- CVS Health (Columbus, OH)
- …schedule, paid holidays, and flexibility as you coordinate the care of your members. Case Manager BH is responsible for telephonically and/or face to face ... organized, tech-savvy Licensed Independent Social Worker to join our Case Management team. This opportunity offers a competitive salary...Social Worker (LISW) for Ohio - 3+ years of behavioral health or social work experience -… more
- Humana (Columbus, OH)
- …put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work...the KY Medicaid Population. + Managed Care Experience. + Case Management Certification (CCM). + Bilingual (English/Spanish); speaking, reading,… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within… more
- Molina Healthcare (Columbus, OH)
- …DESCRIPTION** Program Manager for Healthcare Services available for either RN or a Behavioral Health Specialist who has a license in good standing in their ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.… more
- Elevance Health (Columbus, OH)
- …candidate will live within 50 miles of one of our Ohio PulsePoint locations. The Behavior Health Case Manager I is responsible for performing case ... Behavior Case Manager I **Location:** Ohio This...Behavior Case Manager I **Location:** Ohio This is a remote...telephonically within the scope of licensure for members with behavioral health and substance abuse or substance… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Certified Case Manager (CCM) Certified Diabetes Educator To all current Molina… more
- Highmark Health (Columbus, OH)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- CAI (Columbus, OH)
- …including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health , and Complex Case Management + ... Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...Care Plans + Experience collaborating with PCP's, Occupational Therapists, Behavioral Health , and Providers + Experience with… more
- Molina Healthcare (Columbus, OH)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
- ICF (Columbus, OH)
- …children to make recommendations for release plans to ORR in conjunction with the case provider Case Manager . Release plans provide for the unaccompanied ... Description ICF is currently seeking Case Coordinators capable of working directly with ORR...Experience working for a refugee program. + Experience in mental/ behavioral health for children or experience with… more
- Highmark Health (Columbus, OH)
- …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
- National Youth Advocate Program (Columbus, OH)
- …therapists on case consultation with the development and growth of behavioral health and outpatient mental health services. **Responsibilities** The ... and philosophies. + Lead the application of evidence-informed service modalities in behavioral health service delivery for the Service Reception Center. +… more
- 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 potential. ... multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports for Molina… more
- Intermountain Health (Columbus, OH)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… more
- AmeriHealth Caritas (Columbus, OH)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... management services in achieving their optimal level of health .; The Care Manager is responsible for...resolving problems. Coordinates care and services with the Account manager , Complex RN Case Manager ,… more
- 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 ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- Securitas Security Services USA, Inc. (Grove City, OH)
- **Project Manager ** Wage: 29.00/ hour **Are you interested in being part of our Security Team?** + Apply quickly and efficiently online. + Weekly pay. + Growth ... opportunities within the company. + Health , dental, vision, and more! + Employee referral bonus...Vacation and Sick Leave **JOB SUMMARY:** Supports the Branch Manager or Account Manager through project planning… more
- National Youth Advocate Program (London, OH)
- …Excellence, is Ohio's first highly integrated care program for youth with complex behavioral health and multi-system needs. National Youth Advocate Program is ... children and youth enrolled in OhioRISE who have moderate behavioral health needs, and for helping to...Agency training requirements + Report all MUl's to Site Manager and Supervisor immediately + Other duties as assigned… more
- Molina Healthcare (Columbus, OH)
- …years in case , disease or utilization management; managed care; or medical/ behavioral health settings. + One year of training delivery and/or development ... in case , disease or utilization management; managed care; or medical/ behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Active,… more
- Highmark Health (Columbus, OH)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more