- CVS Health (Columbus, OH)
- …10% for any regional meetings/trainings in the state of Ohio. The Care Plan Reviewer ( Clinical Case Manager BH) utilizes advanced clinical judgment and ... and Quality of Care: Application and/or interpretation criteria and clinical guidelines, standardized case management plans, policies, procedures,… more
- CVS Health (Columbus, OH)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care:** * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- Humana (Columbus, OH)
- …(RN). + Minimum of 2 years of post-degree clinical experience in a behavioral health setting. + Case management experience. + This role is considered patient ... Curious and Committed? If so, apply today!The Field Care Manager , Behavioral Health 2 work assignments are...field of study with no disciplinary action: Licensed Masters Clinical Social Worker (LCSW), Clinical Social Worker… more
- Highmark Health (Columbus, OH)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Molina Healthcare (Columbus, OH)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Highmark Health (Columbus, OH)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- National Youth Advocate Program (Hilliard, OH)
- …the care of the Office of Refugee Resettlement (ORR). NYAP is looking for a Bi-lingual Case Manager I for a Transitional Foster Care (TFC) Program, to work with ... minors, so they can be reunified with caregivers in the US. **RESPONSIBILITIES** The Case Manager I is responsible for the completion and submission of timely… more
- Molina Healthcare (Bexley, OH)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... members on Waiver program. This position will have a case load and manage members enrolled in this program....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Trinity Health (Columbus, OH)
- …State of Ohio required, LISW preferred. + Experience: Minimum of 2 years of case management experience across behavioral health or related fields. Knowledge of ... Learn more at www.experiencecolumbus.com ! **About the job:** The Social Worker Case Management is responsible for the coordination of the medical care provided… more
- National Youth Advocate Program (Columbus, OH)
- …Tuition Assistance, and **Work Anniversary Trips** ! **Position Overview** **Summary** The Clinical Services Manager assists the Director of Service Reception to ... vision, and values while providing leadership to the clinical supervisor and clinical therapists on case consultation with the development and growth of … more
- CVS Health (Columbus, OH)
- …impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. * Coordinates ... more personal, convenient and affordable. **Position Summary** The Care Manager Specialist is a member of the Care Team....for members. Helps implement projects, programs, and processes for Case Management. Applies practical knowledge of Case … more
- CVS Health (Columbus, OH)
- …leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are ... lives in new markets across the state. **Position Summary/Mission:** The Case Management Analyst facilitates appropriate healthcare outcomes for members by locating… more
- Sharecare, Inc. (Columbus, OH)
- …leadership for each year. + Direct questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for ... college pre-requisites is required; BNS preferred. + Minimum of 3-5 years clinical experience; Telephonic Case Management experience and/or CCM certification… more
- AmeriHealth Caritas (Dublin, OH)
- **Care Manager II, RN/LSW/LISW (Remote to Ohio)** Location: Dublin, OH Primary Job Function: Medical Management ID**: 34481 **Job Brief** Must reside in OH. Current ... RN or LSW/LISW licensure and 3+ yrs clinical practice experience. Bachelor's Degree required. Your career starts now. We're looking for the next generation of health… more
- Guardian Life (Columbus, OH)
- …Certified Rehabilitation Counselor (CRC),Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM). + Excellent verbal and communications ... agencies to control costs and identify similar benefits. + Collaborate with Disability Clinical & Vocational Services staff and case managers to move toward… more
- National Youth Advocate Program (Hilliard, OH)
- …and approve clinical documentation + Provide direction and supervision to Case Manager that supports the safety, well-being, and eventual release of ... goal of living safely and successfully in the community. Provides mentoring, case consultation and support to employees within assigned department or program.… more
- Intermountain Health (Columbus, OH)
- …+ Demonstrated ability to exercise critical thinking skills. **Preferred Qualifications** + Case Management Certification. + Experience working in clinical care ... **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members...barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. **Job Specifics** + Pay… more
- CVS Health (New Albany, OH)
- …licensed Masters Social Worker position. This role partners with a registered nurse case manager to utilize a collaborative process of assessment, planning, and ... make positive lifestyle and medical choices and works as a team with other clinical staff to assist members with community resources for medical, financial and … more
- Humana (Columbus, OH)
- …business/growth strategy execution from conception to implementation, including business case development + Ability to support strong organizational performance ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more