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Essential Functions: Generate complex reports and dashboards to track KPIs and metrics related to LTSS & Dual Program reporting impacting patient care, operational efficiency, and financial performance; utilizing statistical methods and machine learning techniques to identify trends, forecast future outcomes, and drive actionable insights. This role requires the ability to work cross-functionally, collaborating with clinical, operational, and IT teams to support the healthcare organization''s goals of improving patient outcomes and operational efficiency in the LTSS & Dual Eligible space.

YEAR

CareSource

LTSS & Dual Eligible Program Report Developer IV

Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation. Additional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments.

Better engagement leads to better outcomes. Reaching, connecting and engaging members is essential to the success of any program designed to improve members’ health. That’s where Matrix excels. Working closely with our health plan partners, their members and primary care providers, we successfully engage members and get them the care and support they need. We use a national network of nurse practitioners to visit with members in their homes and ensure they are getting the care they need. 

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Matrix supports people of all ages across Commercial, managed Medicaid and Medicare Advantage health plans.</p>

Matrix Medical Network

Nurse Practitioner (PRN) - In-Home Health Assessments

Appcast PX 2

The Care Plan Reviewer (Clinical Case Manager BH) utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/ collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of Members: 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.

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Care Plan Reviewer - Clinical Case Manager Behavioral Health

The RNCM provides case management, clinical care and is responsible for coordination all disciplines involved in providing quality, cost-effective and billable care through direct care and supervision of care under the direction of the physician. Ability to effectively communicate and create positive impressions with patients, families, physicians and co-workers.

Alternate Solutions Health Network

Registered Nurse (RN) Case Manager

ea_via_bold

Registered Nurse Case Manager (RN)

The Case Manager is a registered nurse responsible for individualized patient assessment and care coordination, and transition planning to promote maximal outcomes in relation to appropriate length of stay, effective use of resources and established guidelines of care. This position requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management, transition planning and process, resource allocation, team management and communication skills.

About Premier Health Partners<br/><br/>  <a href="http://www.premierhealthpartners.org/home.aspx" target="_blank">Premier Health Partners</a> (PHP) is a large health system serving southwest Ohio communities by improving the quality, affordability, and accessibility of health care.<br/><br/>  PHP Mission and Legacy for Better Health Care<br/><br/>  The <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=760" target="_blank">PHP Mission and Legacy</a> has always been to provide the most comprehensive, affordable and accessible health services and products for the betterment of health care in southwest Ohio. When you know more about our mission, vision, and values, and read about the success stories in our history; you’ll know why we’re the first choice for patients, physicians and employees in southwest Ohio.<br/><br/>  PHP Hospitals<br/><br/>  Our members include more than 65 member locations throughout southwest Ohio, including four hospitals:<br/><br/>  <ul>  <li><a href="http://www.goodsamdayton.org/" target="_blank">Good Samaritan Hospital Dayton</a></li>  <li><a href="http://www.miamivalleyhospital.org/" target="_blank">Miami Valley Hospital</a></li>  <li><a href="http://www.atriummedcenter.org/" target="_blank">Atrium Medical Center</a></li>  <li><a href="http://www.uvmc.com/" target="_blank">Upper Valley Medical Center</a></li>  </ul>  PHP Health Centers<br/><br/>  As part of our mission to bring quality health care closer to the people we serve, we’ve expanded our services through comprehensive health centers:<br/><br/>  <ul>  <li><a href="http://www.goodsamdayton.org/gshdefault.aspx?id=11560" target="_blank">Good Samaritan North Health Center</a> in Englewood</li>  <li><a href="http://www.miamivalleyhospital.org/mvhdefault.aspx?id=12738" target="_blank">Miami Valley South Hospital</a> in Centerville</li>  </ul>  How to Donate or Volunteer<br/>  Find out <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=806" target="_blank">how to donate or volunteer</a> to impact the quality of health care at PHP and our member organizations. PHP has foundations to which you can make donations to improve the health care technology and facilities available to your community. You can also help by volunteering at our hospitals or health centers.<br/><br/>  PHP Vendor and Supplier Information<br/><br/>  Whether you’re currently a vendor working with PHP or a supplier interested in joining our partnership, you’ll find helpful information in our <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=824" target="_blank">vendor and supplier section</a>.<br/><br/>  Serving the Community<br/><br/>  PHP is dedicated to <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=762" target="_blank">serving the community</a> by making it our priority to bring quality, affordable health care choices closer to you. To make this happen, PHP created <a href="http://www.premiercommunityhealth.org/" target="_blank">Premier Community Health</a>, a non-profit organization dedicated to creating a healthier community through prevention, early detection, and disease management. <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=766" target="_blank">PHP’s investment</a> in the 23 communities we serve includes building health service centers, bringing health programs to the community, as well as being one of the largest employers in the area. We also are committed to helping the <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=770" target="_blank">under-served</a> of our community by providing financial aid, free services, and pre ions to people in need. We also believe in being a good neighbor by getting involved in numerous <a href="http://www.premierhealthpartners.org/moreaboutus.aspx?id=772" target="_blank">community programs and charities</a>.  And, as part of our effort to build healthier communities, we have implemented a system-wide <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=822" target="_blank">ban on tobacco</a>.  <br/><br/>  <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=762" target="_blank">Learn more about how we serve the community</a>.  <br/><br/><br/>  Awards and Recognition<br/>  <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=820" target="_blank">Read About Our Awards and Recognition</a>.<br/><br/><br/> 

Premier Health Partners

CASE MANAGER

Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The MyCare Ohio health plan is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.

Elevance Health Inc

LTSS Service Coordinator (Case Manager) Western Ohio

Part-Time Employees (Benefits Eligible) (scheduled 21+ hours per week): Health insurance with HSA match, wellness program and incentives, life insurance, paid personal leave days, sick leave, holiday pay for hours scheduled to work on holidays, and access to dental, vision, short-term disability, accident & critical care benefits. Full-Time Employees (40 hours per week): Health insurance with HSA match, wellness program and incentives, life insurance, paid vacation, paid personal leave days, sick leave, holiday pay, tuition reimbursement, and access to dental, vision, short-term disability, accident & critical care benefits.

Montgomery County, OH

Case Manager

Minimum Requirements: Requires a Bachelor's degree in Business, Healthcare Administration, Finance, or related field and minimum of 5 years of experience in payor contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would provide an equivalent background. Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).

Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy

Supports engagement and collaboration efforts across cross-functional teams, including engineering, group managers, customers, and other departments as needed. Maintains stable workflow processes and oversee production performance metrics and implements changes to receive optimal results.

NML Medical

Associate Manager, Manufacturing - 2nd shift

United States, Bay Point, United States, Culver City, United States, Los Angeles, United States, Washington, United States, Chicago, United States, Springfield, United States, Detroit, United States, Flint, United States, Grand Rapids, United States, Madison Heights, United States, Saginaw, United States, Bridgewater, United States, New York, United States, Austin, United States, Dallas, United States, Houston, United States, San Antonio, United States, Waco, United States, Alexandria, United States, Richmond, United States, Boston, United States, Elk Grove, United States, Baton Rouge, Adhesive Technologies, Sales. United States, Rocky Hill, United States, Stamford, United States, Atlanta, United States, Chicago, United States, New York, United States, Charlotte, United States, Columbus, United States, Philadelphia, United States, Boston, Adhesive Technologies, Sales.

Henkel AG & Co KGaA

Senior Sales Manager for Specialty Tapes & Labels Adhesives

Under the guidance of the Retail Manager, District Director, manage day-to-day operations of a retail store location(s) including service delivery, staff administration, facilities maintenance, phone performance and appearance, purchasing, record keeping, retail product and merchandise management, administrative functions, and other operational areas of the retail store. Work effectively with Automotive Services Managers (in CCIT) and technical team to ensure a positive Member experience in all areas of contact and when necessary, provide guidance and/or direction to Automotive Services team in the absence of the Car Care Manager.

AAA Club Alliance

Retail Assistant Store Manager

Position Summary: The Sales Manager leads the day-to-day operations of the Senior Living Sales team, with primary responsibility for driving and sustaining census across Assisted Living, Memory Care, and Independent Living (IL). The role takes on the daily operational leadership of the department, including staffing, coaching, pipeline management, and routine decisions, and reports to the Director of Marketing and Advancement.

Graceworks Lutheran Services

Sales Manager

The Sales Manager leads the day-to-day operations of the Senior Living Sales team, with primary responsibility for driving and sustaining census across Assisted Living, Memory Care, and Independent Living (IL). The role takes on the daily operational leadership of the department, including staffing, coaching, pipeline management, and routine decisions, and reports to the Director of Marketing and Advancement.

Bethany Village Graceworks

Provide services to customers at point of sale, including, but not limited to; running register, bagging items, assist with loading products, answering inquiries, etc. Store maintenance as needed including but not limited to; cleaning common areas, trash removal, parking lot and sidewalk sweeping, and snow removal.

Gillman Home Center

Rental Equipment Manager

The position bridges client advisory, delivery execution, and product feedback, offering direct exposure to high-impact DoD and Navy programs at a career stage where few professionals gain this depth of hands-on federal cybersecurity experience. The TAM is the technical point of contact for assigned scope within a federal program, turning client mission requirements into platform configuration, delivery tasking, and technical guidance for working-level government stakeholders.

Fortress Information Security LLC

Technical Account Manager, Federal Programs

Reporting to the Vice President of Marketing, this role translates consumer and shopper insights, retail trends, customer strategies, and marketplace opportunities into differentiated, commercially viable growth platforms for ACCO Brands and its retail partners. ACCO Brands is seeking a Strategic Growth Manager to lead the development and execution of large-scale, cross-category retail programs across the North America Consumer and Office Products business.

ACCO Brands Corp

Strategic Growth Manager, Cross Category Programs, North America

Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).

HOUR

Founded over a century ago in 1901, we have a rich and colorful history of continuous improvement and innovation at Walgreens. From inventing the world’s first chocolate malted milkshake to the creation of one of the most popular and sophisticated mobile applications in retail shopping today, we have transformed ourselves into a leader within the retail and drug industry.
Walgreens, one of the nation’s largest drugstore chains, is included in the Retail Pharmacy USA Division of Walgreens Boots Alliance, Inc., the first global pharmacy-led, health well being enterprise.
At Walgreens you'll find a team positively energized by the unique talents, ideas, experiences and aspirations of every individual. In other words, you can be your authentic self in our stores, offices and other workplaces, and be comfortable and confident that what matters most here is doing your best to make health and well-being within reach for everyone on a daily basis.
Walgreens has a proud legacy of valuing diversity and fostering inclusion more than 100 years-strong, and we're still living that commitment. We intend to be recognized as a “Next Practices” company for diversity and inclusion – one whose cultures, people, perspectives and workplaces reflect the current and future customers we serve while delivering superior business performance.
Walgreens has over 9,500 stores in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.

Walgreen Co

Pharmacy Manager - Sign-On Bonus Available

The successful candidate will be a highly organized, action-oriented leader who thrives on being present on the manufacturing floor, building strong relationships, developing people, and driving meaningful improvements in safety performance. Provide leadership and oversight for the sites third-party security services operation, ensuring effective protection of employees, visitors, assets, and facilities.

Perrigo Co Plc

EHS Manager

FULL_TIME

Position Summary: Odyssey has an exciting new opportunity for a Senior Logistics/Product Manager supporting the Airforce Lifecycle Management Center Electron Warfare and Avionics division (AFLCMC/WNY) Electronic Systems Program at Wright Patterson AFB, OH . Support Life Cycle Cost Management (LCCM) and Design-to-Cost (DTC) efforts through business case analyses, cost estimates, trade studies, and repair-level assessments.

<p>Established in 1997, Odyssey Systems Consulting Group, Ltd. is a leading provider of management, analytical, and technical support services for government and private-sector customers. Odyssey delivers innovative solutions in response to complex and challenging customer requirements.</p>
<p>Our portfolio of successful projects demonstrates our ability to efficiently plan, staff, and manage efforts of all scopes and sizes. Our employees provide tailored functional expertise in technology, engineering, and management principles. We offer vast experience in acquisition strategy development and document generation; source selection support; cost, schedule, and performance management; systems engineering and analysis; risk management; cost/benefit and earned value analysis; computer-based training development; communication planning and operations; and lifecycle sustainment and product support. Odyssey also offers research and acquisition support services to the DoD medical domain, leading DoD medical mission support through several prime services contracts.</p>
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<p><strong>A six-time Inc. 5000 honoree, Odyssey has earned recognition on the 2019 Inc. 5000 as one of the most successful companies in America.</strong> In Inc.’s annual guide to the 5,000 fastest-growing privately held companies in the U.S., we were ranked #162 in the Government Services category, delivering a wide range of services to DoD customers and beyond.</p>
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Care Manager Jobs in Beavercreek, OH

LTSS & Dual Eligible Program Report Developer IV CareSource

Nurse Practitioner (PRN) - In-Home Health Assessments Matrix Medical Network

Care Plan Reviewer - Clinical Case Manager Behavioral Health CVS Health Corp

Registered Nurse (RN) Case Manager Alternate Solutions Health Network

Registered Nurse Case Manager (RN) Alternate Solutions Health Network

CASE MANAGER Premier Health Partners

LTSS Service Coordinator (Case Manager) Western Ohio Elevance Health Inc

Case Manager Montgomery County, OH

Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy Elevance Health Inc

Associate Manager, Manufacturing - 2nd shift NML Medical

Senior Sales Manager for Specialty Tapes & Labels Adhesives Henkel AG & Co KGaA

Retail Assistant Store Manager AAA Club Alliance

Sales Manager Graceworks Lutheran Services

Sales Manager Bethany Village Graceworks

Rental Equipment Manager Gillman Home Center

Technical Account Manager, Federal Programs Fortress Information Security LLC

Strategic Growth Manager, Cross Category Programs, North America ACCO Brands Corp

Pharmacy Manager - Sign-On Bonus Available Walgreen Co

EHS Manager Perrigo Co Plc

Senior Logistics/Product Manager Odyssey Systems Consulting Group, Ltd.

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