• Clinical Care Manager

    Evolent (Columbus, OH)
    …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care more
    Evolent (11/05/24)
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  • Care Plan Reviewer - Clinical Case…

    CVS Health (Columbus, OH)
    …to make health care more personal, convenient and affordable. **Position Summary** The Care Plan Reviewer ( Clinical Case Manager BH) utilizes advanced ... and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
    CVS Health (12/08/24)
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  • Behavioral Health Care

    Elevance Health (Columbus, OH)
    …Standard Hours. Must have a Clinical License Or BCBA certification The ** Behavioral Health Care Manager II** is responsible for managing psychiatric ... member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health...analytics to improve the delivery of care ._ ** Behavioral Health Care Manager II… more
    Elevance Health (12/21/24)
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  • Field Care Manager

    Humana (Columbus, OH)
    …proudly serve. Are you Caring, Curious and Committed? If so, apply today! The Field Care Manager , Behavioral Health 2 work assignments are varied and ... to minimize duplication of efforts. **Position Responsibilities:** The Field Care Manager , Behavioral Health 2...Nurse (RN). + Minimum of 2 years of post-degree clinical experience in a behavioral health setting.… more
    Humana (11/19/24)
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  • Field Care Manager

    Humana (Columbus, OH)
    …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's ... care and wellbeing of members. The Field Care Manager , Behavioral Health 2...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
    Humana (11/20/24)
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  • Care Manager Behavioral

    Highmark Health (Columbus, OH)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
    Highmark Health (12/12/24)
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  • Care Plan Reviewer ( Clinical Case…

    US Tech Solutions (Columbus, OH)
    …**Duration: 03 months(Possible FTE)** **Tentative Start Date-:** **12/22/2024** **Responsibility:** + The Care Plan Reviewer ( Clinical Case Manager BH) ... **Title:** ** Clinical Case Manager BH** **Location: Columbus,...thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
    US Tech Solutions (12/11/24)
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  • Clinical Services Manager - Service…

    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 ... behavioral health and outpatient mental health services. **Responsibilities** The Clinical Services Manager will perform administrative duties including, but… more
    National Youth Advocate Program (11/19/24)
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  • Program Manager - Clinical Program…

    Molina Healthcare (Columbus, OH)
    **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care more
    Molina Healthcare (12/05/24)
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  • Clinical RN Comp Care - Remote

    Sharecare (Columbus, OH)
    …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
    Sharecare (12/17/24)
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  • Clinical Ops Associate Medical…

    Elevance Health (Columbus, OH)
    …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (12/17/24)
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  • Case Manager RN - Field

    CVS Health (Columbus, OH)
    …activities with members across the continuum of care . The RN Case Manager utilizes advanced clinical judgement and critical thinking skills to effectively ... to promote quality, cost effective outcomes. The CVS Accountable Care RN Care Manager will...and social needs are being appropriately addressed by the care team to achieve optimal clinical , financial,… more
    CVS Health (12/06/24)
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  • Case Manager RN - Nursing Facilities…

    Molina Healthcare (Columbus, OH)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
    Molina Healthcare (12/05/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Columbus, OH)
    …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
    Highmark Health (11/20/24)
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  • Bilingual PRS Intensive Case Manager Level…

    National Youth Advocate Program (Columbus, OH)
    …old. + Master's degree in social work, psychology, sociology, or other relevant behavioral science in which direct clinical experience is a program requirement ... of Refugee Resettlement (ORR), NYAP's **Post Release Services (PRS) Intensive Case Manager Level 3** provides post release services focused on stabilizing the family… more
    National Youth Advocate Program (10/24/24)
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  • Director, Complex Care Strategy Advancement

    CenterWell (Columbus, OH)
    …collaboratively with clinical and operational leaders across a complex health care organization. + Knowledge of health care regulations and policies related ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
    CenterWell (12/10/24)
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  • Medical Director

    Elevance Health (Columbus, OH)
    clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality...manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews.… more
    Elevance Health (12/06/24)
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  • Director, Psychiatric Residential Treatment…

    CVS Health (Columbus, OH)
    …OhioRISE (Resilience through Integrated Systems and Excellence) plan is a Medicaid managed care program that provides and coordinates behavioral health care ... management and oversight of all activities that support PRTF clinical and administrative operations. The director of the PRTF...or more years of experience in public sector, managed behavioral health care . + Knowledge and understanding… more
    CVS Health (12/18/24)
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  • Patient Health Advocate

    Somatus (Columbus, OH)
    …to a physician's treatment plan. The CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN Care ... Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health management...and guide the patient to meet both personal and clinical goals. + Schedules provider appointments on behalf of… more
    Somatus (10/02/24)
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  • Coordinator, Utilization Management

    Evolent (Columbus, OH)
    …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care more
    Evolent (12/24/24)
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