- Molina Healthcare (Dayton, 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
- 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 (Dayton, 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. ... 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 (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 ... 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 (Dayton, 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