Top 99 Registered nurse case manager Jobs in Richfield, Oh

Case Manager II
Medical Mutual of Ohio —Cleveland, OH
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
RN Care Manager - Summacare
Summa Health —Akron, OH
- $37.40 - $56.11 an hour
- Overtime
- Hybrid work
- Nursing
- RN License
- Mid-level
- AD&D insurance
- Disability insurance
RN Case Manager - Transitional Care
Summa Health —Barberton, OH
- $37.40 - $56.11 an hour
- Full-time
- Nursing
- RN License
- Customer service
- AD&D insurance
- Disability insurance
RN Case Manager, Full-time, 7:30am - 4:00pm
Western Reserve Hospital —Cuyahoga Falls, OH
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
Health Plan Care Manager (RN or LSW)
CommuniCare Advantage —Copley, OH
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
RN Case Manager
Summa Health —Akron, OH
- $37.40 - $56.11 an hour
- Part-time
- Nursing
- RN License
- Hospital
- AD&D insurance
- Disability insurance
RN Case Manager - Complex Care Office
Summa Health —Akron, OH
- $37.40 - $56.11 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
- AD&D insurance
- Disability insurance
2d
RN Care Coordinator - Gastroenterology
Cleveland Clinic —Cleveland, OH
- $63,250.00 - $96,467.50 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Hospital
- Dental insurance
- Work from home
4d
RN Care Manager - Cleveland Market
ArchWell Health —Cleveland, OH
- Full-time
- Nursing
- RN License
- Mid-level
RN Transitional Care Coordinator-Parma Medical Center
University Hospitals —Parma, OH
- $68,994 - $107,890 a year
- Nursing
- RN License
- Hospital
Case Manager NEX
Akron Children's Hospital —Akron, OH
- Part-time
- Nursing
- Microsoft Outlook
- RN License
6d
RN Case Manager - Home Health (PRN)
Attend Home Care - Ohio —Cleveland, OH
- $75 - $125 an hour
- Per diem
- RN License
- Mid-level
- Home Health
- Dental insurance
- Paid time off
Quick Apply
Case Manager (CM), Rehabilitation
Lifepoint Rehabilitation —Parma, OH
- Full-time
- Nursing
- RN License
- Inpatient
- Disability insurance
- Tuition reimbursement
Quick Apply
PRN RN Case Manager
Cleveland Clinic —Cleveland, OH
- $45 an hour
- PRN
- Acute care
- Nursing
- RN License
- Dental insurance
- Vision insurance
3d
Case Manager (CM), Rehabilitation
University Hospitals Rehabilitation Hospital —Beachwood, OH
- Part-time
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
Quick Apply
RN Homecare Case Manager
Cleveland Clinic —Independence, OH
- $73,840 - $115,648 a year
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Mileage reimbursement
- Loan repayment program
Managed Care Case Manager - Corporate Hybrid Positiont
Legacy Health Services —Parma, OH
- Full-time
- Microsoft Excel
- Customer service
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Manager Care Coordination - Cancer Institute
Cleveland Clinic —Cleveland, OH
- $76,540 a year
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Dental insurance
- Vision insurance
RN Care Coordinator - Cerebrovascular
Cleveland Clinic —Cleveland, OH
- $63,250.00 - $96,467.50 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- BLS Certification
- Dental insurance
- Vision insurance
2d
RN Case Manager
Cleveland Clinic —Cleveland, OH
- $69,600.00 - $106,132.50 a year
- Full-time
- Acute care
- Nursing
- RN License
- Dental insurance
- Vision insurance

I want to receive the latest job alert for registered nurse case manager in richfield, oh

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

registered nurse case manager jobs near richfield, oh

Registered Nurse Case Manager jobs in Akron, OH

Case Manager jobs in Akron, OH

Registered Nurse Manager jobs in Akron, OH

Care Coordinator jobs in Cleveland, OH

Registered Nurse Manager jobs in Cleveland, OH

Case Manager jobs in Parma, OH

Care Manager jobs in Cleveland, OH

Registered Nurse Case Manager jobs in Cleveland, OH

Plan Manager jobs in Lansdale, PA

Contract Manager jobs in Baltimore, MD

Plan Manager jobs in Atlanta, GA

Rn Case Manager jobs in Dallas, TX

Supply Chain Manager jobs in Atlanta, GA

Plan Manager jobs in Columbia, SC

Plan Manager jobs in Mobile, AL

Registered Nurse Case Manager jobs in Georgetown, TX

Vascular Access Nurse jobs in Vancouver, WA

Registered Nurse Case Manager jobs in Morganton, NC

Registered Nurse Case Manager jobs in Manchester, NH

Rn Case Manager Remote Jobs jobs in New York State

Case Manager II

Medical Mutual of Ohio -
Cleveland, OH

Apply Now

Job Details

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Gym membership

Qualifications

RN License
Health insurance policy knowledge
Regulatory compliance
HIPAA
Windows
Managing patients as a nurse case manager
Industry trends
Health information regulatory compliance
Productivity software
Clinical confidentiality policies

Full Job Description

**Medical Mutual employees must submit their applications through MySource.

**This is a remote-based role, and we are currently seeking candidates located in Ohio.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Case Manager II

Job Summary:

Under limited supervision, evaluates and provides support to members, their families, and physicians in addressing member needs. Educates members and families to make informed personal health care decisions and determines the most effective treatment options. Facilitates communication between member, physician, and community.

Responsibilities:

Independently manages complex health care cases by multiple means such as phone, email, and video conferencing. Verifies eligibility, benefits, enrollment history, clinical history, and demographics. Assesses patient needs by gathering information from the member, family, provider, and other stakeholders to monitor and evaluate for medical appropriateness and quality of care. Educates members and assists them in removing barriers and with various treatment options.
Facilitates and implements interventions based on agreed upon care treatment plan developed in collaboration with all participants in the members healthcare team. Coordinates services with community resources and support groups with members.
Keeps up to date on and maintains appropriate documentation within Company and regulatory guidelines, policies, and practices.
If assigned to Preceptor/Trainer task: Orients, trains, and provides guidance to more junior or less experienced staff. Supports implementation of new procedures, processes, or clinical systems.
Performs other duties as assigned.

Qualifications:

Education and Experience:

Graduate of a registered nursing program approved by the Ohio State Nursing Board.
3 years as a Registered Nurse with a combination of clinical and case management experience, preferably in the health insurance industry.
Home health care experience is a plus.

Professional Certification(s):

Registered Nurse with current State of Ohio or Multistate unrestricted license.
Certified Case Manager (CCM) or other industry recognized certification preferred.
Certification in Motivational Interviewing preferred.

Technical Skills and Knowledge:

In depth knowledge of health insurance benefits, health plans, and industry trends, and the ability to apply knowledge to achieve positive outcomes.
Strong knowledge of behavioral change techniques and health coaching (ex. readiness to change and motivational interviewing)
Knowledge of, and the ability to apply fundamental concepts related to HIPAA compliance and related regulations.
Knowledge of disease continuums, expected patient outcomes and community services available.
Intermediate proficiency navigating windows and web based systems and basic Microsoft Office skills.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
Discounts at many places in and around town, just for being a Medical Mutual team member.
The opportunity to earn cash rewards for shopping with our customers.
Business casual attire, including jeans.

Excellent Benefits and Compensation:

Employee bonus program.
401(k) with company match up to 4% and an additional company contribution.
Health Savings Account with a company matching contribution.
Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

Career development programs and classes.
Mentoring and coaching to help you advance in your career.
Tuition reimbursement up to $5,250 per year, the IRS maximum.
Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

#LI-CS1 #LI-REMOTE

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

registered nurse case manager jobs in richfield, oh

Case Manager II

RN Care Manager - Summacare

RN Case Manager - Transitional Care

RN Case Manager, Full-time, 7:30am - 4:00pm

Health Plan Care Manager (RN or LSW)

RN Case Manager

RN Case Manager - Complex Care Office

RN Care Coordinator - Gastroenterology

RN Care Manager - Cleveland Market

RN Transitional Care Coordinator-Parma Medical Center

Case Manager NEX

RN Case Manager - Home Health (PRN)

Case Manager (CM), Rehabilitation

PRN RN Case Manager

Case Manager (CM), Rehabilitation

RN Homecare Case Manager

Managed Care Case Manager - Corporate Hybrid Positiont

Manager Care Coordination - Cancer Institute

RN Care Coordinator - Cerebrovascular

RN Case Manager

I want to receive the latest job alert for registered nurse case manager in richfield, oh

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected