skilled nursing, therapy (physical, occupational, speech) and medical social work. We are Medicare certified and accredited by The Joint Commission. Learn more about us at [MountCarmelHomeCare.org.](
*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.
$42k-78k yearly est. 12d ago
Division Practice Manager - Insight & Data
Sogeti 4.7
Nurse manager job in Columbus, OH
Division Practice Manager - Insights & Data
Location: Sogeti North East Division (Connecticut, D.C., Maryland, Massachusetts, New Jersey, New York, Pennsylvania and Virginia)
As a Division Practice Manager for Insights & Data (I&D), you will drive presales efforts for large-scale Data and AI programs, lead a high-performing team of data and analytics professionals, drive client engagements, and ensure delivery excellence across the I&D portfolio. This role requires strong thought leadership, strategic vision, and the ability to deliver innovative data-driven solutions that create measurable business value for our clients.
What you will do at Sogeti:
Presales Leadership: Drive presales efforts for large-scale Data and AI programs, including solutioning and proposal development.
Team Management: Lead and mentor a team of data engineers, BI specialists, automation experts, and data scientists. Oversee engagements, talent acquisition, and professional development.
Engagement Delivery: Manage complex, large-scale data and analytics programs, including strategy, implementation, and operational run phases.
Client Partnership: Serve as a trusted advisor to clients, ensuring exceptional service delivery, managing expectations, and presenting insights effectively.
Solution Ownership: Own end-to-end solutioning, client management, and delivery of data and analytics projects.
Business Growth: Collaborate with account teams on pre-sales activities, research, and solutioning. Partner with alliances for joint go-to-market opportunities.
Capability Development: Drive continuous improvement of data and analytics capabilities, develop new assets, and contribute to go-to-market strategies.
What you will bring:
Proven experience in presales, with a track record of selling Data and AI programs valued at $10M+.
10+ years of experience delivering large-scale data and analytics engagements.
Expertise across the full data lifecycle: integration, management, architecture, governance, quality, automation, and data science.
Ability to define business cases, measure outcomes, and communicate insights through compelling storytelling.
Strong client-facing skills, capable of engaging at all levels from executives to engineers.
Hands-on technical proficiency and ability to coach teams when needed.
Deep knowledge of data and analytics ecosystems across Azure (required), AWS, and Google Cloud, including tools such as SQL, Azure Data Lake, Synapse, Azure ML, and Purview.
Must be located in the Columbus or Cincinnati Ohio.
Personal Attributes
Strategic thinker and thought leader with strong executive presence.
Thrives in a fast-paced, agile environment.
Highly motivated, self-driven, and accountable for delivering exceptional client outcomes.
Able to work independently with minimal supervision.
Education
Bachelor's or Master's degree in Computer Science, Software Engineering, Information Systems, Business Administration, or a related field.
Life at Sogeti - Sogeti supports all aspects of your well-being throughout the changing stages of your life and career. For eligible employees, we offer:
Flexible work options
401(k) with 150% match up to 6%
Employee Share Ownership Plan
Medical, Prescription, Dental & Vision Insurance
Life Insurance
100% Company-Paid Mobile Phone Plan
3 Weeks PTO + 7 Paid Holidays
Paid Parental Leave
Adoption, Surrogacy & Cryopreservation Assistance
Subsidized Back-up Child/Elder Care & Tutoring
Career Planning & Coaching
$5,250 Tuition Reimbursement & 20,000+ Online Courses
Employee Resource Groups
Counseling & Support for Physical, Financial, Emotional & Spiritual Well-being
Disaster Relief Programs
About Sogeti
Part of the Capgemini Group, Sogeti makes business value through technology for organizations that need to implement innovation at speed and want a local partner with global scale. With a hands-on culture and close proximity to its clients, Sogeti implements solutions that will help organizations work faster, better, and smarter. By combining its agility and speed of implementation through a DevOps approach, Sogeti delivers innovative solutions in quality engineering, cloud and application development, all driven by AI, data and automation.
Become Your Best | *************
Disclaimer
Capgemini is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law.
This is a general description of the Duties, Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the manner in which this position traditionally is performed. Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements and/or changing the way this job is performed, provided that such accommodations do not pose an undue hardship.
Capgemini is committed to providing reasonable accommodation during our recruitment process. If you need assistance or accommodation, please reach out to your recruiting contact.
Please be aware that Capgemini may capture your image (video or screenshot) during the interview process and that image may be used for verification, including during the hiring and onboarding process.
Click the following link for more information on your rights as an Applicant **************************************************************************
Applicants for employment in the US must have valid work authorization that does not now and/or will not in the future require sponsorship of a visa for employment authorization in the US by Capgemini.
Capgemini discloses salary range information in compliance with state and local pay transparency obligations. The disclosed range represents the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting, although we may ultimately pay more or less than the disclosed range, and the range may be modified in the future. The disclosed range takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, geographic location, relevant education, qualifications, certifications, experience, skills, seniority, performance, sales or revenue-based metrics, and business or organizational needs. At Capgemini, it is not typical for an individual to be hired at or near the top of the range for their role. The base salary range for the tagged location is $190,000 - $210,000.
This role may be eligible for other compensation including variable compensation, bonus, or commission. Full time regular employees are eligible for paid time off, medical/dental/vision insurance, 401(k), and any other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation 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.
$190k-210k yearly 2d ago
Lead Care Manager (LCM)
Heritage Health Network 3.9
Remote nurse manager job
The Bilingual Lead Care Manager partners with Care Team Operations, Clinical Operations, Compliance, Community Health Workers, Behavioral Health staff, and external providers (medical, housing, and social services) to ensure seamless, culturally responsive, member-centered care coordination. The bilingual LCM additionally supports members with limited English proficiency by facilitating communication, translation, and cultural interpretation as needed.
Responsibilities
Serve as the primary point of contact for assigned members, building trust and maintaining active engagement through consistent outreach, relationship-based strategies, and a trauma-informed approach. Provide all communication in the member's preferred language.
Conduct comprehensive assessments (physical, behavioral, functional, social) and develop person-centered care plans that reflect the member's goals, risks, preferences, cultural needs, and social determinants of health.
Implement, monitor, and update care plans following transitions of care, significant changes in condition, or required reassessments; ensure timely and compliant submission of all care plans.
Coordinate services across the continuum-including medical, behavioral health, housing, transportation, social services, and community programs-to reduce fragmentation and remove barriers to care.
Conduct required in-person home or community visits based on member need and risk stratification and maintain a compliant monthly visit structure.
Utilize motivational interviewing, coaching, and health education to promote behavioral change, self-management, and long-term member stability.
Identify gaps in care, service delays, lapses in benefits, unmet needs, and environmental risks; collaborate with internal and external partners to resolve issues quickly and effectively.
Maintain accurate, timely, audit-ready documentation of all interactions, assessments, and interventions using required HHN platforms, including eClinicalWorks (ECW), Google Suite, RingCentral, PowerBI dashboards, and payer portals.
Meet or exceed HHN and payer productivity standards, including encounter metrics, outreach requirements, documentation timelines, and quality measures.
Actively participate in multidisciplinary case reviews, team huddles, care conferences, and escalations with nurses, behavioral health staff, CHWs, care operations, and compliance.
Coordinate and schedule appointments with primary care, specialists, behavioral health providers, and community partners; manage referrals, transportation, and follow-ups to ensure continuity of care.
Support hospital discharge (TOC) planning through follow-up scheduling, care transitions, medication reconciliation support, and education on discharge instructions.
Assist members in navigating plan eligibility, redeterminations, documentation, social service applications, housing resources, and crisis interventions.
Maintain active and professional communication with members and care partners through HHN-approved channels, including RingCentral, secure messaging, SMS workflows, and phone.
Participate in HHN's continuous quality improvement efforts, identifying workflow gaps, documenting barriers, sharing insights, and contributing to best-practice development.
Uphold confidentiality and adhere to all HIPAA and payer regulatory requirements across all areas of care delivery.
Open to seeing patients in their home or their location of preference.
Provide real-time interpretation and translation support (verbal and written) for members and families with limited English proficiency.
Help bridge cultural gaps that may impact communication, trust, adherence, or engagement.
Skills Required
Fluency in English and another language (Spanish preferred); ability to read, write, and speak at a professional level.
Strong ability to build rapport and trust with diverse, high-need member populations.
Proficiency in using eClinicalWorks (ECW), Google Suite (Docs, Sheets, Drive), RingCentral, and virtual communication tools.
Ability to interpret and use PowerBI dashboards, reporting tools, and payer portals.
Demonstrated skill in conducting holistic assessments and developing person-centered care plans.
Experience with motivational interviewing, trauma-informed care, or health coaching.
Strong organizational and time-management skills, with the ability to manage a complex caseload.
Excellent written and verbal communication skills across in-person, telephonic, and digital channels.
Ability to work independently, make sound decisions, and escalate appropriately.
Knowledge of Medi-Cal, SDOH, community resources, and social service navigation.
High attention to detail and commitment to accurate, audit-ready documentation.
Ability to remain calm, patient, and professional while supporting members facing instability or crisis.
Comfortable with field-based work, home visits, and interacting in diverse community environments.
Cultural humility and demonstrated ability to work effectively across populations with varied lived experiences.
Competencies
Member Advocacy: Champions member needs with urgency and integrity.
Operational Effectiveness: Executes workflows consistently and flags process gaps.
Interpersonal Effectiveness: Builds rapport with diverse populations.
Collaboration: Works effectively within an interdisciplinary care model.
Decision Making: Uses judgment to escalate or intervene appropriately.
Problem Solving: Identifies issues and creates practical, timely solutions.
Adaptability: Thrives in a fast-growing, startup-style environment with evolving processes.
Cultural Competence: Engages members with respect for their lived experiences.
Documentation Excellence: Produces accurate, timely, audit-ready notes every time.
Strong empathy, cultural competence, and commitment to providing individualized care.
Ability to work effectively within a multidisciplinary team environment.
Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations. Bilingual Communication (interpretation + translation)
Job Requirements
Education:
Bachelor's degree in Social Work, Psychology, Public Health, Human Services, or related field preferred; equivalent experience considered.
Licensure:
Not required; certification in care coordination or CHW training is a plus.
Experience:
1-3 years of care management or case management experience, preferably with high-need Medi-Cal populations.
Experience in community-based work, homelessness services, behavioral health, or SUD settings strongly preferred.
Familiarity with Medi-Cal, ECM, and community resource navigation.
Travel Requirements:
Regular travel for in-person home or community visits (up to 45%).
Physical Requirements:
Ability to perform home visits, climb stairs, sit/stand for prolonged periods, and lift up to 20 lbs if needed.
$36k-47k yearly est. 5d ago
Registered Nurse (RN)
The Laurels of Gahanna
Nurse manager job in Columbus, OH
Are you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of Gahanna , you have the opportunity to use your nursing skills and become a leader.
Making sure you fit the guidelines as an applicant for this role is essential, please read the below carefully.
Benefits:
* Comprehensive health insurance - medical, dental and vision.
* 401K with matching funds.
* DailyPay , a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it.
* Paid time off (beginning after six months of employment) and paid holidays.
* Flexible scheduling.
* Tuition reimbursement and student loan forgiveness.
* Zero cost uniforms.
Responsibilities:
* Plan, coordinate, provide and managenursing care, services, and health education to nursing home guests.
* Supervise the care/services provided by the LPNs, CNAs/STNAs and other team members who care for guests.
* Provide safe and accurate medication-related interventions to guests.
* Assess the health of guests and notify the physician of changes in status; promptly implement new orders.
* Develop a plan of care based on assessment, implementing nursing care.
* Select and institute appropriate nursing interventions to stabilize a guest's condition and/or prevent complications.
* Contribute to guest assessments (MDS/CAA's) and the development of a plan of care.
Qualifications
* 1-3 years of experience in a long-term care setting preferred, but not required.
* Current Registered Nurse (RN) licensure in the state.
* CPR certification.
Ciena Healthcare:
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. xevrcyc
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
$54k-88k yearly est. 1d ago
Registered Nurse (RN)
The Laurels of Walden Park
Nurse manager job in Columbus, OH
Shifts Available:
Check below to see if you have what is needed for this opportunity, and if so, make an application asap.
Days (7am - 7pm)
Nights (7pm - 7am)
Are you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of Walden Park, you have the opportunity to use your nursing skills and become a leader!
Benefits:
Comprehensive health insurance - medical, dental and vision.
401K with matching funds.
DailyPay, a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it.
Paid time off (beginning after six months of employment) and paid holidays.
Flexible scheduling.
Tuition reimbursement and student loan forgiveness.
Zero cost uniforms.
Responsibilities:
Supervise the care/services provided by the LPNs, CNAs/STNAs and other team members who care for guests.
Provide safe and accurate medication-related interventions to guests.
Assess the health of guests and notify the physician of changes in status; promptly implement new orders.
Develop a plan of care based on assessment, implementing nursing care.
Select and institute appropriate nursing interventions to stabilize a guest's condition and/or prevent complications.
Contribute to guest assessments (MDS/CAA's) and the development of a plan of care.
Qualifications
1-3 years of experience in a long-term care setting (preferred, but not required).
Current Registered Nurse (RN) licensure in the state.
CPR certification.
Ciena Healthcare:
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. xevrcyc
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
$54k-88k yearly est. 1d ago
Registered Nurse (RN) - Sign On Bonus
The Laurels of West Columbus
Nurse manager job in Columbus, OH
Join us for our job fair on Tuesday, January 13th from 10am - 4pm! Job offers will be given on the spot!
Read on to fully understand what this job requires in terms of skills and experience If you are a good match, make an application.
Sign-On Bonuses:
$10,000 for full-time hires
$5,000 for part-time hires
Shift Available (rotating weekends required):
Full-time days (7am-7pm)
Full-time nights (7pm-7am)
Are you a critical thinker, a skilled communicator, and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of West Columbus, you have the opportunity to use your nursing skills and become a leader.
Benefits:
Comprehensive health insurance - medical, dental, and vision.
401K with matching funds.
DailyPay is a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it.
Paid time off (beginning after six months of employment) and paid holidays.
Flexible scheduling.
Tuition reimbursement and student loan forgiveness.
Zero-cost uniforms.
Responsibilities:
Supervise the care/services provided by the LPNs, STNAs, and other team members who care for guests.
Provide safe and accurate medication-related interventions to guests.
Assess the health of guests and notify the physician of status changes; promptly implement new orders.
Develop a plan of care based on assessment, and implementing nursing care.
Select and institute appropriate nursing interventions to stabilize a guest's condition and/or prevent complications.
Contribute to guest assessments (MDS/CAA's) and the development of a plan of care.
Qualifications:
1-3 years of experience in a long-term care setting (preferred, but not required).
Current Registered Nurse (RN) licensure in the state.
CPR certification.
Ciena Healthcare:
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. xevrcyc
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
$54k-88k yearly est. 1d ago
Registered Nurse (RN) - Sign On Bonus
The Laurels of Mt. Vernon
Nurse manager job in Mount Vernon, OH
$10,000 sign-on bonus full-time RN !
Apply (by clicking the relevant button) after checking through all the related job information below.
Registered Nurse- RN
Are you a critical thinker, a skilled communicator, and passionate about caring for residents? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of Mt. Vernon, you have the opportunity to use your nursing skills and become a leader.
If you're going to work every day for a living, make it count for yourself and your family by joining a company with one of the leading employee benefits packages in the long-term health industry.
Laurel Health Care Company offers one of the most extensive health, life and disability insurance, vacation and retirement plan programs in the business. In addition to our attractive programs we also offer:
Professional development with tuition reimbursement and tuition discounts
Career ladder programs
Paid Time Off
Competitive pay
What you'll be doing
Supervise the care/services provided by the LPNs, Certified Nursing Assistants and other team members who care for the residents
Coordinate the nursing care of residents on the unit assuring all residents are assigned staff capable of providing appropriate care to the resident.
Provide safe and accurate Medication Related interventions to residents.
Assess the health of residents and notify the physician of changes in status and promptly implement new orders.
Develop a plan of care based on assessment, and implementing nursing care.
Select and institutes appropriate nursing interventions to stabilize a resident's condition and /or prevent complications.
Contribute to the resident's assessment (MDS/CAA's) and the development of a plan of care.
Education and/or Experience:
ADN or BSN.
Demonstrates knowledge of basic nursing practice with an interest in gerontological nursing.
Certificates, Licenses, Registrations:
Must have a current state license to practice as a Registered Nurse (RN).
Current CPR certification.
or acceptable exemption required.
Additional certification in nursing specialty desired.
Ciena Healthcare
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. xevrcyc
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
#IND123
$54k-89k yearly est. 1d ago
Registered Nurse (RN) - Sign On Bonus
The Laurels of Heath
Nurse manager job in Heath, OH
Sign-On Bonus: $10,000 for full-time hires!
Interested in this role You can find all the relevant information in the description below.
Shifts Available:
Days (6am-6pm)
Nights (6pm-6am)
Are you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of Heath, you have the opportunity to use your nursing skills and become a leader.
Benefits:
Comprehensive health insurance - medical, dental and vision.
401K with matching funds.
DailyPay, a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it.
Paid time off (beginning after six months of employment) and paid holidays.
Flexible scheduling.
Tuition reimbursement and student loan forgiveness.
Zero cost uniforms.
Responsibilities:
Plan, coordinate, provide and managenursing care, services, and health education to nursing home guests.
Supervise the care/services provided by the LPNs, CNAs/STNAs and other team members who care for guests.
Provide safe and accurate medication-related interventions to guests.
Assess the health of guests and notify the physician of changes in status; promptly implement new orders.
Develop a plan of care based on assessment, implementing nursing care.
Select and institute appropriate nursing interventions to stabilize a guest's condition and/or prevent complications.
Contribute to guest assessments (MDS/CAA's) and the development of a plan of care.
Qualifications:
1-3 years of experience in a long-term care setting preferred, but not required.
Current Registered Nurse (RN) licensure in the state.
CPR certification.
Ciena Healthcare:
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. xevrcyc
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
$54k-89k yearly est. 1d ago
Director of Clinical Services
Newvista Behavioral Health 4.3
Nurse manager job in Columbus, OH
Job Address:
10270 Blacklick - Eastern Road NW Pickerington, OH 43147
Role: Director of Clinical Services
Job Post Title: Director of Clinical Services
Solero Behavioral Transitions
We provide a safe and supportive environment for individuals struggling with severe mental illness. Our program offers comprehensive care, including individual and group therapy sessions, case management services and life skills training. A mental health residential facility is a place where people receive intensive, specialized care for mental health and or substance abuse issues in a non-hospital setting. Residents receive 24-hour supervision, treatment, and support from mental health experts. The environment is homelike and supportive, and residents participate in therapeutic activities.
Shift: M-F, with a weekend rotation
Hours: 8-4:30
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
Education + Leadership Development
Up to $15,000 in Tuition Reimbursements
Student Loan Forgiveness Programs
Approved HRSA Site
Approved STAR-LRP Site
The Role Itself
License/Education/Certification: Formal education program or training in Quality Improvement/Risk Management/Compliance for inpatient or behavioral health settings.
Familiarity with healthcare laws, regulations, accreditation standards, state licensure or certification and Best Practices in healthcare compliance program implementation
Knowledge of the principals of The Joint Commission and must be well versed in CMS guidelines
Knowledge and understanding of the Regulatory Compliance Ohio Department of Mental Health and Addictions
Serves as resource for faculty regarding medical record content and regulatory requirements
Ability to adapt to change and work under stressful situation
Education:
Masters degree in social work with LSW and documented experience in group therapy setting.
Counselor Degree
Must be 21 yrs or older
Top of Form
License:
LSW, LISW, LPC, LPCC, MFT, LMFT
Current unencumbered clinical license per state of practice guidelines.
Levels of Care
Residential Mental Health Services
A service activity which uses clinical and medical interventions, including the administration of physician prescribed medications and clinical monitoring, to help stabilize mental health symptoms to for individuals requiring a more structured and supervised environment.
Partial Hospitalization Program
Comprehensive Mental Health program with intensive treatment services to help individuals prepare for re-entry into all aspects of their lives including home, work, school and relationships.
Program Purpose:
We are committed to producing the highest level of clinical outcomes for clients and their families. Solero Behavioral Transitions is a trauma-informed, non-coercive treatment program designed to treat individuals struggling with Mental Health symptoms. The Solero's focused mental health rehabilitation includes;
Building Resiliency
Optimistic outlook
Locus of control
Sense of self
Ability to bounce back
Change management
Practical Life Skills
Problem-solving
Money management
Time management
Personal change
Self-awareness
Communication Skills
Active listening
Nonverbal communication
Communication skills
Social Radar
Negotiation skills
These are the core concepts that extend into many areas of a client's life and help develop the foundations for recovery and recovery sustainability.
$62k-83k yearly est. Auto-Apply 35d ago
Remote HEDIS Nurse Consultant
Actalent
Remote nurse manager job
HEDIS work typically includes requesting records, abstracting/overreading medical records, performing claims research, preparing medical records for the NCQA HEDIS Auditor, etc. Abstracts medical record data from practitioner's files to support annual Healthcare Effectiveness Data and Information Set (HEDIS) reporting for company's accredited products
Conducts medical record reviews to support the annual reporting and responds to inquiries from provider, and their office staff, regarding the HEDIS initiative
Review and abstract 40-50 medical records per day, based on NCQA and HEDIS technical specifications
Document information clearly and concisely from patient record to paper document abstraction tool, or into company's electronic HEDIS application
Ensure Health & Care Management are in compliance with HEDIS audit and technical specification standards
Participate in the training of NCQA (national committee quality assurance) requirements with completion of Inter-Rater Reliability compliance
Communicate with internal and external stakeholders by making appropriate follow-up phone calls for additional medical information to complete reviews
Comply with regulatory standards, accreditation standards and internal guidelines
Remain current and consistent with the standards pertinent to the Quality Management team
Qualifications
* Active and Unrestricted RN License with 4+ years of experience.
(Need to have the license in the state in which they live but does not need to be compact since they are not working directly with members in Iowa.)
* Strong clinical background and understanding of medical terminology, healthcare practices and electronic medical record systems. Ability to review medical records and technical specifications and draw defensible conclusions from available information.
* Experience In health insurance, health care, managed care, or a related setting. A strong clinical background could also be considered - e.g., hospital medical records or research.
* Excellent attention to detail and ability to analyze complex medical records, identify relevant data and abstract HEDIS measures accurately.
* Strong written and verbal communication skills with ability to communicate and/or present complex information to team members and stakeholders.
* Demonstrated success in roles that require strong time management and work-flow management skills. Ability to prioritize work independently, manage multiple assignments simultaneously, and meet deadlines.
* Flexibility to adapt to changing requirements, regulations, and technology platforms related to HEDIS reporting.
* Proficiency with Microsoft Office and Microsoft Teams. Technical aptitude to learn new systems quickly.
Preferred Qualifications:
* 2 years of experience in HEDIS abstraction and familiarity with HEDIS measure specifications.
* Prior work in utilization management, quality management/review, accreditation, outpatient clinic setting or related area.
Job Type & Location
This is a Contract position based out of Des Moines, IA.
Pay and Benefits
The pay range for this position is $40.00 - $41.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Jan 7, 2026.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
$40-41 hourly 6d ago
Nurse Case Manager I - Case Management Specialist
Apidel Technologies 4.1
Nurse manager job in Columbus, OH
Job Description
Responsible for interacting with low stratification members via phone calls, coordinating care, completing, reviewing, and updating assessments and care plans that address problems, goals, and interventions. Based on assessments and claims data creates a care plan for members to follow 70%
Participate as a member of the Care Team during Interdisciplinary Team meetings to discuss the members health care needs, barriers to care and explore better outcomes for the member 20%
Identify and link members with health plan benefits and community resources 5%
Perform administrative work to maintain skills needed for job duties 5% 5%
Experience:
Required: 2 years LPN Nursing exp, preferred 3 + years experience. Regular and reliable attendance
Familiar with community resources & services
Strong organizational skills
Works independently.
Maintains professional relationships with the members we serve as well as colleagues.
Communicates effectively and professionally verbally and in writing.
Proficient with computer systems
Knowledgeable in Microsoft Office Software
Excellent customer service skills
Has a dedicated home work space
Position Summary:
Looking for ColumbusOH and immediate surrounding counties.
The Care Manager Specialist is a member of the Care Team. The Care Manager Specialist is responsible for the care management of members that are enrolled in the Dual Special Needs Plan. These members are usually stratified as low medium stratification, or those with Social Determents of Care needs. The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the members health outcomes, address social determinants of health and connect members with community-based organizations. The Care Manager will assess members needs as well as gaps in care, communicate with the members Primary Care Provider (PCP), maintain updated individualized care plans, and participate in Interdisciplinary team meetings. Care Managers will be able to identify members whose needs require clinician involvement and transition members appropriately.
Complete health screening questionnaires, assessments which may be market specific.
Support reduction of population of unable to reach members by telephone and in -person visits.
Ensure member has filled/received their medication(s) and has an understanding on how to take their ordered medications.
Manage caseload of members with current stratification of monitoring, low and medium or those with high social determinants of care needs- frequency /contract guidelines
Provides clinical assistance to determine appropriate services and supports due to members health needs (including but not limited to: Prior Authorizations, Coordination with PCP and Specialty providers, Condition Management information and education, Medication management, Community Resources and supports)
Evaluation of health and social indicators
Identifies and engages barriers to achieving optimal member health.
Uses discretion to apply strategies to reduce member risk.
Presents cases at case conferences for multidisciplinary focus to benefit overall member management.
Facilitates overall care coordination with the care team to ensure member achieves optimal wellness within the confines of the members condition(s) and abilities to self-manage.
Coordinates resources, assists with securing DME, and helps to ensure timely physician follow-up.
Understands Payer/Plan benefits, policies, procedures, and can articulate them effectively to providers, members, and other key personnel.
Updates the Care Plan for any change in condition or behavioral health status.
Provide support to members in transitions of care
Education:
HS or equivalent, must be licensed LPN.
What Days & Hours will the Person Work in this Position List Training Hours, if Different.
M-F 8-5
$58k-79k yearly est. 14d ago
Telephonic Nurse Case Manager (Remote)
Berkley 4.3
Remote nurse manager job
Company Details
Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people and good for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology to deliver the best outcome for injured workers and Berkley's operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers' compensation cases.
To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley's operating units with reliable results, and reduced time and expenses associated with case management.
Responsibilities
As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
Coordinate and implement medical case management to facilitate case closure
Timely and comprehensive communication with with employers, adjusters and the injured workers.
Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care
Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure
Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
Acquire and maintain nursing licensure for all jurisdictions as business needs require
Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services
Document activities and case progress using appropriate methods and tools following best practices for quality improvement
Reviewing job analysis/job description with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work.
Engage and participate in special projects as assigned by case management leadership team
Occasionally attend on site meetings and professional programs
Foster a teamwork environment
Maintaining and updating evidence based medical guidelines (such as Official Disability Guidelines, MD Guidelines and all required state regulated guidelines) in reference to the injured worker treatment plan and work status.
Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed.
Obtain case management professional certification (CCM) within 2 years of hire
Qualifications
Minimum 2 years of experience in workers compensation insurance and medical case management preferred
Minimum of 4 years medical/surgical clinical experience required
Exhibit strong communication skills, professionalism, flexibility and adaptability
Possess working knowledge of medical and vocational resources available to the Workers' Compensation industry
Demonstrate evidence of self-motivation and the ability to perform case management duties independently
Demonstrate evidence of computer and technology skills
Oral and written fluency in both Spanish and English a plus
Education
Graduate of an accredited school of nursing and possess a current RN license.
RN compact license preferred, CCM preferred, Bachelor of Nursing preferred
Additional Company Details ******************
The Company is an equal employment opportunity employer
We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees
• Base Salary Range: $80,000 - $88,000
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
$80k-88k yearly Auto-Apply 34d ago
50% Field and 50% Remote Opening as a Nurse Case Manager II - (Wayne, Macomb, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties ): MI
Lancesoft 4.5
Remote nurse manager job
Job Title: Nurse Case Manager II Estimated Length of Assignment: 03+ Months with Possible Extension (The dates provided are only an estimate and not a guarantee) Negotiable Estd. Pay Range - $40.00/Hour to $45.00/Hour on W2 (USD) -All Inclusive
Work Type: Wayne, Macomb, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties ): MI
Schedule -Monday-Friday 8am-5pm EST
Description:
Field and Telephonic
Add city/state, zip and county at the top of the resume
Candidates should be either in one of these counties or very close to it. They will be traveling to this region. Sourcing for Wayne, Macomb, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties ): MI.
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Experience
3 years Clinical practice experience, e.G., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations?
Position Summary
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Requires an RN with unrestricted active license for MI.
Education
RN with current unrestricted state licensure for MI.
Case Management Certification CCM preferred
What days & hours will the person work in this position? List training hours, if different.
Monday-Friday 8am-5pm EST
$40-45 hourly 8d ago
Immunization Nurse Consultant - 20013627
Dasstateoh
Nurse manager job in Columbus, OH
Immunization Nurse Consultant - 20013627 (250007Y4) Organization: HealthAgency Contact Name and Information: Ryan F. Candidates chosen for an interview will be contacted directly.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: $31.74Schedule: Full-time Work Hours: M-F, 8a-5pClassified Indicator: ClassifiedUnion: 1199 Primary Job Skill: NursingTechnical Skills: Learning and Development, Public Relations, TrainingProfessional Skills: Adaptability, Managing Meetings, Verbal Communication Agency OverviewImmunization Nurse Consultant (Public Health Nurse Specialist) 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 goal of the Bureau of Infectious Diseases (BID) is to prevent and control the spread of infectious diseases (e.g., foodborne outbreaks, general infectious diseases, healthcare-associated infections, influenza, meningitis, tuberculosis, vaccine-preventable diseases, waterborne outbreaks, zoonotic diseases and vector-borne diseases).The bureau works closely with local health departments (LHDs), healthcare providers and laboratories to ensure that infectious disease reports are reviewed and investigated timely; the program provides technical expertise and coordination to LHDs, healthcare providers, laboratories and where appropriate, the general public.Job DescriptionWhat You'll Do:The Bureau of Infectious Diseases is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases. This position will monitor & evaluate implementation of Get Vaccinated subgrants including review of local grant applications. Additional job duties may include:Write & assure accomplishment of CDC grant objectives related to immunization education interventions.Participate in immunization program phone duty responding to calls from providers & general public on immunizations, vaccine-preventable diseases, Vaccine for Children (VFC) issues & storage & handling guidelines.Ensure adherence to all applicable state & federal rules, regulations, laws, agency policies, procedures & protocols for immunization & vaccine preventable disease control educational program.Collaborate with other state &/or local agencies, educational institutions & advocacy organizations to develop & present coordinated educational activities, programs for health professionals & the general public.Research & identify ODH resources (e.g., ODH publications, employees with expertise on vaccine- preventable disease prevention & control) available to assist agencies in dealing with vaccine- preventable diseases.Training and development required to remain in the classification after employment: Biennial renewal of license to practice as registered nurse.Unusual working conditions: Travels overnight; exposed to unpredictable patient behavior.Normal working hours are Monday through Friday, 8:00am to 5:00pm. This is an hourly position, with a pay range of 12 on the Ohio Health Care SEIU/1199 Pay Range Schedule.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.QualificationsCurrent & 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 6 mos. trg. or 6 mos. exp. in nursing; must be able to provide own transportation. OREquivalent of Minimum Class Qualifications for Employment noted above may be substituted for the education & experience required, but not for the mandated licensure. Job Skills: NursingTechnical Skills: Learning and Development, Public Relations, TrainingProfessional Skills: Adaptability, Managing Meetings, Verbal Communication*Applications of those who meet the minimum qualifications will be further evaluated against the following criteria:Bachelor's or advanced degree in nursing.12 months experience working as a nurse in a clinical setting, public health or community health setting.Experience working with vaccinations or in the vaccine field. Experience with computer software (e.g., Word, Excel, PowerPoint, TEAMS). Experience presenting, training, and/or public speaking.Experience in writing and implementing grants.Experience working on a committee or facilitating a group.Experience in analyzing health related data to produce reports.Experience working with healthcare providers and local health departments. Experience collecting health related data and information from studies, investigations, or reports.All eligible applications shall be reviewed considering the following criteria: qualifications, experience, education, active disciplinary record, and work record. Supplemental InformationSupplemental InformationAll answers to the supplemental questions must be supported by the work experience/education provided on your civil service application.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 Information: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. 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.
$31.7 hourly Auto-Apply 14h ago
Manager Clinical Staff and Operation (100% Full Time, Days)- Cardiovascular Surgery Services
Adena Health 4.8
Nurse manager job in Chillicothe, OH
The Clinic Manager II assumes primary responsibility for overseeing clinical and administrative functions of capital and operating budgets, patient registration, billing, clinical information systems, management of clinical and administrative staff and clinic marketing and planning. This position is responsible for
managing performance for Caregiver Engagement, Service Excellence, Quality & Safety and Stewardship.
Responsible for multiple small practices or a large complex practice with a score between 7 and 12 on
the Manger Trigger Tool (see below). This position ensures compliance with all regulatory and
accreditation standards, financial performance and clinic policies. Decisions are made independently or
in collaboration with others. This position has patient contact, has access to confidential information
and functions under the direct supervision of a Director.
Minimum Qualifications:
Required Educational Degree: Bachelor's Degree
Major/Area of Concentration: Any
Effective 01/01/2021 for all current Managers and New Hires Bachelor's degree required within 5 yrs (3
yrs if you already posses an Associate's degree)
Preferred Education: Bachelor's Degree in Business Administration or related field preferred
Required Certifications, Credentials and Licenses: De-escalation training within 6 months.
Required Experience: 2 - 4 years of practice management experience with progressive responsibility
Job Specific Essential Functions:
Provide operational leadership and oversight of one or more high-volume or multi-specialty
clinics.
Participate in recruitment, hiring, onboarding, training, and professional development of staff.
Direct, supervise, and evaluate performance of clinical and administrative staff.
Partners with hospital leaders to oversee outpatient ancillary operations, when applicable.
Engage physicians and staff through communication of priorities, delegation of clinic tasks, and
accountability to the achievement of goals.
Utilize huddles and rounding to facilitate problem solving, communication from AHS system
meetings, and identification of clinic concerns/issues.
Manage processes in the clinic through implementation of SOP's, auditing, correction and
suggestions for continuous quality improvement.
Develop plans for improved provider productivity by working with providers on waste
elimination, template redesign, optimization of outrotations, improving fill rate, and marketing /
sales interfaces where appropriate.
Responsible for metric tracking, root cause analysis, and improvement to meet or exceed
budgeted quality, service, volumes and expenses.
Ensure all provider encounters are captured, documented, locked in a timely manner and coded
for comprehensive revenue cycle process.
Responsible for completion of cash posting, financial deposits, A/R tracking and improvement
toward MGMA service specific days in A/R and reporting of variances
Act as liaison for providers to answer questions, communicate concerns to system, and solve
day to day issues.
Holds clinic team accountable for adherence to leadership and provider compact expectations
of communication / behavior in delivery of care for optimal service to patients.
Adhere to AHS, local, state and national legal and regulatory compliance requirements through
ongoing clinic audit reviews and corrective action
Benefits for Eligible Caregivers:
Paid Time Off
Retirement Plan
Medical Insurance
Tuition Reimbursement
Work-Life Balance
About Adena Heart and Vascular:
The Adena Heart and Vascular Institute provides advanced, comprehensive care for heart, vascular, and thoracic conditions through cutting-edge technology and a skilled team of specialists. The institute emphasizes personalized treatment plans, collaboration among experts, and a focus on both immediate and long-term health. A key feature is our new hybrid operating room, which integrates advanced imaging and surgical capabilities to perform complex, minimally invasive cardiovascular procedures-such as TEVAR and EVAR-with a multidisciplinary team. This approach reduces complications and recovery times, allowing patients to receive high-quality, innovative care close to home.
About Adena Health:
Adena Health is an independent, not-for-profit and locally governed health organization that has been “called to serve our communities” for more than 125 years. With hospitals in Chillicothe, Greenfield, Washington Court House, and Waverly, Adena serves more than 400,000 residents in south central and southern Ohio through its network of more than 40 locations, composed of 4,500 employees - including more than 200 physician partners and 150 advanced practice provider partners - regional health centers, emergency and urgent care, and primary and specialty care practices. A regional economic catalyst, Adena's specialty services include orthopedics and sports medicine, heart and vascular care, pediatric and women's health, oncology services, and various other specialties. Adena Health is made up of 341 beds, including 266-bed Adena Regional Medical Center in Chillicothe and three 25-bed critical access hospitals-Adena Fayette Medical Center in Washington Court House; Adena Greenfield Medical Center in Greenfield; and Adena Pike Medical Center in Waverly.
$61k-75k yearly est. Auto-Apply 40d ago
Nurse Consultant
National Care Advisors LLC
Nurse manager job in Powell, OH
Job Description
NCA is in search of an experienced Field Nurse Case Manager based near the following locations:
San Francisco, CA
San Jose, CA
Modesto, CA
Los Angeles, CA
Portland, OR
Las Vegas, NV
Phoenix, AZ
This position will be responsible for regional case management services responsive to special needs and elder client care and quality of life challenges. This position requires collaboration with the primary family caregivers, attorneys, financial planners and trustees that are also serving the client.
Requirements
Bachelor of Science in Nursing (BSN) required, CCM or CRRN preferred
Minimum of 5 years clinical Nursing experience - experience in field case management or workers' compensation case management, preferred
Experience with third-party benefits - health insurance, Medicaid, Social Security, Developmental Disability services
Excellent communication skills - written and verbal
Highly motivated self-starter comfortable working in a virtual company/office, with solid time management and organization skills
Proficient in using MacOS and a variety of related software applications (including MS Office)
Strong ability to quickly learn and adapt to new technologies and tools in a Mac environment
Proven ability to collaborate as necessary to accomplish goals and work through conflicts
Ability to research and develop solutions to challenges presented by the client
Excellent customer service skills
Overnight travel required regionally 1-2 times per month and occasional nationwide travel
Willingness to meet timely documentation requirements
This is a salaried position with competitive pay, excellent benefits, and a flexible work from home schedule.