• Field Care Manager

    Humana (Columbus, OH)
    …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate ... resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently… more
    Humana (03/09/25)
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  • Social Services Care Manager

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who… more
    Humana (03/20/25)
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  • Clinical Case Manager Behavioral

    CVS Health (Columbus, OH)
    …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....Social Worker (LISW) for Ohio - 3+ years of behavioral health or social work experience -… more
    CVS Health (02/08/25)
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  • Behavior Health Case Manager I (US)

    Elevance Health (Columbus, OH)
    …performing case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. ... of one of our Ohio PulsePoint locations. The Behavior Health Case Manager I is responsible for...Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in… more
    Elevance Health (03/13/25)
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  • Social Work Care Manager

    Intermountain Health (Columbus, OH)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
    Intermountain Health (03/15/25)
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  • Clinical Case Manager BH - Remote

    CVS Health (Columbus, OH)
    …channels + Ability to speak to medical and behavioral health professionals to influence appropriate member care . + Utilizes influencing/motivational ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
    CVS Health (03/19/25)
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  • (Registered Dietician) Health Management…

    Molina Healthcare (Columbus, OH)
    …1-3 years in direct patient care , case management, disease management, managed care in medical or behavioral health settings. **REQUIRED LICENSE, ... **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical...: 3-5 years in case management, disease management, managed care or medical or behavioral health more
    Molina Healthcare (03/04/25)
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  • Nurse Manager / RN Required

    BrightSpring Health Services (Columbus, OH)
    …area of responsibility. Responsible to supervise all nursing personnel, and ensure care and services are coordinated with behavioral and programmatic staff ... Community Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote… more
    BrightSpring Health Services (02/20/25)
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  • Case Manager , RN

    CAI (Columbus, OH)
    …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
    CAI (02/01/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Columbus, OH)
    …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
    Highmark Health (03/13/25)
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  • Program Manager

    Highmark Health (Columbus, OH)
    …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
    Highmark Health (03/15/25)
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  • Case Manager (RN): Ohio

    Molina Healthcare (Columbus, OH)
    …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... delivery of care across the continuum, including behavioral health and long term care...settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
    Molina Healthcare (03/13/25)
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  • Category Manager

    Highmark Health (Columbus, OH)
    …management and performance **Preferred** + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
    Highmark Health (02/18/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Columbus, OH)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... interdepartmental/ multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services… more
    Molina Healthcare (03/07/25)
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  • Clinical Services Manager - Service…

    National Youth Advocate Program (Columbus, OH)
    …and growth of behavioral health and outpatient mental health services. **Responsibilities** The Clinical Services Manager will perform administrative ... and philosophies. + Lead the application of evidence-informed service modalities in behavioral health service delivery for the Service Reception Center. +… more
    National Youth Advocate Program (02/17/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Columbus, OH)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
    Highmark Health (03/06/25)
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  • Program Manager

    BrightSpring Health Services (Columbus, OH)
    …Community Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote ... lines of business. If your passion is managing and developing staff to ensure quality care to help our clients live their best life, we encourage you to apply today!… more
    BrightSpring Health Services (01/02/25)
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  • Accreditation Manager

    Humana (Columbus, OH)
    …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (03/21/25)
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  • Program Manager , HCS RN, LMSW, LMHC, LMFT,…

    Molina Healthcare (Columbus, OH)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management… more
    Molina Healthcare (03/21/25)
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  • Sr. New Business Manager ; U500 (Hybrid;…

    The Cigna Group (Westerville, OH)
    health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to ... + Manage the sales process for Medical, Dental, Pharmacy, Behavioral products. + Review and respond to RFP's, manage...sales track record. + 1-2+ years' experience in managed care sales. + Highly motivated with excellent organizational skills.… more
    The Cigna Group (03/04/25)
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