- Molina Healthcare (Cincinnati, OH)
- …in the state of OH. We are looking for a Licensed Social Worker to do telephonic Behavioral Health Case Manager . This role will work in remote setting ... state or locality with reliable transportation. **PREFERRED EXPERIENCE:** + 3+ years in behavioral health case management, disease management, managed care… more
- Molina Healthcare (Covington, KY)
- …concerns. + Collaborates with RN case managers/supervisors as needed or required + Case managers in Behavioral Health and Social Science fields may ... an integrated delivery of care across the continuum, including behavioral health and long term care, for...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health… more
- CVS Health (Covington, KY)
- …care more personal, convenient and affordable. **Position Summary** The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the ... using person centered thinking and systems of care for those experiencing complex behavioral health challenges. + Experience engaging youth and families in… more
- Elevance Health (Mason, OH)
- ** Behavioral Health Outreach Care Specialist** **Location** : This is a remote position. The ideal candidate will live within 50 miles of an Elevance Health ... provide an equivalent background. **Preferred Skills, Capabilities & Experiences:** + Behavioral health experience preferred. + Experience working with… more
- Molina Healthcare (Covington, KY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as… more
- Elevance Health (Cincinnati, OH)
- …as related to oncology drivers. Responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... be supporting our clients in operations with utilization and case management reviews. In addition, the medical director will...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- BrightSpring Health Services (Milford, OH)
- …+ Monitoring clients' vital statistics and reporting abnormal findings to the case manager and physician assessments + Performs medication administration, ... actions of all care given and communicates with family, case manager , and physicians as well as...Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare… more
- Elevance Health (Mason, OH)
- …The **Medicare Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Mason, OH)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** **Work schedule: Monday - Friday...make an impact:** + Ensures timely completion of clinical case reviews for their board-certified specialty. + Makes physician… more
- Elevance Health (Mason, OH)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location. **Work schedule:** Monday - Friday 8:00am to 5:00pm depending… more
- Molina Healthcare (Cincinnati, OH)
- …years in case management, disease management, managed care or medical or behavioral health settings. + One year of auditing/ clinical review experience. + ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health… more