Top 139 Managed care Jobs in Columbus, Oh

Care Management Coordinator OhioRISE – Field – Must reside NW/West Region of Ohio
CVS Health —Columbus, OH
- $21.10 - $40.90 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Care Management Coordinator OhioRISE - Field - Northeast/Northwest Region Ohio
CVS Health —Columbus, OH
- $21.10 - $40.90 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Care Management Coordinator - Field - OhioRISE Central/SE Ohio
CVS Health —Columbus, OH
- $21.10 - $40.90 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Care Management Coordinator OhioRISE - Field - Central/SE Ohio
CVS Health —Columbus, OH
- $21.10 - $40.90 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Care Management Coordinator - Field - OhioRISE Central/SE Ohio
CVS Health —Columbus, OH
- $21.10 - $40.90 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Client Services Manager (Care Manager) – Senior Home Care
HSC Central Ohio LLC —Worthington, OH
- From $50,000 a year
- Full-time
- Computer literacy
- Mid-level
- Driver's License
- Paid holidays
- Disability insurance
9h
Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid holidays
- Health insurance
3h
Care Coordinator III
Buckeye Community Health Plan —Columbus, OH
- $20.39 - $34.71 an hour
- Overtime
- Remote
- Medical office experience
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
13h
Medical Office Administrator
OHG —Columbus, OH
- $35 - $50 an hour
- Full-time
- Nursing
- Administrative experience
- Clinic
- Health insurance
- Dental insurance
Quick Apply
Health Insurance Specialist
Oak Street Health —Columbus, OH
- $21.10 - $40.90 an hour
- Full-time
- Sales
- Clinic
- Bachelor's degree
- Health insurance
- Dental insurance
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
- $54,922 - $107,099 a year
- Full-time
- Remote
- RN License
- Writing skills
- Analysis skills
- Health insurance
Hearing Ambassador (Patient Care Coordinator)
NationsBenefits, LLC —Columbus, OH
- Full-time
- Computer literacy
- High school diploma or GED
- Communication skills
- Opportunities for advancement
Quick Apply
14d
Patient Services Associate- OBGYN
Ohio State University Physicians —Columbus, OH
- $16.93 - $25.39 an hour
- Full-time
- Writing skills
- High school diploma or GED
- Clinic
- Wellness program
- Paid holidays
9d
DSNP Account Manager (Columbus, Ohio)
CareSource —Columbus, OH
- $83,000 - $132,800 a year
- Weekends as needed
- Nursing
- Microsoft Excel
- Skilled nursing facility
Care Manager
Entyre Inc. —Columbus, OH
- From $70,000 a year
- Full-time
- Experience working with individuals with disabilities
- Computer literacy
- Mid-level
- Mileage reimbursement
- Paid holidays
Quick Apply
8d
Central Scheduling Representative (Monday-Friday 9a-5:30pm)
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Bilingual
- Microsoft Word
- Microsoft Outlook
10d
Assoc Field Access Dir, Derm, Columbus, OH
Incyte Corporation —Columbus, OH
- $196,000 - $218,000 a year
- Bachelor's degree
- Continuous improvement
- Experience equivalent to degree accepted
14d
Health Innovation Research Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid holidays
- Health insurance
2d
Care Manager, LTSS (LSW) - Franklin Co.
Molina Healthcare —Columbus, OH
- $24.00 - $46.81 an hour
- Full-time
- LVN
- Experience working with individuals with disabilities
- Mid-level
- Health insurance
Patient Services Associate- Orthopedics
Ohio State University Physicians —Columbus, OH
- $16.93 - $25.39 an hour
- Full-time
- Writing skills
- High school diploma or GED
- Clinic
- Wellness program
- Paid holidays
1d

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managed care jobs near columbus, oh

Care Management Coordinator OhioRISE – Field – Must reside NW/West Region of Ohio

CVS Health -
Columbus, OH

Apply Now

Job Details

Full-time
$21.10 - $40.90 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Outlook
Documentation tools
SharePoint

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

**Must reside in West Region Ohio Counties: Counties include Defiance, Lucas, Paulding, Putnam, Williams, Fulton, Harden, Allen, or Auglaize. The following counties can also be considered: Mercer, Shelby, Logan, Darke, Miami, Clark, Preble.

This is a full-time field-based telework position, in Ohio. This position requires the ability to travel within the assigned region of Western Ohio to member homes and other requested member locations, up to 50% or more of the time.
Monday-Friday 8-5pm with flexibility needed to work later to meet member needs.

Business Overview
As part of the bold vision to deliver the “Next Generation” of managed care in Ohio Medicaid, OhioRISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems.

The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Must reside in Ohio.

Fundamental Components:

Be clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child-serving systems.

Evaluation of Members:

o Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
o Coordinates and implements assigned care plan activities and monitors care plan progress.

Enhancement of Medical Appropriateness and Quality of Care:

o Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
o Works collaboratively with the members' Child and Family Teams.
o Identifies and escalates quality of care issues through established channels.
o Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
o Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
o Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
o Helps member actively and knowledgably participate with their provider in healthcare decision-making.
o Serves a single point of contact for members and assist members to remediate immediate and acute gaps in care and access.

Monitoring, Evaluation and Documentation of Care:

o Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Required Qualifications

2+ years of experience in behavioral health, social services, or human services
2+ years of experience with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint).
2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers.
2+ years experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development.
2+ year of experience with Ohio delivery systems, including local community networks and resources.

Must reside in the West Region of Ohio; Counties include Butler, Hamilton, Clermont, Warren, Montgomery, Allen, Hardin, Defiance, or Lucas
Willing and able to travel within the assigned region up to 50% of the time; Some travel to the New Albany office may be required for trainings/meetings:
Reliable transportation required
Mileage is reimbursed per our company expense reimbursement policy
Willing and able to work beyond core business hours of Monday-Friday, 8am-5pm, as needed.

Preferred Qualifications

Case management and discharge planning experience.
Managed Care experience.
Medicaid experience.

Education

Bachelor’s degree or master level clinician required, with either degree being in behavioral health, human services, health services, or public health preferred. (i.e. psychology, social work, marriage and family therapy, counseling, juvenile justice).

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $40.90

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

managed care jobs in columbus, oh

Care Management Coordinator OhioRISE – Field – Must reside NW/West Region of Ohio

Care Management Coordinator OhioRISE - Field - Northeast/Northwest Region Ohio

Care Management Coordinator - Field - OhioRISE Central/SE Ohio

Care Management Coordinator OhioRISE - Field - Central/SE Ohio

Care Management Coordinator - Field - OhioRISE Central/SE Ohio

Client Services Manager (Care Manager) – Senior Home Care

Managed Care Contract Manager (Medicaid Health Systems Administrator 1)

Care Coordinator III

Medical Office Administrator

Health Insurance Specialist

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)

Hearing Ambassador (Patient Care Coordinator)

Patient Services Associate- OBGYN

DSNP Account Manager (Columbus, Ohio)

Care Manager

Central Scheduling Representative (Monday-Friday 9a-5:30pm)

Assoc Field Access Dir, Derm, Columbus, OH

Health Innovation Research Manager (Medicaid Health Systems Administrator 1)

Care Manager, LTSS (LSW) - Franklin Co.

Patient Services Associate- Orthopedics

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