Top 44 utilization management nurse Jobs in columbus

RN, LSW, LISW, Care Manager
Careforth —Columbus, OH
- $68,700 - $84,200 a year
- Full-time
- Hybrid work
- RN License
- Working with individuals with disabilities
- Mid-level
- Wellness program
- Flexible schedule
6d
Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
- Part-time
- Master of Social Work
- RN License
- Inpatient
- Employee assistance program
- Opportunities for advancement
Quick Apply
Case Manager (RN / RT / SW) Sign On Bonus
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
- Full-time
- RN License
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
8d
Clinical Manager - Registered Nurse
Enliven Home Health —Gahanna, OH
- $100,000 - $110,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Free parking
- Paid training
Quick Apply
1d
Clinical Manager - RN - Hospice
CorsoCare —Columbus, OH
- Full-time
- Mid-level
- Travel
- Home Health
- Health savings account
- Paid holidays
Quick Apply
Nurse Practitioner
Buckeye Clinic —Columbus, OH
- $110,550.81 - $133,136.47 a year
- Part-time
- Medication administration
- HIPAA
- Mid-level
- Paid time off
- Flexible schedule
Quick Apply
7d
PRN RN Case Manager
Interim HealthCare —Columbus, OH
- PRN
- CPR Certification
- Management
- RN License
Quick Apply
7d
Family Nurse Practitioner or Physician Assistant
One Medical —Columbus, OH
- Full-time
- Mid-level
- Outpatient
- Clinic
- Commuter assistance
- Paid parental leave
Registered Nurse $10,000 Sign-on Bonus
Optum —Columbus, OH
- $36.27 - $54.41 an hour
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
RN, Registered Nurse - Pre-Certification
Quantum Health —Dublin, OH
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Work from home
Quick Apply
Registered Nurse - Case Manager - Columbus Ohio
Oak Street Health —Columbus, OH
- $60,522 - $129,615 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Employee stock purchase plan
- Health insurance
Case Manager
Gateway 2 Excellece llc —Whitehall, OH
- $30 - $40 an hour
- Part-time
- HIPAA
- Mid-level
- Critical & Intensive Care
Quick Apply
Team Nurse - 2832
AbsoluteCARE Medical and Pharmacy —Columbus, OH
- No weekends
- CPR Certification
- RN License
- BLS Certification
- Paid holidays
- Paid time off
RN Care Manager
Alternate Solutions Health Network —Columbus, OH
- $70,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
2d
Medical Field Case Manager
Enlyte —Columbus, OH
- $75,000 - $85,000 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Mileage reimbursement
2d
MDS Nurse (RN/LPN)
The Laurels of Walden Park —Columbus, OH
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Paid holidays
- Health insurance
Quick Apply
Critical Care Transport RN
Nationwide Children's Hospital —Columbus, OH
- From $38.91 an hour
- Part-time
- Nursing
- RN License
- PALS Certification
Team Nurse
AbsoluteCare —Columbus, OH
- No weekends
- CPR Certification
- RN License
- BLS Certification
- Paid holidays
- Paid time off
Quick Apply
Registered Nurse - Occupational Health Center
Cetechs —Columbus, OH
- Full-time
- Nursing
- RN License
- BLS Certification
- Wellness program
Quick Apply
7d
RN, Registered Nurse Transplant Case Manager
Quantum Health —Dublin, OH
- Hybrid work
- Nursing
- RN License
- Mid-level
Quick Apply

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utilization management nurse jobs near columbus

RN, LSW, LISW, Care Manager

Careforth -
Columbus, OH

Apply Now

Job Details

Full-time
$68,700 - $84,200 a year
6 days ago

Benefits

Wellness program
Flexible schedule

Qualifications

Disability support services
Patient treatment planning
Working with individuals with disabilities
Microsoft Office
Working with seniors
Managing patients as a nurse case manager
Care planning in social services
Driver's License
Working with adults with disabilities
Personal service experience with elderly individuals
Healthcare software applications
Teaching

Full Job Description

About Us::

A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond.

Position Summary::

The Registered Nurse (RN) Care Manager or Licensed Social Worker (LSW/LISW) Care Manager works collaboratively as part of a care management team to onboard new families onto service and provide ongoing support to caregivers. This role is responsible for assessing consumer and caregiver needs, evaluating eligibility for service, and guiding prospective families through an efficient activation of services. The Nurse or Social Worker establishes a person-centric plan of care, completes an orientation to Careforth’s digital communication platform, and conducts regularly scheduled home visits. For an assigned caseload, this position coaches, advocates, and educates caregivers to assist with the daily health and well-being of their care recipients.

What You Will Do::

Manages the enrollment process of prospective families and educates them on qualifications as it relates to the consumer, caregiver, and home; assesses consumer and caregiver eligibility for services
Helps guide consumers with applications for Medicaid, waiver programs, and other state benefits
Conducts initial in-person clinical assessments and coordinates service activation, ensuring that all required forms and standard procedures are followed
Assists with orientation training for each caregiver to facilitate a proper onboarding to Careforth’s HIPAA secure technology platform; ensures caregiver understands how to successfully submit electronic daily communications
Works collaboratively to develop each member’s plan of care and review on an ongoing basis
Provide ongoing coaching to drive effective utilization of established best practices, encourage caregiver education, and connect families to community resources
Reviews the caregiver notes daily and appropriately addresses changes in the consumer’s condition or environment
Completes documentation corresponding with each on-site visit or encounter
Monitors the health status of all members to ensure that all needs and programmatic requirements are properly delivered (i.e. incident management)
Collaborates and communicates regularly with clinical team, agency and support services, primary care physician, and other medical providers to ensure timely and appropriate delivery of consumer services
Ensures continuous compliance with all regulatory and accreditation agency standards as well as company policies and procedures
Plans and implements discharges and transitions from the program
Perform other duties as assigned

What You Will Bring::

Must hold an active Registered Nurse (RN) License and/or be a Licensed Social Worker (LSW/LISW) in the state of Ohio
Minimum two (2) years of recent clinical experience in direct care of elders or adults with disabilities
Ability and flexibility to travel (usually by car) within assigned geographic area; valid driver’s license and car insurance required
Experience in case management, care planning, and assessment for cases including but not limited to eldercare, people with disabilities, and other complex medical needs in a health care setting
Ability to work in a fast-paced environment meeting department goals and KPIs
Ability to influence and be self-motivated with a results-driven approach
Tech savvy with the ability to teach others; proficient in common software and web-based applications (e.g. Case Management Systems, MS Office)
Additional state-specific qualifications may be required

You'll Benefit From::

At Careforth your well-being matters. With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our benefits are designed to help you thrive, both professionally and personally. Discover how we invest in you: https://careforth.com/careers/#benefits

The pay range for this position is $68,700 - $84,200. The actual wage offered may be lower or higher depending on budget and candidate experience, knowledge, skills, qualifications, and geographic location.

#LI - Hybrid

Join Our Award Winning Team::

Founded in Boston, Careforth's caregiver programs and services improve health outcomes, keeping care at home longer. Additionally, our programs provide financial benefit to caregivers and cost savings to state agencies and health plans. At Careforth, we understand the challenges of caregiving and are committed to supporting family caregivers at every turn.

Caregivers play a critical role in the future of healthcare—and so can you.

Apply now!

For more information, please visit www.Careforth.com.

Careforth is an Equal Opportunity Employer*

DISCLAIMER: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law.

Careforth strives to create experiences that are accessible and welcoming to everyone, including making www.careforth.com and the careers site accessible to any and all users. If you would like to contact us regarding the company’s diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at 866-797-2333.

Apply Now

Refine Your Search

utilization management nurse jobs in columbus

RN, LSW, LISW, Care Manager

Case Manager / PRN ( RN / RT / SW / LPN )

Case Manager (RN / RT / SW) Sign On Bonus

Clinical Manager - Registered Nurse

Clinical Manager - RN - Hospice

Nurse Practitioner

PRN RN Case Manager

Family Nurse Practitioner or Physician Assistant

Registered Nurse $10,000 Sign-on Bonus

RN, Registered Nurse - Pre-Certification

Registered Nurse - Case Manager - Columbus Ohio

Case Manager

Team Nurse - 2832

RN Care Manager

Medical Field Case Manager

MDS Nurse (RN/LPN)

Critical Care Transport RN

Team Nurse

Registered Nurse - Occupational Health Center

RN, Registered Nurse Transplant Case Manager

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