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Commission Insurance Case Manager Jobs in Ohio (NOW HIRING)

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

The Case Manager is a registered nurse responsible for individualized patient assessment and care ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Case Manager

Hamilton, OH · On-site

$18.75 - $24/hr

As a Case Manager, you will provide direct support to individuals living with mental health ... Comprehensive medical, dental and vision insurance * Company paid Health Reimbursement Arrangement ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Miami Valley Hospital The Case Manager is a registered nurse responsible for individualized patient ... Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements ...

Case Manager

Hamilton, OH · On-site

$18.75 - $24/hr

As a Case Manager, you will provide direct support to individuals living with mental health ... Comprehensive medical, dental and vision insurance * Company paid Health Reimbursement Arrangement ...

Case Manager

Hamilton, OH · On-site

$18.75 - $24/hr

As a Case Manager, you will provide direct support to individuals living with mental health ... Comprehensive medical, dental and vision insurance * Company paid Health Reimbursement Arrangement ...

Showing results 41-60

Commission Insurance Case Manager information

What is the difference between Commission Insurance Case Manager vs Claims Adjuster?

AspectCommission Insurance Case ManagerClaims Adjuster
CredentialsLicenses in insurance, relevant certificationsLicenses, certifications vary by claim type
Work EnvironmentOffice, remote, insurance companiesField, office, insurance companies
Industry UsageInsurance providers, brokersInsurance companies, third-party administrators
Primary FocusManaging client cases, policy detailsInvestigating and settling claims

While both roles work within the insurance industry, a Commission Insurance Case Manager primarily manages client cases and policy details, often working closely with clients and insurance providers. In contrast, a Claims Adjuster focuses on investigating and settling insurance claims. Both roles require relevant licenses and certifications, but their daily tasks and focus areas differ significantly.

What are the most commonly searched types of Insurance Case Manager jobs in Ohio?

The most popular types of Insurance Case Manager jobs in Ohio are:

$19.50 - $25/hr

Full-time

Re-posted 15 days ago


Job description

General Summary/Responsibilities:
STATUS: Full-Time / 80h per pay period
Shifts: 0830-1700
Facility: Miami Valley Hospital
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. Additional responsibilities include facilitation of interdisciplinary team collaboration, liaison between the patient, physician, payor, family/significant others in regards to care coordination and transitional care needs. 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. Promotes care coordination and effective utilization of resources through the assessment of patient care needs during the hospitalization and across the health care continuum. Success is measured against achievement of targeted goals and outcomes as generated by defined expectations through care team collaboration.
Education: BSN required.
Licensure: Registered Nurse with valid Ohio license.
Certification: Certification in area of clinical specialty preferred.
Experience: Minimum of three years of relevant clinical experience in area of patient population within last five years. Expertise in healthcare reimbursement, transition planning and case management preferred. Experience with a clinical documentation management program preferred, knowledge of performance improvement process preferred.
Skills/Other: Exemplary interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and Integrated Care Team members. Negotiation skills, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required. Basic computer skills required.