Top 14 Nurse (case manager) Jobs in Willoughby, Oh

Case Manager II
Medical Mutual of Ohio —Cleveland, OH
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Case Manager OHC - Cuyahoga and Surrounding Counties
CareStar, Inc. —Cleveland, OH
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Case Manager (CM), Rehabilitation
University Hospitals Rehabilitation Hospital —Beachwood, OH
- Part-time
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
Quick Apply
Case Manager-Care Management
METROHEALTH MEDICAL CENTER —Cleveland, OH
- Full-time
- Nursing
- RN License
- Hospital
9d
RN Case Manager
Chen Medical Associates —Cleveland, OH
- $36.90 - $52.70 an hour
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Opportunities for advancement
Hospice RN Case Manager
Cadre Hospice —Cleveland, OH
- On call
- RN License
- Mid-level
- Driver's License
Quick Apply
RN Case Manager
Onewell Healthcare - Ohio —Cleveland, OH
- $38 - $45 an hour
- Part-time
- CPR Certification
- Nursing
- RN License
Quick Apply
11d
Home Health Case Manager
Cleveland Clinic —Independence, OH
- $73,840 - $115,648 a year
- Weekends as needed
- Nursing
- RN License
- Bachelor of Science
- Mileage reimbursement
- Loan repayment program
Full Time - Baylor Weekend Hospice Registered Nurse Case Manager (RN)
Suncrest Hospice —Independence, OH
- $75,000 - $88,000 a year
- 12 hour shift
- Skilled nursing facility
- RN License
- Nursing home
- Health insurance
- Dental insurance
Case Manager -Home Visitor/Parent Educator-Licensed (Flexible Schedule-Full-Time)
Bright Beginnings ESCNEO —Independence, OH
- $36,057 - $50,479 a year
- Full-time
- Hybrid work
- Computer literacy
- Writing skills
- Teaching Certification
- Paid holidays
- Health insurance
Quick Apply
Travel Case Management RN
Fastaff —United States
- Up to $2,826 a week
- Full-time
- Background check
- Nursing
- RN License
- Mileage reimbursement
- Health savings account
Quick Apply
5d

More jobs to discover

Find similar jobs that you might be interested in.

Case Manager OHC - Cuyahoga and Surrounding Counties
CareStar, Inc. —Cleveland, OH
Must be available during business hours, 8:00 a.m. to 5:00 p.m., to complete all job duties, including but not limited to phone calls, home visits, and…
Quick Apply
Case Manager OHC - Lorain and Surrounding Counties
CareStar, Inc. —Lorain, OH
Must be available during business hours, 8:00 a.m. to 5:00 p.m., to complete all job duties, including but not limited to phone calls, home visits, and…
Quick Apply

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Case Manager (RN, LSW, MSW, PT, OT, SLP) - Full-time
OhioHealth Neuro Transitional Center —Dublin, OH
Current licensure in a clinical discipline per state guidelines (RN, LMSW preferred). Leads the transdisciplinary team to develop quality insurance appeals in…
$70,000 - $98,000 a year
Quick Apply
Field Case Manager - Vocational
Sedgwick —Dublin, OH
Valid driver’s license required. RN licensure preferred; or graduate degree in health or human services field required with a one of the following…

Show more jobs in cities nearby

I want to receive the latest job alert for nurse (case manager) in willoughby, oh

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

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

nurse (case manager) jobs in willoughby, oh

Case Manager II

Case Manager OHC - Cuyahoga and Surrounding Counties

Case Manager (CM), Rehabilitation

Case Manager-Care Management

RN Case Manager

Hospice RN Case Manager

RN Case Manager

Home Health Case Manager

Full Time - Baylor Weekend Hospice Registered Nurse Case Manager (RN)

Case Manager -Home Visitor/Parent Educator-Licensed (Flexible Schedule-Full-Time)

Travel Case Management RN

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for nurse (case manager) in willoughby, oh

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected